An unmarried young adult woman describes her sex life as active ...

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An unmarried young adult woman describes her sex life as active with many partners. She is requesting an intrauterine device (IUD) because she wants a contraceptive method that is reliable and does not interfere with sex.
 
  The nurse's most appropriate response should be:
  a. The IUD may interfere with sex.
  b. Pregnancy rates are high with the IUD.
  c. The IUD will protect you against sexually transmitted infections.
  d. The risk of a sexually transmitted infection is higher for you.

Question 2

A married couple does not plan to have more children and is discussing male and female sterilization with the nurse. Which statement is most appropriate for the nurse to make?
 
  a. Male and female sterilization methods are 100 effective.
  b. Tubal ligation can be easily reversed if you change your minds in the future.
  c. Vasectomy may have a slight effect on sexual performance.
  d. Sterilization does not affect sexual functioning.

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Answer to Question 1

ANS: D
An IUD is not recommended for women who have multiple sexual partners and are at risk for sexually transmitted infections because it provides no protection against these diseases. An IUD does not interfere with sex, and provides long-term contraception.

Answer to Question 2

ANS: D
Neither vasectomy nor tubal ligation affects sexual functioning. There is no absolute guarantee that sterilization will prevent pregnancy; however, the failure rate is very low. Tubal ligation reversals can be attempted, but the success depends on the type of procedure performed.