After receiving instruction on the use of a diaphragm for contraception, which statement by the client indicates that they have understood the teaching?

Once I am fitted for the diaphragm it will always be the correct size.

This contraceptive can be used during menstruation.

I need to leave the diaphragm in for six hours after the last act of intercourse.

I can leave the diaphragm in for a day or two.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Diaphragms need to be refitted periodically as changes in weight, pregnancy, or aging can affect their fit. This ensures that the device continues to function effectively by providing a proper seal over the cervix, reducing the risk of unintended pregnancy. Therefore, the statement about the diaphragm always being the correct size is inaccurate as it does not consider these physiological factors.

Choice B rationale

Diaphragms are not recommended for use during menstruation because the menstrual flow can compromise their efficacy and hygiene. Additionally, the risk of toxic shock syndrome may increase if the device is used during menstruation. This is a critical point to emphasize for the safe and effective use of diaphragms in contraception.

Choice C rationale

Leaving the diaphragm in place for six hours after intercourse ensures that sperm are effectively trapped and neutralized by the spermicide used with the device. This is essential for preventing fertilization and optimizing contraceptive effectiveness. The timing is critical to allow the spermicide to work while the diaphragm acts as a physical barrier.

Choice D rationale

Leaving the diaphragm in for extended periods beyond six hours is not recommended due to the increased risk of infection and toxic shock syndrome. The device should be removed within a safe timeframe to maintain hygiene and reduce health risks, making the statement about leaving it for a day or two incorrect.

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

Explanation

Choice A rationale

Weight gain is a common side effect of corticosteroids due to fluid retention and increased fat deposition. Corticosteroids stimulate appetite and alter fat metabolism, leading to central obesity and moon face, which are classic findings.

Choice B rationale

Mood changes, including irritability, depression, or euphoria, are linked to corticosteroid therapy as these medications affect the central nervous system. Neuropsychiatric symptoms can vary widely and may impact the adolescent’s quality of life and social interactions.

Choice C rationale

Weight loss is not a typical side effect of corticosteroids. These medications are more associated with increased appetite and fat redistribution, leading to weight gain rather than weight loss, making this an incorrect choice.

Choice D rationale

Chronic fatigue is not directly attributed to corticosteroids. While muscle weakness can occur due to protein catabolism, it is not synonymous with fatigue. Corticosteroids often cause insomnia, which could indirectly lead to tiredness, but this is not a primary effect.

Choice E rationale

Osteoporosis is a long-term side effect of corticosteroids due to their impact on calcium metabolism and bone resorption. These medications decrease calcium absorption, increase calcium excretion, and suppress osteoblast activity, leading to reduced bone density.

A. The baseline FHR is assessed over a 10-minute period. B. The baseline FHR can be obtained via ultrasound or auscultation. C. The baseline FHR can be obtained during contractions. D. The baseline FHR is normal between 110-160 bpm.

Correct Answer is A

Explanation

Choice A rationale

Elevating the head reduces the risk of aspiration by preventing stomach contents, including gastric juices, from entering the lungs. This position is essential for infants with tracheoesophageal fistula due to the abnormal connection between the trachea and esophagus, which increases aspiration risk.

Choice B rationale

Facilitating food digestion is not the primary goal of this positioning. Gastric motility and digestion are unaffected by head elevation, making this rationale irrelevant to the question. Therefore, this is not the correct choice.

Choice C rationale

While head elevation can improve breathing by reducing diaphragm compression, the primary purpose in this context is to prevent aspiration. Lung expansion is a secondary benefit, but it is not the main reason for this position.

Choice D rationale

Reducing stomach pressure is not the key reason for elevating the head in this case. Although head elevation can minimize intra-abdominal pressure, this rationale does not address the critical concern of preventing aspiration in tracheoesophageal fistula. .

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After receiving instruction on the use of a diaphragm for contraception, which statement by the client indicates that they have understood the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When caring for a 13-year-old with muscular dystrophy receiving corticosteroids to slow disease progression, which of the following medication side effects would you assess for?

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

Explanation

A nurse is preparing to measure the baseline fetal heart rate (FHR) on a client in labor.Which of the following statements is NOT accurate regarding baseline fetal heart rates?

Correct Answer is A

Explanation

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