A client asks about the benefits of having a copper intrauterine ...

[rmenurse]

A client asks about the benefits of having a copper intrauterine device (IUD) inserted for birth control. What is the nurse's most accurate response?
 
  Standard Text: Select all that apply.
  1. The copper works like a spermicide to slow sperm motility.
  2. Even if an egg becomes fertilized, the device will not let it become implanted in the uterus.
  3. The device can be left in place for up to 10 years.
  4. It is a birth control option for someone who cannot take estrogen or progesterone.
  5. The device has no adverse effects.

Question 2

The nurse is completing the health assessment of a client who is interested in taking oral contraceptives. Which set of data would indicate that the client should consider another form of birth control?
 
  1. Height 5 feet, 7 inches; weight 156 pounds; P-87; R-18; B/P-128/78
  2. Height 5 feet, 2 inches; weight 102 pounds; P-80; R-14; B/P-121/74
  3. Height 5 feet, 6 inches; weight 140 pounds; P-86; R-16; B/P-112/79
  4. Height 5 feet, 3 inches; weight 187 pounds; P-88; R-18; B/P-142/87

[alexanderhamilton]

Answer to Question 1

Correct Answer: 1,2,3,4
Rationale 1: The copper in the copper intrauterine device triggers a spermicidal-like reaction that slows sperm motility.
Rationale 2: If fertilization does occur with the copper intrauterine device, implantation is not likely to happen because the copper makes changes to the endometrial layer, making the lining less favorable for implantation.
Rationale 3: The copper intrauterine device can be left in place for up to 10 years.
Rationale 4: The copper intrauterine device is a good option for those who cannot take estrogen or progesterone.
Rationale 5: There are adverse effects to use of the IUD.
Global Rationale: The copper in the copper intrauterine device triggers a spermicidal-like reaction that slows sperm motility. If fertilization does occur with the copper intrauterine device, implantation is not likely to happen because the copper makes changes to the endometrial layer, making the lining less favorable for implantation. The copper intrauterine device can be left in place for up to 10 years. It is a good option for those who cannot take estrogen or progesterone, but all IUDs can have adverse effects.

Answer to Question 2

Correct Answer: 4
Rationale 1: This client's weight is within normal limits. The blood pressure is slightly elevated, but does not indicate hypertension.
Rationale 2: This client's weight and vital signs are within normal range.
Rationale 3: This client's weight and vital signs are all within normal range.
Rationale 4: This client is overweight, and blood pressure is elevated. This client should consider using another form of birth control.
Global Rationale: Being overweight and having high blood pressure can complicate contraception with oral contraceptives. The patient who is 5 feet 3 inches tall, weighs 187 pounds and whose blood pressure is 142/87 should consider an alternative birth control method. The other patients have vital signs and weights within normal range.

[rmenurse]

Thanks for the timely response, appreciate it

[phuda]

Gracias!