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."
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.
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