A nurse is reinforcing teaching with a client who is being fitted for a contraceptive diaphragm. Which of the following information should the nurse include?

Replace the device once per year

Replace the device every 3 years

Replace the device after a 20% weight loss.

Replace the device after a urinary tract infection.

Answer and Explanation

The Correct Answer is C

A. Replace the device once per year. The diaphragm should be replaced every 2 years, not every year, unless it becomes damaged or the client's body changes significantly.

B. Replace the device every 3 years. The diaphragm is generally replaced every 2 years, not 3 years.

C. Replace the device after a 20% weight loss. Significant weight changes, such as a 20% weight loss or gain, may alter the fit of the diaphragm, making it less effective. It should be refitted or replaced after such changes.

D. Replace the device after a urinary tract infection. There is no need to replace a diaphragm after a UTI unless it is damaged or no longer fits properly. UTIs are a common side effect of diaphragm use due to its impact on the urethra.

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Correct Answer is C

Explanation

A. Prepare the client for a caesarean birth. Caesarean birth is not routinely required for clients with PKU unless there are obstetric indications. Vaginal delivery is usually possible.

B. Monitor blood glucose levels daily. PKU involves the inability to metabolize phenylalanine, not glucose. Monitoring glucose is important in clients with diabetes, not PKU.

C. Reinforce teaching about a protein-free diet. Phenylketonuria (PKU) is a metabolic disorder where the body cannot break down the amino acid phenylalanine. During pregnancy, it is crucial to maintain low phenylalanine levels to prevent harm to the developing fetus. Therefore, a diet low in phenylalanine (not protein-free, but low in phenylalanine) is essential.

D. Administer thyroid hormone replacement. Thyroid hormone replacement is not related to PKU management. It is used for clients with thyroid conditions such as hypothyroidism.

A. Eat foods fortified with folic acid. B. Increase intake of iron. C. Avoid the use of aspirin. D. Avoid consumption of alcohol.

Correct Answer is A

Explanation

A. Eat foods fortified with folic acid. Folic acid is crucial in the prevention of neural tube defects. Women are advised to consume foods fortified with folic acid (e.g., leafy greens, fortified cereals) and take folic acid supplements.

B. Increase intake of iron. Iron is important for preventing anemia during pregnancy but does not directly affect the risk of neural tube defects.

C. Avoid the use of aspirin. Aspirin use during pregnancy is not linked to neural tube defects. While high doses of aspirin may pose other risks, it is not a factor in preventing neural tube defects.

D. Avoid consumption of alcohol. While avoiding alcohol is important to prevent fetal alcohol syndrome, it does not directly reduce the risk of neural tube defects. Folic acid is the primary preventive measure for neural tube defects.

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A nurse is reinforcing teaching with a client who is being fitted for a contraceptive diaphragm. Which of the following information should the nurse include?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is A

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