A woman with an intrauterine device cannot feel its threads and has missed her expected menstrual period. What is the priority nursing action?
Correct answer: A. Arrange pregnancy assessment and check for device displacement
- A. Arrange pregnancy assessment and check for device displacement
- B. Tell her that missing threads are always harmless
- C. Advise her to push the device back into position
- D. Recommend removing the device without an examination
Explanation
Absent threads with a missed period may indicate pregnancy, expulsion, perforation, or retracted threads. Pregnancy assessment and clinical examination are needed before giving further advice; the woman should not attempt to reposition the device herself.
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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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