Before signing the consent form for a myomectomy, the patient ...

[schs14]

Before signing the consent form for a myomectomy, the patient asks why an intrauterine device (IUD) is being inserted because the goal is to become pregnant. What should the nurse respond to the patient?
 
  A) After a myomectomy, an IUD will not prevent pregnancy.
  B) Pregnancy must be avoided for a year after a myomectomy.
  C) It is used to ensure an adequate menstrual blood flow occurs.
  D) It prevents the uterine sides from touching and forming new adhesions.

Question 2

What should the nurse include when explaining endometriosis as a cause for a female patient's infertility?
 
  A) You do not ovulate because of endometrial implants on the ovaries..
  B) Your uterine cervix fails to close because it is engorged with tissue..
  C) Menstrual sloughing does not occur, so there is never a new base for embryo growth..
  D) Ovulation does take place misplaced endometrial tissue interferes with transport of the ovum..

[cat123]

Answer to Question 1

D
Feedback:
During a myomectomy, an IUD may be inserted to prevent the uterine sides from touching and forming new adhesions. This treatment can be difficult for a woman to accept because preventing pregnancy through an IUD is exactly what she does not want to do. The IUD is not inserted to prevent pregnancy. An IUD will prevent pregnancy even after a myomectomy. The IUD is not used to ensure an adequate menstrual blood flow.

Answer to Question 2

D
Feedback:
Endometriosis refers to the implantation of uterine endometrium, or nodules, that have spread from the interior of the uterus to locations outside the uterus. If viable particles of endometrium enter a tube, they can cause tubal obstruction; growths on the ovaries can displace fallopian tubes away from the ovaries, preventing the entrance of ova into the tubes. Peritoneal macrophages, which are drawn to nodules of endometrium, can destroy sperm. Endometriosis does not affect ovulation, cervix competence, or menstruation.