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 will be higher for you."
c. "The IUD will protect you from sexually transmitted diseases."
d. "Pregnancy rates are high with the IUDs."
B
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A Although this statement may be correct, it is not the most appropriate response.
B Disadvantages of IUDs include an increased risk of pelvic inflammatory disease
(PID) in the first 20 days after insertion, as well as the risks of bacterial vaginosis
and uterine perforation. The IUD offers no protection against sexually
transmitted diseases (STDs) or the human immunodeficiency virus (HIV).
Because this woman has multiple sex partners, she is at higher risk of developing
an STD. The IUD does not protect against infection, as does a barrier method.
C The IUD offers no protection from STDs.
D The typical failure rate of the IUD ranges from 0.8% to 2%.
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