A nurse is teaching a client how to use a diaphragm. Which of the following statements should the nurse include in the teaching?

Insert the diaphragm after you empty your bladder

"Apply baby powder to the diaphragm during storage

"An oil-based lubricant should be used when inserting the diaphragm

The diaphragm should be left in place for 4 hours after intercourse

Answer and Explanation

The Correct Answer is A

A. The diaphragm should be inserted after emptying the bladder to reduce the risk of urinary tract infections.
B. Baby powder should not be applied to the diaphragm as it can cause irritation or damage.
C. Oil-based lubricants can degrade latex diaphragms and reduce their effectiveness; only water-based lubricants should be used.
D. The diaphragm should be left in place for at least 6 hours after intercourse, not just 4 hours, to ensure effective contraception.

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Correct Answer is A

Explanation

A. Changing a perineal pad only every 4 hours may indicate excessive bleeding or hemorrhage, which requires immediate assessment.
B. A urine output of 750 mL in 6 hours is within normal limits (about 125 mL/hr).
C. 1+ deep tendon reflexes indicate decreased reflexes, which is expected during magnesium sulfate therapy and generally not an immediate concern.
D. Abdominal cramping during breastfeeding is common due to uterine contractions and is usually not urgent.

A. High-pitched crying B. Tachypneic respirations C. Body tremors D. Extreme lethargy E. Decreased reflexes

Correct Answer is ["A","B","C"]

Explanation

A. High-pitched, excessive crying is a common sign of neonatal abstinence syndrome (NAS).
B. Tachypnea (rapid breathing) is a typical respiratory symptom of NAS.
C. Body tremors and jitteriness are classic signs of withdrawal in newborns.
D. Newborns with NAS typically exhibit hyperactivity, not extreme lethargy.
E. Reflexes are usually increased (hyperactive), not decreased, in NAS.

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A nurse is teaching a client how to use a diaphragm. Which of the following statements should the nurse include in the teaching?

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