Acute Care Nurse Practitioner Certification 2026 Practice Exam – The All-in-One Guide for Guaranteed Success!

The expulsion of an intrauterine device (IUD) is indeed one of the well-documented undesirable effects associated with its use. This phenomenon can occur when the body expels the IUD partially or entirely, which can happen within the first few months after insertion. The reasons for expulsion may include the size and shape of the uterus, incorrect placement of the device, or the individual's body’s response to having a foreign object.

While some women may experience heavy bleeding or increased blood flow as a result of using certain types of IUDs, particularly those that release hormones (like the Mirena), others may find that their bleeding patterns improve. Similarly, pain during insertion can vary significantly from one individual to another, and good insertion techniques can help minimize discomfort. Moreover, many users report that hormonal IUDs help regulate their menstrual cycles, which is typically a desired effect rather than an undesirable one. Thus, the expulsion of the IUD stands out clearly as an adverse event rather than an anticipated outcome, making it the correct choice in this context.