For which patient assessment finding would an intrauterine device ...

[sarasara]

For which patient assessment finding would an intrauterine device (IUD) be contraindicated?
 
  A) Misshapen uterus
  B) Multiple sexual partners
  C) Diagnosis of hypertension
  D) History of thromboembolic disease

Question 2

On the first postpartum home visit, the nurse finds that the patient is not carrying out all the instructions given her when she was hospitalized. Which remark by the nurse is most appro-priate?
 
  A. Don't you remember how the nurses taught you to do this?
  B. It's very important that you do exactly as I say. I want you to read this material before I return next week.
  C. Why aren't you following the directions we gave you?
  D. Childbirth is so overwhelming, it's easy to forget what people tell you. Let's re-view the instructions.

[tuwy]

Answer to Question 1

A
Feedback:
Use of an IUD may be contraindicated for a woman whose uterus is distorted in shape because the device might perforate the uterine wall. The device is not contraindicated for multiple sexual partners, hypertension, or history of thromboembolic disease. Infection is no longer a concern because the vaginal string no longer conducts fluid. The device does not impact hormone levels and will not influence blood pressure or blood flow.

Answer to Question 2

D
During the postpartum period, the woman may be overwhelmed with information and re-member little of it. Therefore verbal information should be reinforced and supplemented with written material. Option 4 demonstrates acceptance of the patient and an offer to repeat ne-cessary information.

[sarasara]

Thank you

[tuwy]

Happy to help you