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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
If a prolapsed cord is identified, the nurse should perform a vaginal examination and ensure the presenting part is pushed upwards to relieve pressure on the cord.
Choice A) is not correct because while it is important to cover the cord with a sterile saline saturated towel if it has prolapsed externally 1, it is not the next action after calling for assistance and notifying the provider.
Choice C) is not correct because administering oxygen via non-rebreather mask at 8 L/min is not mentioned as an immediate intervention for a prolapsed cord .
Choice D) is not correct because initiating an infusion of IV fluids for the client is not mentioned as an immediate intervention for a prolapsed cord .
Correct Answer is A
Explanation
Thrombocytopenia is defined as a platelet count of less than 150,000/microL1.
Severe neonatal thrombocytopenia (platelet count <50,000/microL) can be associated with bleeding and potentially significant morbidity.
As a result, it is important to identify at-risk neonates and report low platelet counts to the provider.
Choice B is incorrect because a hematocrit of 48% is within the normal range for a newborn.
Choice C is incorrect because a blood glucose level of 58 mg/dl is within the normal range for a newborn.
Choice D is incorrect because a hemoglobin level of 16 g/dL is within the normal range for a newborn.
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