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. Notifying the provider may be necessary if the problem persists, but the first step is to address the most likely cause of the deviation.
B. A fundus that is firm but deviated to the left suggests that the bladder may be distended. Emptying the bladder can help the uterus to return to its midline position and promote proper uterine involution.
C. Monitoring perineal pads for clots is important, but the first action should be to resolve the potential cause of the fundal deviation.
D. Administering an analgesic is not a priority action for addressing fundal deviation.

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

Correct Answer is D

Explanation

A. "I will need to start chemotherapy immediately." is incorrect. Chemotherapy is not always immediately necessary. Treatment depends on follow-up tests and the presence of persistent or malignant disease.
B. "I will need home palliative services after I am discharged from the hospital." is incorrect. Most clients recovering from a molar pregnancy do not require home palliative services unless there are specific complications.
C. "I will need an amniocentesis within 1 month." is incorrect. Amniocentesis is not required for clients recovering from a molar pregnancy.
D. "I will need to attend a support group when I get home." is correct. Support groups are helpful for emotional support and recovery after a molar pregnancy.

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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

A nurse is caring for a client who had a vaginal delivery 1 day ago. The nurse determines that the client's fundus is firm, located 2 fingerbreadths above the umbilicus, and deviated to the left. Which of the following actions should the nurse take first?

Correct Answer is B

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 D

Explanation

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