Pregnancy Exclusion Criteria for IUD/Nexplanon
Pregnancy can be reasonably excluded if a client answers YES to any of the following questions:
1.Have you abstained from sexual intercourse since your last menstrual period?
2.Have you had a normal menstrual period within the past seven days?
3.Have you been using a reliable form of contraception consistently and correctly?
4.Have you had a miscarriage or abortion within the past seven days?
5.Have you had a baby within the past four weeks?
6.Have you had a baby within the past six months AND are you fully or nearly-fully breastfeeding AND have you not had a menstrual period since the delivery?
A systematic review of studies evaluating the performance of a pregnancy checklist compared with urine pregnancy test to rule out pregnancy concluded the negative predictive value of a checklist similar to the one above was 99 to 100 percent.