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A nurse is providing education about the diaphragm to a patient.

Which of the following is a contraindication for the use of a diaphragm?

A.

History of toxic shock syndrome (TSS)

B.

History of uterine fibroids

C.

History of irregular menstrual periods

D.

History of breast cancer

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. A history of toxic shock syndrome (TSS) is a contraindication for the use of a diaphragm.

TSS is a rare but serious condition caused by a bacterial infection that can occur when using a diaphragm for too long or not cleaning it properly.

Choice B is wrong because a history of uterine fibroids is not a contraindication for the use of a diaphragm.

Uterine fibroids are benign tumors that grow in the uterus and usually do not affect the cervix or the fit of the diaphragm.

Choice C is wrong because a history of irregular menstrual periods is not a contraindication for the use of a diaphragm.

Irregular periods may be caused by various factors such as stress, hormonal imbalance, or medical conditions, but they do not affect the effectiveness or safety of the diaphragm.

Choice D is wrong because a history of breast cancer is not a contraindication for the use of a diaphragm.

Breast cancer is not related to the use of barrier methods of contraception such as the diaphragm.

However, some hormonal methods of contraception may increase the risk of breast cancer or be contraindicated for women who have or had breast cancer.


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Related Questions

Correct Answer is A

Explanation

The correct answer is choice A.Mennorhagia is a contraindication for the use of an intrauterine device (IUD) for contraception because it can cause heavy or prolonged menstrual bleeding.This can lead to anemia, infection, or expulsion of the device.

Choice B is wrong because ovarian cysts are not a contraindication for IUD use.They are usually benign and do not interfere with the placement or function of the device.

Choice C is wrong because fibrocystic breast disease is not a contraindication for IUD use.It is a common condition that causes benign lumps in the breast tissue and does not affect the hormonal balance or the risk of infection.

Choice D is wrong because endometriosis is not a contraindication for IUD use.In fact, some types of IUDs that release progestin can help reduce the symptoms of endometriosis by thinning the endometrial lining and suppressing ovulation.

Correct Answer is D

Explanation

The nurse should include all of the following information in the teaching:

  • The typical failure rate for IUDs is 1% to 3% per year.
  • This means that out of 100 women who use an IUD for a year, one to three may get pregnant.
  • The risk of pelvic inflammatory disease (PID) is highest in the first 6 weeks after insertion.
  • PID is an infection of the reproductive organs that can cause infertility, chronic pain, or ectopic pregnancy.
  • The risk of PID is higher if the woman or her partner has multiple sexual partners or a sexually transmitted infection (STI).
  • The IUD can be inserted at any time during the menstrual cycle.
  • However, some doctors may prefer to insert it during or right after the period, when the cervix is more open and the chance of pregnancy is lower.

Choice A is wrong because it only states one piece of information that the nurse should include in the teaching.

Choice B is wrong because it only states one piece of information that the nurse should include in the teaching.

Choice C is wrong because it only statesone piece of information that the nurse should include in the teaching

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