An unmarried young woman describes her sex life as "active" with "many" partners. She wants a contraceptive method that is reliable and does not interfere with sex. She requests an intrauterine device (IUD)
The nurse's most appropriate response is: 1. "The IUD does not interfere with sex.".
2. "The risk of pelvic inflammatory disease [PID] will be higher for you.".
3. "The IUD will protect you from sexually transmitted infections.".
4. "Pregnancy rates are high with the IUDs.".
2
1. Incorrect. Although this statement may be correct, it is not the most appropriate.
2. Correct. Disadvantages of IUD use include increased risk of PID shortly after placement, risk of bacterial vaginosis, and uterine perforation. The IUD offers no protection against STIs or HIV. Because this woman has multiple sex partners, she is at higher risk of developing an STI. The IUD will not offer protection from infection like a barrier method would.
3. Incorrect. The IUD offers no protection from STIs.
4. Incorrect. The typical failure rate of the IUD is less than 1%.
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