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 D

Explanation

A. Fentanyl citrate is a potent opioid, typically reserved for severe pain and usually administered in controlled settings, not first-line postpartum analgesia.
B. Meperidine is less commonly used due to side effects and safety concerns.
C. Aspirin is generally avoided postpartum due to bleeding risks.
D. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) commonly used postpartum for pain relief and inflammation control with a safer profile for breastfeeding mothers.

A. Bilirubin B. Glucose C. Arterial blood gases D. WBC count

Correct Answer is B

Explanation

A. While bilirubin levels are important, the immediate concern for a large-for-gestational-age (LGA) newborn is hypoglycemia.
B. LGA newborns are at increased risk for hypoglycemia, so monitoring blood glucose levels is essential.
C. Arterial blood gases are not routinely indicated unless respiratory distress is present.
D. WBC count is not specifically related to LGA status.

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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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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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Correct Answer is B

Explanation

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