After receiving instruction on the use of a diaphragm for contraception, which statement by the client indicates that they have understood the teaching?
Once I am fitted for the diaphragm it will always be the correct size.
This contraceptive can be used during menstruation.
I need to leave the diaphragm in for six hours after the last act of intercourse.
I can leave the diaphragm in for a day or two.
The Correct Answer is C
Choice A rationale
Diaphragms need to be refitted periodically as changes in weight, pregnancy, or aging can affect their fit. This ensures that the device continues to function effectively by providing a proper seal over the cervix, reducing the risk of unintended pregnancy. Therefore, the statement about the diaphragm always being the correct size is inaccurate as it does not consider these physiological factors.
Choice B rationale
Diaphragms are not recommended for use during menstruation because the menstrual flow can compromise their efficacy and hygiene. Additionally, the risk of toxic shock syndrome may increase if the device is used during menstruation. This is a critical point to emphasize for the safe and effective use of diaphragms in contraception.
Choice C rationale
Leaving the diaphragm in place for six hours after intercourse ensures that sperm are effectively trapped and neutralized by the spermicide used with the device. This is essential for preventing fertilization and optimizing contraceptive effectiveness. The timing is critical to allow the spermicide to work while the diaphragm acts as a physical barrier.
Choice D rationale
Leaving the diaphragm in for extended periods beyond six hours is not recommended due to the increased risk of infection and toxic shock syndrome. The device should be removed within a safe timeframe to maintain hygiene and reduce health risks, making the statement about leaving it for a day or two incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["75"]
Explanation
Step 1 is (50 mg × 6 kg) ÷ 24 hours. The total daily dose calculates to 300 mg/day.
Step 2 is 300 mg ÷ 4 doses/day. Each dose calculates to 75 mg of Amoxicillin.
Final calculated dose per administration is 75 mg.
Correct Answer is A
Explanation
Choice A rationale
Determining the time of the last pad change assesses the rate of bleeding, which is crucial for evaluating postpartum hemorrhage. Bright red blood saturation indicates active bleeding, requiring quantification. If pads are saturated within an hour, immediate intervention is needed to prevent hypovolemic shock.
Choice B rationale
Asking about clots identifies uterine atony or retained placental fragments. However, it does not prioritize the bleeding rate assessment, which is critical for immediate hemodynamic stability and guides urgency in management.
Choice C rationale
Cramping indicates uterine contractions aiding involution. While helpful for understanding uterine activity, it does not directly evaluate the severity or rate of blood loss, which poses an immediate risk to the client’s life.
Choice D rationale
Checking for the need to urinate helps assess bladder distension. A full bladder inhibits uterine contraction, worsening atony-related bleeding. Still, this line of questioning is less critical compared to assessing the bleeding's rate and volume.
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