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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B.The client should wear scrotal support for at least 48 hours after the procedure to decrease pain and swelling, and protect the wound.
Some possible explanations for the other choices are:
- Choice A is wrong because the client should avoid sexual activity for at least 1 week, not 4 weeks, after the procedure.The client will not be sterile right away and will need to use another form of birth control until the sperm count is zero.
- Choice C is wrong because the client should apply ice packs to the scrotum for at least 2 days, not 72 hours, after the procedure.Ice helps prevent tissue damage and decrease swelling and pain.
- Choice D is wrong because the client should not take aspirin for pain relief after the procedure, as it can increase the risk of bleeding.The client can take nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen instead.
Correct Answer is C
Explanation
The correct answer is choice C.Foul-smelling vaginal discharge is a sign of a possible infection, which can be a complication of using a copper IUD.
The nurse should instruct the client to report this symptom and seek medical attention.
Choice A is wrong because increased menstrual pain and bleeding are common side effects of copper IUDs, especially in the first 3-6 months after insertion.
They are not necessarily signs of a complication.
Choice B is wrong because irregular spotting or bleeding are also common side effects of copper IUDs.
They are not necessarily signs of a complication.
Choice D is wrong because a change in string length is not a sign of a complication.
The string length may vary depending on the position of the cervix and uterus.The client should check the string length regularly and report any missing or protruding strings, which could indicate displacement of the IUD.
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