Which of the following is a contraindication for the use of a diaphragm as a contraceptive method?

History of cervical cancer

History of uterine prolapse

History of ovarian cysts

History of menopause

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. History of uterine prolapse is a contraindication for the use of a diaphragm as a contraceptive method. Uterine prolapse is a condition where the uterus descends into the vagina, which can interfere with the proper placement and seal of the diaphragm.

Choice A is wrong because history of cervical cancer is not a contraindication for diaphragm use.

Cervical cancer is a malignant tumor of the cervix, which can be treated with surgery, radiation, or chemotherapy.

Diaphragm use does not affect the risk or treatment of cervical cancer.

Choice C is wrong because history of ovarian cysts is not a contraindication for diaphragm use.

Ovarian cysts are fluid-filled sacs that develop in or on the ovaries, which can cause pain, bloating, or irregular periods.

Diaphragm use does not affect the formation or rupture of ovarian cysts.

Choice D is wrong because history of menopause is not a contraindication for diaphragm use.

Menopause is the natural cessation of menstrual cycles and fertility, which occurs around age 50 in most women.

Diaphragm use does not affect the hormonal changes or symptoms of menopause.

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Correct Answer is B

Explanation

The correct answer is choice B. The nurse should advise the client to take the pill at bedtime or with food.This can help reduce nausea, which is a common side effect of COCs.Nausea usually diminishes with continued use of the same method.

Choice A is wrong because taking the pill with a glass of water on an empty stomach may increase nausea.

Choice C is wrong because switching to a different brand of COCs is not effective in treating nausea.There are no significant differences among various COCs in terms of nausea.

Choice D is wrong because stopping the pill and using another method of contraception is not necessary unless the client prefers it.Nausea is not harmful and can be managed with simple measures.

A. Injectable progestins B. Contraceptive vaginal ring C. Copper intrauterine device D. Combined oral contraceptives

Correct Answer is C

Explanation

The correct answer is choice C. Copper intrauterine device.This is because copper intrauterine devices do not contain hormones and are therefore safe for women with a history of breast cancer and cardiovascular disease.

Some possible explanations for the other choices are:

Choice A. Injectable progestins.This is wrong because injectable progestins may increase the risk of breast cancer in women with the BRCA1 geneand may also worsen hypertension and dyslipidemia.
Choice B. Contraceptive vaginal ring.This is wrong because contraceptive vaginal rings contain estrogen and progestin, which may increase the risk of thromboembolic events, stroke, and myocardial infarction in women with cardiovascular disease.
Choice D. Combined oral contraceptives.This is wrong because combined oral contraceptives also contain estrogen and progestin, which have the same risks as contraceptive vaginal rings for women with cardiovascular disease.Additionally, combined oral contraceptives may interact with some medications used to treat chronic conditions and reduce their effectiveness.

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Which of the following is a contraindication for the use of a diaphragm as a contraceptive method?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is taking COCs and reports nausea. The nurse should advise the client to

Correct Answer is B

Explanation

A nurse is caring for a client who has a history of breast cancer and cardiovascular disease and is seeking advice on contraception. Which of the following contraceptive methods should the nurse recommend as the safest option for this client?

Correct Answer is C

Explanation

A nurse is providing education about the diaphragm to a patient. Which of the following is a contraindication for the use of a diaphragm?

A nurse is providing education to a patient about the benefits of injectable progestins. Which of the following statements made by the patient indicates a need for further teaching?

A nurse is teaching a client who is starting medroxyprogesterone injections for contraception. Which of the following statements by the client indicates a need for further teaching?

A nurse is caring for a client who desires an intrauterine device (IUD) for contraception. Which of the following findings is a contraindication for the use of this device?

A nurse is providing discharge instructions to a client who has just received her first medroxyprogesterone injection for contraception. Which of the following information should the nurse include in the teaching?

A nurse is caring for a client who has an intrauterine device (IUD) in place and reports lower abdominal pain and fever for 2 days. Which of the following actions should the nurse take?

A nurse is preparing to insert an IUD for a client who is nulliparous and has a negative pregnancy test. Which of the following actions should the nurse take before the insertion?

A nurse is reviewing the mechanism of action of IUDs with a group of nursing students. Which of the following statements by a student indicates an understanding of the teaching?