A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Which of the following instructions should the nurse include?

You should use an oil-based vaginal lubricant when inserting your diaphragm.

You should store your diaphragm in sterile water after each use.

You should keep the diaphragm in place for at least 4 hours after intercourse.

You should have your provider refit you for any diaphragm.

Answer and Explanation

The Correct Answer is D

The nurse should instruct the client to have her provider reﬁt her for a diaphragm.

After childbirth, a woman’s body undergoes changes that may aﬀect the ﬁt of her diaphragm.

It is recommended that a woman be reﬁted for a diaphragm around 6 weeks postpartum, when the uterus and cervix have returned to normal size.

Choice A is incorrect because oil-based lubricants can damage the diaphragm and reduce its eﬀectiveness.

Water-based lubricants should be used instead.

Choice B is incorrect because storing a diaphragm in sterile water is not necessary.

The diaphragm should be washed with mild soap and water after each use and air-dried before being stored in its case.

Choice C is incorrect because the diaphragm should be kept in place for at least 6 hours after intercourse, not 4 hours.

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Correct Answer is A

Explanation

A. The nurse should monitor for chorioamnionitis, which is an infection of the amniotic sac and ﬂuid.

The other choices are not potential complications of gonorrhea:

B. Vaginal laceration during birth is not a complication of gonorrhea.

C. Oligohydramnios is not a complication of gonorrhea.

D. Excessive bleeding after birth is not a complication of gonorrhea.

A. "This medication stabilizes the fetal heart rate." B. "This medication improves tissue perfusion." C. "This medication prevents seizures." D. "This medication increases cardiac output.”

Correct Answer is C

Explanation

“This medication prevents seizures.” Magnesium sulfate is a mineral that is given intravenously to women with preeclampsia to reduce the risk of seizures or eclampsia.

Preeclampsia is a condition of high blood pressure and protein in the urine during pregnancy.

Choice A is incorrect because magnesium sulfate does not stabilize the fetal heart rate.

Choice B is incorrect because magnesium sulfate does not improve tissue perfusion.

Choice D is incorrect because magnesium sulfate does not increase cardiac output.

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A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?

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Explanation

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Correct Answer is C

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A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception.
Which of the following instructions should the nurse include?