A woman with a copper intrauterine device reports fever, lower abdominal pain and foul-smelling vaginal discharge. Which finding should the nurse report first?
Correct answer: C. Fever with lower abdominal tenderness and foul discharge
- A. Mild cramps during the first day after insertion
- B. Light spotting during the first few months
- C. Fever with lower abdominal tenderness and foul discharge
- D. A menstrual period that is slightly heavier than usual
Explanation
Fever, pelvic pain and foul discharge suggest pelvic infection and require prompt assessment and treatment. Mild cramps, spotting and heavier periods can occur with a copper device, but they do not explain systemic infection signs.
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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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