A nurse is caring for a client who inquires about a cervical cap for contraception. The nurse should identify that which of the following manifestations is a contraindication for the use of a cervical cap?

History of methicillin-resistant Staphylococcus aureus

History of thrombophlebitis

Type 1 diabetes mellitus

History of toxic shock syndrome

Answer and Explanation

The Correct Answer is D

A. A history of methicillin-resistant Staphylococcus aureus (MRSA) does not contraindicate the use of a cervical cap. MRSA is an infection issue, but the cervical cap does not pose a significant risk for MRSA-related complications.
B. A history of thrombophlebitis is not a contraindication for the use of a cervical cap. Thrombophlebitis concerns are generally associated with hormonal contraceptives rather than barrier methods like cervical caps.
C. Type 1 diabetes mellitus is not a contraindication for using a cervical cap. Individuals with Type 1 diabetes can use barrier methods for contraception, though they should manage their condition carefully for overall health.
D. A history of toxic shock syndrome (TSS) is a contraindication for using a cervical cap. TSS is a severe, potentially life-threatening condition often associated with the use of barrier methods like tampons or cervical caps, which can increase the risk of infection.

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Correct Answer is D

Explanation

A. Wear the lap belt high across the abdomen is incorrect. The lap belt should be worn low across the pelvis, not high across the abdomen, to avoid injury in the event of a collision.
B. Place the shoulder harness across the gravid uterus is incorrect. The shoulder harness should be placed across the chest and between the breasts, not directly across the uterus, to ensure safety.
C. Disable the vehicle's driver-side airbags is incorrect. Airbags should not be disabled, as they are crucial for safety. The seat should be adjusted to a safe distance from the steering wheel to avoid potential injury from the airbag.
D. Move the seat as far away as possible from the steering wheel is correct. This adjustment ensures that the driver is positioned safely away from the steering wheel and airbag, reducing the risk of injury during a collision.

A. "Asymptomatic palpitations" B. "Abdominal cramping" C. "Bleeding gums" D. "White vaginal discharge"

Correct Answer is B

Explanation

A. Asymptomatic palpitations are generally not a concern during pregnancy. They can be a common and benign experience due to increased blood volume and changes in heart function.
B. Abdominal cramping at 26 weeks of gestation may indicate preterm labor or other complications and should be reported to the provider. Persistent or severe cramping can be a sign of potential issues requiring medical evaluation.
C. Bleeding gums are common due to increased blood flow and hormonal changes in pregnancy. This symptom is usually not serious but should still be monitored.
D. White vaginal discharge is normal during pregnancy and often increases as pregnancy progresses. It is usually not a sign of a problem unless accompanied by other symptoms.
Here’s a detailed answer for each of the s using the specified format:

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A nurse is caring for a client who inquires about a cervical cap for contraception. The nurse should identify that which of the following manifestations is a contraindication for the use of a cervical cap?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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