Page 348 - كتاب تمريض نسا الاكتروني

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3- Told woman that menorrhagia is frequent during the first 3 months after

insertion.

4- Woman is instructed to examine herself periodically after each period to feel the

threads to be sure that the device is in place.

5- Tell her to keep record of her period if she misses one she may be pregnant and

should have a pregnancy test.

6- She should report if threads not felt, if period is missed or if there is sever pelvic

pain and fever to exclude pelvic infection.

7- The client should be instructed to report any signs of infection.

8- The nurse should teach the clients about (PAINS) system or recognize early

signs of IUD as:

P → Period late or skipped period

A → Abdominal pain (severe)

I → Increased temperature (fever) &chills

N → Noticeable vaginal discharge & foul-smelling discharge

S →Spotting, bleeding, heavy periods, clots (unusual) may signal complications

9- The nurse should be aware of IUD procedure side effect as it may induce enough

pain and stimulation result in syncope so be ready to place the client in

recumbent position if there is any signs of light headiness, sweating or nausea.

10- Inform the woman if there is excessive bleeding should be examined routinely

for anemia and given iron supplement.

11- Tell her not to try to remove the IUD by herself or make her partner removed

it. If she needs to remove it at any time, it can be done by health care provider.

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