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

Type 1 diabetes mellitus

History of toxic shock syndrome

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is B

Explanation

A. Placing a rolled blanket behind the newborn’s neck is unsafe and can cause improper positioning in the car seat. The newborn should be positioned properly according to the car seat manufacturer's instructions to ensure safety during travel.
B. The car seat should be positioned at a 45° angle to keep the newborn’s airway open and prevent slumping. This angle supports proper head and neck alignment, which is essential for the baby’s safety and comfort during travel.
C. The retainer clip should be positioned at the level of the newborn’s armpits, not the umbilicus. Proper placement of the retainer clip ensures that the harness is secure and correctly positioned over the baby’s shoulders.
D. Newborns should be placed in a rear-facing position in the car seat for optimal safety. Forward-facing car seats are used later, but infants should always be in a rear-facing car seat until they meet the age, weight, and height requirements for transitioning.

Correct Answer is []

Explanation

- Potential Condition: Hypoglycemia

- Rationale: The jitteriness and weak cry can be signs of hypoglycemia, which is common in newborns, especially those with higher birth weights or whose mothers have diabetes or, in this case, a history of substance use during pregnancy.

Actions to Take:

1. Reinforce with the parent to feed the newborn: Feeding can help to stabilize the newborn's blood sugar levels.

2. Anticipate a prescription to obtain a capillary blood sample: This will confirm the diagnosis by measuring the newborn's blood glucose levels.

Parameters to Monitor:

1. Temperature: To ensure the newborn maintains a normal body temperature, as hypothermia can be associated with hypoglycemia.

2. Respiratory status: To monitor for any changes that could indicate worsening of the condition or other complications.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge teaching about car seat safety with the guardian of a newborn. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

Correct Answer is []

Explanation

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