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The nurse teaches a couple that the diaphragm is an excellent method of contraception providing that the woman does which of the following?

Gets it refitted each time she changes partners

Leaves it in place for 6 hours after intercourse.

Places lubricant inside of the diaphragm before insertion

Leaves it in during her period

Answer and Explanation

The Correct Answer is B

Rationale:

A. Refitting the diaphragm is recommended after significant weight change, not when changing partners.

B. Leaving the diaphragm in place for at least 6 hours after intercourse ensures effective contraception.

C. Lubricant is not placed inside the diaphragm but on the rim or used with spermicide.

D. Leaving the diaphragm in during menstruation increases the risk of toxic shock syndrome.

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Correct Answer is ["D","F"]

Explanation

A. Brethine (Terbutaline) is typically used for stopping premature labor but is not recommended for all patients as it can have side effects like tachycardia and decreased uterine contractions. The patient does not appear to need to stop labor immediately, and other interventions are more appropriate.

B. Pitocin (Oxytocin) is used to augment labor but is not indicated in a case of early labor unless there is a need to speed up contractions or induce labor after a period of observation.

C. Misoprostol (Cytotec) is a medication used to ripen the cervix, but it’s not appropriate here as the patient is only 2 cm dilated and doesn't show indications for labor induction.

D. Betamethasone is used to promote fetal lung maturity in cases of preterm labor. Given the patient is at 34 weeks, this would be an appropriate intervention.

E. Oxytocin (Pitocin) would only be used for augmentation or induction in a more advanced labor situation, and it's not needed at this stage.

F. IV Fluids are important in this case to maintain hydration and possibly prevent preterm labor, as dehydration can exacerbate contractions.

A. If she has had prenatal care. B. Membrane status and her EDD/EDC. C. Time of last food intake and fasting blood sugar. D. Pain level and birth plan.

Correct Answer is B

Explanation

A. Prenatal care history is important but not as urgent as membrane status and estimated delivery date.

B. Membrane status and estimated delivery date are critical for assessing the stage of labor and planning care.

C. Fasting blood sugar is relevant in diabetic patients but not an immediate priority.

D. Pain level and birth plan are important but secondary to assessing labor progress.

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The nurse teaches a couple that the diaphragm is an excellent method of contraception providing that the woman does which of the following?

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Naxlex Comprehensive Predictor Exams

Temp 98.6 (O) Sp02 98% on RA FHR 155 with minimal variability Exhibits Which of the following will you recommend for this patient? (Select all that apply)

Correct Answer is ["D","F"]

Explanation

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Correct Answer is B

Explanation

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