Practice Quiz

CNM Certified Nurse Midwife

Category - Gynecology

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A female client with an IUD comes to the facility after testing positive in the home pregnancy kit. Physical examination and laboratory tests are ordered to verify the pregnancy. After reviewing the test results, the nurse midwife determines that the client is 8 weeks pregnant. Which of the following is the next action of the nurse midwife?
  1. Order a sonogram to rule out birth defects.
  2. Notify a physician for removal of the IUD.
  3. Inform the client that the IUD may be left in place without complications.
  4. Prepare the client for a surgical abortion procedure.
Explanation
Answer: B - The next action of the nurse midwife is to notify a physician for removal of the IUD. A sonogram is ordered to rule out ectopic pregnancy, which is one of the most common complications of pregnancy with the IUD in place. The IUD may be left in place, but the client might then be at risk for ectopic pregnancy, miscarriage and pelvic inflammatory disease.
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