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. Increased serum potassium level.Oral contraceptives can affect the levels of various electrolytes in the blood, such as sodium, potassium, calcium and magnesium.According to one study, oral contraceptives can increase the levels of serum copper, iron, calcium and cadmium, and decrease the levels of serum zinc, selenium, phosphorus and magnesium.
Therefore, a high serum potassium level can indicate an adverse effect of oral contraceptives on this client.
Choice A is wrong because oral contraceptives do not decrease serum glucose level.In fact, they can increase the plasma glucose level and insulin response, which can impair glucose tolerance and increase the risk of diabetes.
Choice C is wrong because oral contraceptives do not decrease serum triglyceride level.On the contrary, they can increase the fasting triglyceride level by 13 to 75 percent, which can elevate the risk of cardiovascular disease.
Choice D is wrong because oral contraceptives do not increase serum protein level.They can increase the levels of some apolipoproteins, such as A-I, A-II and B, but these are not the same as total protein.
Correct Answer is B
Explanation
The correct answer is choice B. The client should start taking oral contraceptives (OCs) on day one of their menstrual cycle, which is the first day of their period.This way, they will be protected from pregnancy right away and do not need to use a back-up contraceptive method.
Choice A is wrong because starting OCs on Sunday after the period begins may leave a gap of several days when the client is not protected from pregnancy.They would need to use a back-up method for the first seven days of taking OCs.
Choice C is wrong because starting OCs on day five of the menstrual cycle may also leave a gap of unprotected days.The client would need to use a back-up method for the first seven days of taking OCs.
Choice D is wrong because starting OCs on day fourteen of the menstrual cycle is too late and may not prevent ovulation.The client would need to use a back-up method for the first seven days of taking OCs.
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