A nurse in a provider's office is reviewing the medical record of a client who is requesting a diaphragm. Which of the following findings in the client's history should the nurse identify as a contraindication for this type of contraception?

Recurrent urinary tract infections

Tobacco use

History of positive group B streptococcus B-hemolytic

Deep-vein thrombosis

Answer and Explanation

The Correct Answer is A

A. Recurrent urinary tract infections are a contraindication for using a diaphragm because the presence of a foreign object in the vagina can increase the risk of UTIs.
B. Tobacco use is a risk factor for cardiovascular issues with hormonal contraceptives but not for barrier methods like diaphragms.
C. History of positive group B streptococcus B-hemolytic is a concern for newborn care and labor management, but it is not a contraindication for the use of a diaphragm.
D. Deep-vein thrombosis is a contraindication for hormonal contraceptives due to an increased risk of clotting but does not affect the use of diaphragms, which are a barrier method of contraception.

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Correct Answer is []

Explanation

- Potential Condition: Hypoglycemia

- Rationale: The jitteriness and weak cry can be signs of hypoglycemia, which is common in newborns, especially those with higher birth weights or whose mothers have diabetes or, in this case, a history of substance use during pregnancy.

Actions to Take:

1. Reinforce with the parent to feed the newborn: Feeding can help to stabilize the newborn's blood sugar levels.

2. Anticipate a prescription to obtain a capillary blood sample: This will confirm the diagnosis by measuring the newborn's blood glucose levels.

Parameters to Monitor:

1. Temperature: To ensure the newborn maintains a normal body temperature, as hypothermia can be associated with hypoglycemia.

2. Respiratory status: To monitor for any changes that could indicate worsening of the condition or other complications.

A. Use a lancet to puncture the inner aspect of the newborn's heel. B. Warm the newborn's heel for 5 to 10 min before the puncture. C. Apply an antiseptic to the newborn's heel after collecting the specimen. D. Leave the newborn's heel open to the air after the puncture.

Correct Answer is B

Explanation

A. The lancet should be used on the outer aspect of the heel, not the inner aspect, to avoid injury to the heel's bone and nerves. Proper technique for heel puncture is critical for successful specimen collection.
B. Warming the newborn’s heel for 5 to 10 minutes before the puncture helps to increase blood flow and ensure a sufficient blood sample for screening tests. This is a recommended practice to improve the effectiveness of the heel stick.
C. Applying an antiseptic to the heel before the puncture is correct practice, but applying it after the specimen is collected is not recommended. It can cause stinging and potentially interfere with the blood sample.
D. After the puncture, the heel should be gently massaged and then covered with a bandage to stop bleeding. Leaving the heel open to the air is not recommended as it can lead to infection or continue bleeding.

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A nurse in a provider's office is reviewing the medical record of a client who is requesting a diaphragm. Which of the following findings in the client's history should the nurse identify as a contraindication for this type of contraception?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is []

Explanation

A nurse is preparing to collect a specimen for newborn screening. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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