The Nurse Is Caring for a Client Who Will Have

The nurse is caring for a client who will have a copper intrauterine device (IUD) inserted.  When reinforcing teaching related to the copper IUD, which of the following nurse statements are appropriate?  Select all that apply.

A) "Backup contraception is needed for 2 days until the IUD is effective."
B) "Heavier menses and more menstrual cramping are common in clients using a copper IUD."
C) "Missing a period while using a copper IUD is normal and no reason for concern."
D) "You may have cramping and vaginal spotting for a short time after IUD insertion."
E) "You should check for the IUD strings at least once a month after menses."