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 B

Explanation

A. Keep the client on bed rest. While bed rest may be ordered in some cases, it is not the primary intervention for incomplete abortion. Active management, such as monitoring for complications or surgical interventions, is often needed.

B. Determine the amount and type of vaginal bleeding. Assessing the type and amount of vaginal bleeding is crucial in monitoring the progress of an incomplete abortion and determining the need for further interventions, such as dilation and curettage (D&C) or medication.

C. Administer oxygen via facemask. Oxygen administration is not routinely indicated for incomplete abortion unless there is severe blood loss or signs of shock, which is not mentioned in this scenario.

D. Instruct the client in appropriate birth control methods. While birth control instruction is important, it is not a priority at this moment when the focus should be on managing the incomplete abortion.

A. Quickening B. Chloasma C. Lightening D. Ballottement

Correct Answer is A

Explanation

A. Quickening: Quickening refers to the first movements of the fetus felt by the mother, which often feels like fluttering or light movements. It typically occurs between 16 and 20 weeks of gestation.

B. Chloasma: Chloasma refers to the darkened patches of skin that can appear on the face during pregnancy, also known as the "mask of pregnancy."

C. Lightening: Lightening refers to the descent of the fetus into the pelvis in preparation for birth, which usually occurs in the third trimester, not at 18 weeks of gestation.

D. Ballottement: Ballottement is a technique used during a pelvic examination where the examiner taps on the cervix and feels the fetus bounce back. It is a clinical sign rather than something the mother feels.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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