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
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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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
A. Carrots are not a significant source of iron. They are rich in vitamins and fiber but do not contribute substantially to iron needs.
B. Chicken breast is a good source of heme iron, which is more readily absorbed by the body compared to non-heme iron found in plant foods. It helps meet the increased iron requirements during pregnancy.
C. Feta cheese is not a significant source of iron. It provides calcium and protein but does not contribute substantially to iron intake.
D. Apples are not a significant source of iron. While they are nutritious, they do not help meet the increased iron requirements during pregnancy.
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