A nurse in a provider's office is reviewing the medical record of a client who is requesting a diaphragm. Which of the following findings in the client's history should the nurse identify as a contraindication for this type of contraception?
Recurrent urinary tract infections
Tobacco use
History of positive group B streptococcus B-hemolytic
Deep-vein thrombosis
The Correct Answer is A
A. Recurrent urinary tract infections are a contraindication for using a diaphragm because the presence of a foreign object in the vagina can increase the risk of UTIs.
B. Tobacco use is a risk factor for cardiovascular issues with hormonal contraceptives but not for barrier methods like diaphragms.
C. History of positive group B streptococcus B-hemolytic is a concern for newborn care and labor management, but it is not a contraindication for the use of a diaphragm.
D. Deep-vein thrombosis is a contraindication for hormonal contraceptives due to an increased risk of clotting but does not affect the use of diaphragms, which are a barrier method of contraception.
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Related Questions
Correct Answer is D
Explanation
A. A history of methicillin-resistant Staphylococcus aureus (MRSA) does not contraindicate the use of a cervical cap. MRSA is an infection issue, but the cervical cap does not pose a significant risk for MRSA-related complications.
B. A history of thrombophlebitis is not a contraindication for the use of a cervical cap. Thrombophlebitis concerns are generally associated with hormonal contraceptives rather than barrier methods like cervical caps.
C. Type 1 diabetes mellitus is not a contraindication for using a cervical cap. Individuals with Type 1 diabetes can use barrier methods for contraception, though they should manage their condition carefully for overall health.
D. A history of toxic shock syndrome (TSS) is a contraindication for using a cervical cap. TSS is a severe, potentially life-threatening condition often associated with the use of barrier methods like tampons or cervical caps, which can increase the risk of infection.
Correct Answer is D
Explanation
A. Wear the lap belt high across the abdomen is incorrect. The lap belt should be worn low across the pelvis, not high across the abdomen, to avoid injury in the event of a collision.
B. Place the shoulder harness across the gravid uterus is incorrect. The shoulder harness should be placed across the chest and between the breasts, not directly across the uterus, to ensure safety.
C. Disable the vehicle's driver-side airbags is incorrect. Airbags should not be disabled, as they are crucial for safety. The seat should be adjusted to a safe distance from the steering wheel to avoid potential injury from the airbag.
D. Move the seat as far away as possible from the steering wheel is correct. This adjustment ensures that the driver is positioned safely away from the steering wheel and airbag, reducing the risk of injury during a collision.
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