A client who had her first baby three months ago and is breastfeeding her infant tells the nurse that she is currently using the same diaphragm that she used before becoming pregnant. Which information should the nurse provide this client?
After ceasing breastfeeding the diaphragm should be resized.
Use an alternate form of contraception until a new diaphragm is obtained.
If no more than 20 pounds was gained during pregnancy, the diaphragm is safe to use.
Avoid intercourse during ovulation until the size of the diaphragm has been evaluated
The Correct Answer is B
A. After ceasing breastfeeding, the diaphragm should be resized: Breastfeeding can affect vaginal lubrication and elasticity. It might be advisable to have the diaphragm refitted after childbirth and after breastfeeding stops. However, this choice doesn't directly address the current situation.
B. Use an alternate form of contraception until a new diaphragm is obtained: This is a reasonable suggestion. Using a diaphragm that was fitted before pregnancy might not offer adequate protection due to potential changes in the cervix's size or shape after childbirth.
C. If no more than 20 pounds were gained during pregnancy, the diaphragm is safe to use: Weight gain during pregnancy can affect the size and shape of the vagina and cervix. However, specifying a particular weight gain as a safety criterion for using the diaphragm isn't entirely accurate.
D. Avoid intercourse during ovulation until the size of the diaphragm has been evaluated: This is a cautious approach. Waiting until the diaphragm size is confirmed by a healthcare professional could be prudent to ensure the correct fit and effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Calcium:
Calcium is essential for the development of fetal bones and teeth, but it is not specifically linked to preventing neural tube defects like anencephaly.
Iron:
Iron is crucial for preventing anemia in pregnancy, supporting increased blood volume. However, it is not directly associated with preventing neural tube defects.
Folic acid:
Folic acid is vital for preventing neural tube defects, including anencephaly. It's recommended for women of childbearing age and especially during the early stages of pregnancy.
Vitamin D:
Vitamin D is important for bone health, but its primary function is not directly related to preventing neural tube defects like anencephaly.
Correct Answer is C
Explanation
Level of pain sensation:
This is important for assessing the effectiveness of the epidural anesthesia, but it's not the most critical assessment immediately after administration.
Variability of fetal heart rate:
Monitoring fetal heart rate is always important, but immediately following epidural administration, the maternal blood pressure is a more immediate concern.
Maternal blood pressure:
This is the most critical assessment after epidural administration. Epidurals can cause a sudden drop in blood pressure, which may affect blood flow to the baby.
Station of presenting part:
The station of the presenting part (the position of the baby's head in relation to the ischial spines) is important for assessing progress in labor, but it's not the most crucial assessment immediately after epidural administration.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today