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 A

A. The diaphragm must remain in place for at least 6 hours after intercourse to ensure sperm are immobilized by the spermicide.
B. Spermicide in the form of cream or jelly should always be used with the diaphragm to increase effectiveness; avoiding it decreases protection.
C. Oil-based lubricants should not be used, as they can damage the diaphragm’s material and reduce effectiveness.
D. A diaphragm typically lasts about 2 years with proper care; it does not need to be replaced annually unless damaged, lost, or there is a significant weight change or pelvic surgery.

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Correct Answer is A

Explanation

Rationale:

A. Urinary frequency is common in the first trimester of pregnancy due to hormonal changes and increased pressure on the bladder from the growing uterus. It often improves after the first trimester but can persist if the client has poor bladder tone. This response provides accurate information about the typical course of urinary frequency in pregnancy.

B. This statement provides accurate information but is less clear in its explanation compared to option A.

C. While it is true that urinary frequency varies among individuals, providing some general information about its typical duration in pregnancy is helpful for the client.

D. This statement is inaccurate. While urinary frequency may improve if the client decreases fluid intake, it is not advisable to restrict fluids during pregnancy, especially without medical supervision.

A. The client is Rh negative and the newborn is Rh negative. B. The client is Rh negative and the newborn is Rh positive. C. The client is Rh positive and the newborn is Rh positive. D. The client is Rh positive and the newborn is Rh negative.

Correct Answer is B

Explanation

Rationale:

A. If both the client and the newborn are Rh negative, there is no need for Rho(D) immune globulin administration.

B. If the client is Rh negative and the newborn is Rh positive, there is a risk of Rh isoimmunization, and Rho(D) immune globulin should be administered to prevent sensitization of the mother's immune system to Rh-positive blood cells.

C. If both the client and the newborn are Rh positive, there is no need for Rho(D) immune globulin administration.

D. If the client is Rh positive and the newborn is Rh negative, there is no risk of Rh isoimmunization, and Rho(D) immune globulin is not indicated.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?

Correct Answer is A

Explanation

A nurse is caring for a client who is postpartum. Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?

Correct Answer is B

Explanation

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