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 A

Explanation

Choice A rationale

Horizontal eustachian tubes in children with cleft palate increase the risk of otitis media due to impaired drainage and ventilation. Surgical closure of the palate helps restore anatomical structure, reducing the incidence of middle ear infections and associated complications.

Choice B rationale

Small external ear structure is not anatomically linked to hydrocephalus, and diuretics are unrelated to managing this condition. Hydrocephalus stems from cerebrospinal fluid accumulation, not external ear anatomy, making this option inaccurate.

Choice C rationale

A large tongue may lead to airway obstruction but is not linked to otitis externa. Ear drops manage external ear infections but do not address anatomical changes associated with cleft palate, which impacts the eustachian tubes and middle ear.

Choice D rationale

An opening in the lip does not directly cause pneumonia. Pneumonia is primarily a respiratory condition influenced by infections, not lip anatomy. Corticosteroids are not standard interventions for pneumonia related to cleft palate complications.

A. Acrocyanosis. B. Mongolian spots. C. Cephalohematoma. D. Caput succedaneum.

Correct Answer is C

Explanation

Choice A rationale

Acrocyanosis, or bluish discoloration of extremities, is a normal newborn finding reflecting immature circulation and does not pose a risk for jaundice. It resolves as circulatory function matures and is unrelated to bilirubin metabolism or hemolysis.

Choice B rationale

Mongolian spots are benign pigmented birthmarks caused by trapped melanocytes in the dermis. These spots have no connection to jaundice and do not reflect bilirubin accumulation or red blood cell breakdown.

Choice C rationale

Cephalohematoma results from birth trauma, causing localized blood collection between the skull and periosteum. The breakdown of pooled blood increases bilirubin production, raising jaundice risk. This complication reflects excessive hemolysis, leading to bilirubin elevation.

Choice D rationale

Caput succedaneum involves superficial scalp swelling due to delivery pressure. Unlike cephalohematoma, it does not contribute to hemolysis or bilirubin accumulation. It resolves spontaneously and poses no risk for jaundice development.

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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

Identify a complication resulting from a cleft palate, the anatomical changes that lead to the complication, and the priority interventions for care.

Correct Answer is A

Explanation

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

Correct Answer is C

Explanation

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Which statements made by the parent indicate that appropriate care is being provided to a 4-year-old who has spastic type cerebral palsy?

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

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