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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The lecithin/sphingomyelin (L/S) ratio assesses fetal lung maturity. A higher ratio indicates that the baby's lungs are mature enough to handle breathing air outside the womb, which is the primary purpose of this test.
B. The L/S ratio test does not assess placental function. Placental function is evaluated through other tests, such as Doppler studies or biophysical profiles.
C. The L/S ratio test is not related to Rh incompatibility. Rh incompatibility issues are managed through different assessments, such as the Coombs test and Rh factor screening.
D. The L/S ratio test does not indicate genetic disorders. Genetic disorders are assessed through tests like amniocentesis or chorionic villus sampling, not the L/S ratio.
Correct Answer is B
Explanation
A. Pruritus is not a common manifestation of hyperemesis gravidarum; it might be associated with liver conditions or other issues.
B. Decreased blood pressure can be an expected manifestation in hyperemesis gravidarum due to dehydration and possible hypovolemia.
C. Hemoglobin of 18 g/dL is higher than normal; hyperemesis gravidarum often leads to decreased hemoglobin due to malnutrition and dehydration.
D. A WBC count of 15,000/mm³ is slightly elevated but not specific for hyperemesis gravidarum; it might be indicative of an infection or inflammation, but it is not a defining characteristic of the condition.
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