A nurse is providing education about the diaphragm to a patient.
Which of the following is a contraindication for the use of a diaphragm?
History of toxic shock syndrome (TSS)
History of uterine fibroids
History of irregular menstrual periods
History of breast cancer
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A."You may experience weight gain as a side effect of the injection."
Choice B is wrong because you do not need to use a barrier method of contraception for the first week after the injection.Medroxyprogesterone injection provides contraception for three months and works mainly by stopping the release of an egg from the ovary (ovulation).
Choice C is wrong because you should not massage the injection site to promote absorption of the medication.
Massaging the injection site may cause irritation or pain.You should also avoid rubbing or scratching the injection site for a few days after receiving the injection.
Choice D is wrong because you may not resume fertility as soon as you stop the injections.
There may be a delay in your return to normal fertility after you finish using medroxyprogesterone injection.It might take 10 months or more before you begin ovulating again.
Correct Answer is A
Explanation
The correct answer is choice A.“You need to have a sperm count test to confirm your sterility.”
A sperm count test is a semen analysis that measures the number of sperm in the ejaculate.
It is the only way to verify that a vasectomy has been successful and that the man is sterile.A man is considered sterile when his sperm count is zero or below 100,000 non-motile sperm per sample.
Choice B is wrong because the number of ejaculations does not guarantee sterility.Some sperm may still be present in the severed vas deferens for months after a vasectomy.
Choice C is wrong because the duration of contraception use after a vasectomy depends on the sperm count test results, not on a fixed time period.It may take more or less than 3 months for a man to become sterile after a vasectomy.
Choice D is wrong because a repeat vasectomy is unnecessary and ineffective to ensure sterility.A vasectomy is a permanent birth control method that rarely fails or reverses.
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