What information will the nurse provide when educating a woman about the correct use of a diaphragm?

It is effective for up to 48 hours if positioned properly.

Use of a spermicidal cream or jelly is not recommended.

Leave in place for at least 6 hours after intercourse.

Remove immediately after intercourse for douching.

Answer and Explanation

The Correct Answer is C

A. It is effective for up to 48 hours if positioned properly: A diaphragm should not be left in place for 48 hours; leaving it longer than 24 hours increases risk of infection and toxic shock syndrome.

B. Use of a spermicidal cream or jelly is not recommended: A spermicidal agent is recommended with diaphragm use to increase effectiveness; omission lowers contraceptive efficacy.

C. Leave in place for at least 6 hours after intercourse: The diaphragm should remain in place for a minimum of 6 hours after intercourse to ensure sperm are immobilized, but it should not be left longer than the recommended maximum (usually 24 hours).

D. Remove immediately after intercourse for douching: Removing the diaphragm immediately is not advised; douching after intercourse is discouraged because it can push sperm upward and reduce contraceptive effectiveness.

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Correct Answer is B

Explanation

A. High protein, low fat: A higher-protein, low-fat diet may support general health but is not the dietary pattern most associated with symptom relief for PMDD.

B. High carbohydrate, high fiber: Increasing complex carbohydrates and fiber can help stabilize blood glucose and boost serotonin synthesis, which often reduces mood-related premenstrual symptoms.

C. Low calorie, low fat: Calorie restriction and very low-fat diets do not specifically address PMDD symptoms and may worsen mood in some people.

D. Low carbohydrate, high protein: Reducing carbohydrates could decrease serotonin precursors and may worsen mood symptoms for some individuals with PMDD.

A. "Worrying is normal for this age group." B. "All children with ASD have mood disorders." C. "Children with ASD are at greater risk for experiencing anxiety." D. "Children may become anxious when they have to be in a health care setting."

Correct Answer is C

Explanation

A. "Worrying is normal for this age group.": Some worry is developmentally common, but new or worsening anxiety, especially over a year, merits assessment rather than being dismissed as simply normal.
B. "All children with ASD have mood disorders.": There is an increased risk of mood and anxiety disorders in children with congenital heart disease, but not every child will develop a mood disorder.
C. "Children with ASD are at greater risk for experiencing anxiety.": Children with atrial septal defect and other congenital heart conditions have a higher risk for anxiety and mood problems; caregivers should monitor and seek evaluation if concerns arise.
D. "Children may become anxious when they have to be in a health care setting.": Health-care–setting anxiety can occur in many children, but this statement does not address the condition-specific increased risk for anxiety associated with congenital heart disease.

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What information will the nurse provide when educating a woman about the correct use of a diaphragm?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is educating a woman diagnosed with premenstrual dysphoric disorder (PMDD). What is the best type of diet for the nurse to recommend?

Correct Answer is B

Explanation

Correct Answer is C

Explanation

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