A 23-year-old female patient is considering intrauterine device (IUD) contraception. What is the most important information to assess before placement?

Correct Answer: B

Rationale: The correct answer is B: Are you allergic to any metals? This is crucial because some IUDs contain metals like copper, which can trigger allergic reactions in individuals with metal allergies. It is important to assess for metal allergies to prevent potential adverse reactions. Incorrect Choices: A: Family history of heart disease is not directly relevant to IUD placement. C: Previous IUD insertions are important for clinical history but do not impact the initial assessment for a new insertion. D: History of hypertension is important for overall health assessment but does not directly affect IUD placement.

Correct Answer: B

Rationale: The correct answer is B: There could be a decrease in bone mineral density over time. Progesterone-only pills have been associated with a potential decrease in bone density, especially with long-term use. This is because progesterone can have a negative impact on calcium absorption, leading to bone weakening. A: Side effects could be increased for persons who are underweight - This is not a specific disadvantage of progesterone-only pills and can apply to any contraceptive method. C: They may cause irregular bleeding and spotting - This is a common side effect of progesterone-only pills but not a significant disadvantage compared to bone density issues. D: Return to fertility after discontinuing the pill may take several months - This is a temporary effect and not a long-term disadvantage like decreased bone density.

Correct Answer: A

Rationale: The correct answer is A. The statement "The medication could cause me to experience heart palpitations" indicates understanding because terbutaline, a beta-agonist used to stop preterm labor, can indeed cause heart palpitations as a common side effect due to its impact on the cardiovascular system. This shows the client has grasped a potential side effect of the medication. The other choices are incorrect: B: "This medication could cause me to experience blurred vision" - Blurred vision is not a common side effect of terbutaline. C: "This medication could cause me to experience ringing in my ears" - Ringing in the ears is not a common side effect of terbutaline. D: "This medication could cause me to experience frequent " - Incomplete statement, not indicating understanding of a specific side effect.

Correct Answer: B

Rationale: The correct answer is B: The mother is Rh negative, and the father is Rh positive. This combination can lead to hemolytic disease in newborns due to Rh incompatibility. If the mother is Rh negative and the father is Rh positive, there is a chance that the fetus may inherit the Rh-positive factor from the father, causing the mother's immune system to produce antibodies against the Rh factor in subsequent pregnancies, potentially leading to hemolytic disease in newborns. Incorrect choices: A: The mother is Rh positive, and the father is Rh negative - This combination does not result in Rh incompatibility as the fetus will not inherit the Rh-negative factor from the father. C: The mother and the father are both Rh positive - Rh incompatibility occurs when the mother is Rh negative and the father is Rh positive, so this choice is incorrect. D: The mother and the father are both Rh negative - In this case, there is no Rh incompatibility present,

Correct Answer: D

Rationale: The correct answer is D: Performing umbilical cord care. Gloves should be worn during this procedure to prevent the spread of infection. The umbilical cord stump is a potential entry point for bacteria, so gloves are necessary to maintain asepsis. A: Assisting a mother with breastfeeding does not require gloves as it is a clean procedure. B: Performing a newborn's initial bath does not require gloves unless there are open wounds on the newborn. C: Administering the measles, mumps, rubella vaccine may require gloves, but the primary concern is needlestick safety rather than infection control through glove use.