NCLEX Question for Intrauterine Device

NCLEX Question for intrauterine device
For which of the following clients would the nurse expect that an intrauterine device would not be recommended?

1. Woman over age 35
2. Nulliparous woman
3. Promiscuous young adult
4. Postpartum client  

Correcy Answer: C.

Rationale:  An IUD may increase the risk of pelvic inflammatory disease, especially in women with more than one sexual partner, because of the increased risk of sexually transmitted infections. An UID should not be used if the woman has an active or chronic pelvic infection, postpartum infection, endometrial hyperplasia or carcinoma, or uterine abnormalities. Age is not a factor in determining the risks associated with IUD use. Most IUD users are over the age of 30. Although there

NCLEX Question for Intrauterine Device

NCLEX Question for intrauterine device
For which of the following clients would the nurse expect that an intrauterine device would not be recommended?

1. Woman over age 35
2. Nulliparous woman
3. Promiscuous young adult
4. Postpartum client  

Correcy Answer: C.

Rationale:  An IUD may increase the risk of pelvic inflammatory disease, especially in women with more than one sexual partner, because of the increased risk of sexually transmitted infections. An UID should not be used if the woman has an active or chronic pelvic infection, postpartum infection, endometrial hyperplasia or carcinoma, or uterine abnormalities. Age is not a factor in determining the risks associated with IUD use. Most IUD users are over the age of 30. Although there

NCLEX Question for woman who is 2 days postpartum for discharge

NCLEX Question for Postpartum Discharge
When preparing a woman who is 2 days postpartum for discharge, recommendations for which of the following contraceptive methods would be avoided?

a.    Diaphragm
b.    Female condom
c.    Oral contraceptives
d.    Rhythm method


Correct Answer: A. 
Rationale: The diaphragm must be fitted individually to ensure effectiveness. Because of the changes to the reproductive structures during pregnancy and following delivery, the diaphragm must be refitted, usually at the 6 weeks’ examination following childbirth or after a weight loss of 15 lbs or more. In addition, for maximum effectiveness, spermicidal jelly should be placed in the dome and around the rim. However, spermicidal jelly should not be inserted into the vagina until involution is completed at approximately 6 weeks. Use of a female condom protects the reproductive system from the introduction of semen or spermicides into the vagina and may be used after childbirth. Oral contraceptives may be started within the first postpartum week to ensure suppression of ovulation. For the couple who has determined the female’s fertile period, using the rhythm method, avoidance of intercourse during this period, is safe and effective.