A nurse is caring for a client who inquires about a cervical cap for contraception.The nurse should identify that which of the following manifestations is a contraindication for the use of a cervical cap?

History of methicillin-resistant Staphylococcus aureus.

History of thrombophlebitis.

History of toxic shock syndrome.

Type 1 diabetes mellitus.

Answer and Explanation

The Correct Answer is C

Choice A rationale

History of methicillin-resistant Staphylococcus aureus (MRSA) is not directly related to the use of a cervical cap. The main concern with a cervical cap is infection, but MRSA history alone doesn't make it a contraindication for this form of contraception.

Choice B rationale

History of thrombophlebitis is more of a concern with hormonal contraceptives due to the risk of blood clots. A cervical cap does not involve hormones, so this condition is not a direct contraindication.

Choice C rationale

History of toxic shock syndrome (TSS) is a contraindication for the use of a cervical cap because the cap can increase the risk of developing TSS again. TSS is associated with prolonged use of barrier contraceptives, which can create an environment that fosters the growth of bacteria responsible for TSS.

Choice D rationale

Type 1 diabetes mellitus is not a direct contraindication for the use of a cervical cap. The concern with diabetes is often related to blood glucose control and potential infections, but it doesn't specifically contraindicate the use of cervical caps.

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Correct Answer is []

Explanation

Hypoglycemia is most likely given the newborn's jitteriness, weak cry, and mottled extremities, all of which are signs of low blood sugar. The newborn's large birth weight (4,366 g) further increases the risk of hypoglycemia. Immediate feeding is crucial to increase blood sugar levels, and phototherapy can help manage any potential jaundice, which is often associated with hypoglycemia.

Feeding the newborn is essential to provide glucose and stabilize blood sugar levels. Monitoring phototherapy ensures effective treatment of jaundice, which often coexists with hypoglycemia in newborns.

Assessing skin integrity is necessary to prevent complications from jaundice and ensure proper phototherapy response. Monitoring bilirubin levels helps track jaundice severity and the effectiveness of treatment.

Kernicterus, a severe form of jaundice, is less likely because the newborn's symptoms primarily indicate hypoglycemia. Neonatal Abstinence Syndrome, due to maternal drug use, typically involves different symptoms such as irritability, excessive crying, and poor feeding. Congenital Syphilis is ruled out as the mother was treated and tests for syphilis are negative.

A. "I will need to start chemotherapy immediately.”. B. "I will need to attend a support group when I get home.”. C. "I will need home palliative services after I am discharged from the hospital.”. D. "I will need an amniocentesis within 1 month.”.

Correct Answer is B

Explanation

Choice A rationale

Chemotherapy is not a standard treatment for a molar pregnancy unless malignancy is suspected or confirmed. It is usually monitored with regular HCG levels and follow-up.

Choice B rationale

Attending a support group is crucial for emotional support and ensuring that the client has access to resources and information about recovery and future pregnancy planning.

Choice C rationale

Home palliative services are not typically required after a molar pregnancy unless there are specific complications that necessitate such care. The focus is generally on monitoring HCG levels and follow-up.

Choice D rationale

An amniocentesis is not needed after a molar pregnancy. Follow-up includes HCG level monitoring to ensure all molar tissue is gone and to watch for malignancy, not amniocentesis.

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A nurse is caring for a client who inquires about a cervical cap for contraception.The nurse should identify that which of the following manifestations is a contraindication for the use of a cervical cap?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is []

Explanation

A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy.Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

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