The client with an IUD has a positive pregnancy test. When planning care, the nurse will base decisions on which anticipated action?
a. A therapeutic abortion will need to be scheduled because fetal damage is inevitable.
b. Hormonal analyses will be done to determine the underlying cause of the false-positive test result.
c. The IUD will need to be removed to avoid complications such as miscarriage or infection.
d. The IUD will need to remain in place to avoid injuring the fetus.
ANS: C
Pregnancy with an intrauterine device (IUD) in place is unusual but it can occur and cause complications such as spontaneous abortion and infection. A therapeutic abortion is not indicated unless infection occurs.
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