A nurse is reinforcing teaching about diaphragms with a client. Which of the following statements by the client indicates an understanding of the teaching?

"I will leave the diaphragm in for at least 6 hours after vaginal intercourse."

"I will avoid using creams or jellies so that the diaphragm will fit snugly."

"I will coat the diaphragm with an oil-based lubricant in between uses."

"I will need to get a new diaphragm every year."

Answer and Explanation

The Correct Answer is B

Rationale:

A. Leaving the diaphragm in for at least 6 hours after intercourse is not recommended, as it can increase the risk of toxic shock syndrome. Therefore, this statement does not indicate an understanding of diaphragm use.

B. Using creams or jellies with a diaphragm can compromise its effectiveness by interfering with the seal between the diaphragm and the vaginal wall. Avoiding these substances ensures a snug fit and proper protection against pregnancy.

C. Using an oil-based lubricant with a diaphragm can degrade the latex and increase the risk of breakage. Therefore, this statement does not indicate an understanding of diaphragm use.

D. Diaphragms typically do not need to be replaced annually if properly cared for and stored.

Replacing a diaphragm every year is not necessary unless it becomes damaged or there are changes in the client's anatomy. Therefore, this statement does not indicate an understanding of diaphragm use.

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Correct Answer is D

Explanation

Rationale:

A. Dismissing the client's concerns or questions is not appropriate and does not address her inquiry.

B. While a repeat cesarean section may be recommended in some cases, it is not appropriate to make a definitive statement without considering the individual client's circumstances and preferences.

C. While there are variables to consider, the nurse should provide some information and guidance to the client rather than deferring entirely to the provider.

D. The type of uterine incision from the previous cesarean birth is a primary consideration in determining the suitability for VBAC. Clients with a low transverse uterine incision are generally considered good candidates for VBAC, while other types of incisions may increase the risk of uterine rupture during labor.

A. "Because of your age, we need your parents' consent for an examination, and then we'll talk." B. "The doctor can best help you with that after your physical examination." C. "Before I can help you with that question, I need to know more about your sexual activity." D. "You are so young. Are you sure you are ready for the responsibilities of a sexual relationship?"

Correct Answer is C

Explanation

Rationale:

A. Requiring parental consent for an examination may not be necessary, especially if the adolescent seeks confidential healthcare services. Additionally, this response does not address the adolescent's question about contraception.

B. While a doctor can provide guidance on contraception, it's essential for the nurse to engage with the adolescent and assess her needs and preferences before referring her to a healthcare provider.

C. "Before I can help you with that question, I need to know more about your sexual activity" is an appropriate response because it acknowledges the importance of gathering relevant information about the adolescent's sexual activity, preferences, and potential risk factors before providing personalized contraception counseling.

D. This response may come across as judgmental and dismissive of the adolescent's concerns, and it does not address the need for tailored contraception counseling based on individual circumstances.

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A nurse is reinforcing teaching about diaphragms with a client. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who wants to know if it is possible to have a vaginal birth after a cesarean birth (VBAC). Which of the following statements by the nurse is appropriate?

Correct Answer is D

Explanation

A nurse is assisting with a community program to educate adolescents about contraception.After the class, a 15-year-old girl asks the nurse which method is best for her to use. Which of the following statements is an appropriate nursing response?

Correct Answer is C

Explanation

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