Maternal & Child Health Nursing Chapter 6
A nurse is explaining the use of an IUD to a female patient interested in obtaining contraception.
Which information would the nurse most likely include in the explanation?
A) The intrauterine device (IUD) is an object that is placed by the patient within the uterus to prevent
implantation of a fertilized ovum
B) IUDs seem to affect the way the sperm or egg moves
C) IUDs are small devices made of flexible plastic that provide irreversible birth control
D) IUDs do not prevent fertilization of the egg
B) IUDs seem to affect the way the sperm or egg moves
IUDs seem to affect the way the sperm or egg moves. IUDs are small devices made of flexible plastic
that provide reversible birth control. The intrauterine device (IUD) is an object that is placed by a
physician or nurse practitioner within the uterus to prevent implantation of a fertilized ovum. IUDs
usually prevent fertilization of the egg, but the precise mechanism by which it works is unknown.
A 26-year old mother of three children tells the nurse at her annual check-up that she does not want
to have any more children; however, her religion forbids the use of contraceptive devices. Which of
the following methods would be the best option for this client?
A) Intrauterine device
B) Diaphragm
, C) Rhythm method
D) Hormonal method
C) Rhythm method
Fertility awareness methods (FAMs) include the rhythm method, which involves limiting sexual
intercourse to the time during the woman's menstrual cycle when she is most likely to be infertile.
This method does not involve contraceptive devices. Barrier methods, such as diaphragms and IUDs
interfere with conception by physically preventing sperm from fertilizing ova. Barriers work through
mechanical and chemical means. Hormonal methods of birth control alter a woman's normal
hormone level to prevent ovulation and thus the chances for conception.
A nurse is preparing a client for intrauterine device (IUD) insertion. What should the nurse inform the
client when educating her on IUDs?
A) There is reduced menstrual flow after insertion.
B) The insertion procedure is painless.
C) A regular check of threads must be done.
D) There are continuous cramps after insertion.
C) A regular check of threads must be done.
The nurse should instruct the client to check the threads regularly to make sure that the IUD is in
place. Menstrual flow may be heavier, or last longer than normal, after IUD insertion. It will not
decrease. The client may feel a sharp pain when the IUD is inserted. The client may have cramps for a
few days, but these should not continue.
A nurse is explaining the use of an IUD to a female patient interested in obtaining contraception.
Which information would the nurse most likely include in the explanation?
A) The intrauterine device (IUD) is an object that is placed by the patient within the uterus to prevent
implantation of a fertilized ovum
B) IUDs seem to affect the way the sperm or egg moves
C) IUDs are small devices made of flexible plastic that provide irreversible birth control
D) IUDs do not prevent fertilization of the egg
B) IUDs seem to affect the way the sperm or egg moves
IUDs seem to affect the way the sperm or egg moves. IUDs are small devices made of flexible plastic
that provide reversible birth control. The intrauterine device (IUD) is an object that is placed by a
physician or nurse practitioner within the uterus to prevent implantation of a fertilized ovum. IUDs
usually prevent fertilization of the egg, but the precise mechanism by which it works is unknown.
A 26-year old mother of three children tells the nurse at her annual check-up that she does not want
to have any more children; however, her religion forbids the use of contraceptive devices. Which of
the following methods would be the best option for this client?
A) Intrauterine device
B) Diaphragm
, C) Rhythm method
D) Hormonal method
C) Rhythm method
Fertility awareness methods (FAMs) include the rhythm method, which involves limiting sexual
intercourse to the time during the woman's menstrual cycle when she is most likely to be infertile.
This method does not involve contraceptive devices. Barrier methods, such as diaphragms and IUDs
interfere with conception by physically preventing sperm from fertilizing ova. Barriers work through
mechanical and chemical means. Hormonal methods of birth control alter a woman's normal
hormone level to prevent ovulation and thus the chances for conception.
A nurse is preparing a client for intrauterine device (IUD) insertion. What should the nurse inform the
client when educating her on IUDs?
A) There is reduced menstrual flow after insertion.
B) The insertion procedure is painless.
C) A regular check of threads must be done.
D) There are continuous cramps after insertion.
C) A regular check of threads must be done.
The nurse should instruct the client to check the threads regularly to make sure that the IUD is in
place. Menstrual flow may be heavier, or last longer than normal, after IUD insertion. It will not
decrease. The client may feel a sharp pain when the IUD is inserted. The client may have cramps for a
few days, but these should not continue.
