A woman has a copper intrauterine device inserted six weeks ago. Which finding requires prompt assessment?
Correct answer: C. Inability to feel the device strings
- A. Mild cramps during the first few days
- B. Slight increase in menstrual flow
- C. Inability to feel the device strings
- D. Mild spotting after intercourse once
Explanation
Inability to feel the strings can indicate expulsion, displacement, or rarely perforation, so the woman should use another method and obtain prompt assessment. Mild early cramping and heavier periods are common effects of a copper device.
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About Family Planning
Family planning covers fertility awareness, lactational amenorrhoea, condoms, oral pills, injectables, implants, intrauterine devices, emergency contraception, sterilisation and postpartum options. Questions address mechanisms, effectiveness, contraindications, adverse effects, counselling and follow-up, with careful distinction between contraception, emergency contraception and treatment for infertility.
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