An unmarried young woman describes her sex life as "active" and involving "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:
a. "The IUD does not interfere with sex."
b. "The risk of pelvic inflammatory disease (PID) will be higher for you."
c. "The IUD will protect you from sexually transmitted infections (STIs)."
d. "Pregnancy rates are high with IUDs."
ANS: B
Disadvantages of IUDs include an increased risk of PID in the first 20 days after insertion and the risks of bacterial vaginosis and uterine perforation. The IUD offers no protection against STIs or human immunodeficiency virus. Because this woman has multiple sex partners, she is at higher risk of developing a STI. The IUD does not protect against infection, as does a barrier method. Although the statement "The IUD does not interfere with sex" may be correct, it is not the most appropriate response. The IUD offers no protection from STIs. The typical failure rate of the IUD in the first year of use is 0.8%.
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