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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale

Decreased urine output is not typically associated with patent ductus arteriosus (PDA). PDA causes an abnormal connection between the aorta and pulmonary artery, leading to left-to-right shunting of blood, which predominantly affects the cardiovascular and pulmonary systems rather than renal output directly.

Choice B rationale

Bradycardia is not a hallmark sign of PDA. Instead, PDA commonly leads to increased cardiac workload and tachycardia. The persistent opening between the aorta and pulmonary artery creates volume overload in the heart, which does not slow heart rate but rather increases it to compensate for the extra demand.

Choice C rationale

Cyanosis of the extremities is more typical in conditions involving right-to-left shunting, which is not characteristic of PDA. In PDA, the blood flow is typically left-to-right, meaning oxygenated blood flows back into the pulmonary circulation, which may lead to pulmonary congestion but not peripheral cyanosis.

Choice D rationale

A continuous "machinery-like" heart murmur is a classic sign of PDA due to the turbulent flow of blood between the high-pressure aorta and low-pressure pulmonary artery during both systole and diastole. This characteristic sound is often used diagnostically to identify PDA in newborns.

A. Cracked, peeling skin. B. Positive moro reflex. C. Creases covering soles of feet. D. Short soft fingernails. E. Vernix in the folds and creases.

Correct Answer is ["C"]

Explanation

Choice A rationale

Applying petroleum jelly to the umbilical cord stump is discouraged as it may trap moisture, creating an environment conducive to bacterial growth. Dry cord care is preferred to reduce the risk of infection.

Choice B rationale

Washing the cord daily with soap and water is unnecessary and could lead to irritation or prolonged drying time. The cord stump requires minimal handling to promote natural healing and detachment.

Choice C rationale

Giving sponge baths ensures the cord stump remains dry, which is essential for preventing infection and expediting natural detachment. This method avoids soaking the stump, reducing the risk of maceration or bacterial colonization.

Choice D rationale

Covering the umbilical cord stump with a diaper increases moisture retention, which can delay healing. Proper diaper placement below the stump is recommended to minimize irritation and promote airflow.

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After receiving instruction on the use of a diaphragm for contraception, which statement by the client indicates that they have understood the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a newborn diagnosed with patent ductus arteriosus (PD

Correct Answer is D

Explanation

A nurse is assessing a postmature infant.Which of the following findings would the nurse expect? (Select all that apply.)

Correct Answer is ["C"]

Explanation

A clinic nurse is assessing a client with a suspected diagnosis of endometriosis.Which of the following findings in the client's medical history should the nurse identify as consistent with a diagnosis of endometriosis?

A nurse is caring for a client who is in labor and has an external fetal monitor.The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?

A clinic nurse is assessing a client with a suspected diagnosis of endometriosis.Which of the following findings in the client's medical history should the nurse identify as consistent with a diagnosis of endometriosis?

A nurse in a provider's office is planning care for a client who has a new diagnosis of polycystic ovarian syndrome.The nurse should plan to monitor which of the following laboratory values?

A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is contraindicated due to which of the following findings in the client's medical history?

The nurse places an infant with a tracheoesophageal fistula under a radiant warmer with the infant's head elevated at a 45-degree angle.Which statement by the mother indicates an understanding of the most important reason for this position?

Which assessment finding in a newborn places them at risk for physiological jaundice?