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.
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Related Questions
Correct Answer is B
Explanation
Bathing the newborn before initiating skin-to-skin contact is an action that the nurse should include in the plan of care for a client who is pregnant and has HIV.
Choice A is incorrect because using a fetal scalp electrode during labor and delivery is not mentioned as an action that should be included in the plan of care for a client who is pregnant and has HIV in my sources.
Choice C is incorrect because instructing the client to stop taking antiretroviral medications at 32 weeks of gestation is not mentioned as an action that should be included in the plan of care for a client who is pregnant and has HIV in my sources.
Choice D is incorrect because administering a pneumococcal immunization to the newborn within 4 hours following birth is not mentioned as an action that should be included in the plan of care for a client who is pregnant and has HIV in my sources.
Correct Answer is B
Explanation
Chorionic villus sampling (CVS) is a prenatal test that involves taking a sample of tissue from the placenta to test for chromosomal abnormalities and certain other genetic problems.
As with all types of surgical procedures, infections can happen during or after CVS2.
Choice A is incorrect because anemia is not a known complication of CVS.
Choice C is incorrect because late decelerations are a type of fetal heart rate patern that can occur during labor and are not related to CVS.
Choice D is incorrect because placental insufficiency is a condition where the placenta is unable to provide enough oxygen and nutrients to the fetus and is not a known complication of CVS.
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