Which comment by a woman shows understanding of diaphragm teaching?

Correct Answer: B

Rationale: The correct answer is B) "This is one method that can be used during menstruation." This response indicates an understanding of the purpose and timing of diaphragm use in contraception. Option A is incorrect because examining the diaphragm against light is not a recommended practice for its use. Option C is incorrect as leaving the diaphragm in place for an extended period can increase the risk of toxic shock syndrome. Option D is incorrect because using powder on the diaphragm can increase the risk of infection and is not a recommended practice. In an educational context, it is crucial for women to understand the proper use of contraception methods like the diaphragm to ensure their effectiveness and safety. Teaching about correct insertion, removal, and cleaning practices is essential to prevent unintended pregnancies and complications. Understanding the timing of diaphragm use, as indicated in option B, is critical for effective contraception.

Correct Answer: C

Rationale: In teaching a client undergoing a bilateral tubal ligation, it is crucial to provide accurate and comprehensive information to ensure informed decision-making and optimal postoperative outcomes. Option C, stating that libido should remain the same after the procedure, is the correct choice. This is important to address as misconceptions about changes in libido post-tubal ligation may cause anxiety or uncertainty in clients. Option A, stating that the surgical procedure is easily reversible, is incorrect. Tubal ligation is considered a permanent method of contraception, and reversal procedures are complex and not always successful. Option B, mentioning that menstruation usually ceases after the procedure, is also incorrect. Tubal ligation does not affect menstruation, as it only blocks the fallopian tubes to prevent pregnancy. Option D, stating that the incision will be made endocervically, is misleading and incorrect. The incision for a tubal ligation procedure is typically made in the abdomen, not at the cervix. Educationally, when teaching about tubal ligation, it is important to emphasize the permanence of the procedure, its effects on fertility, and the lack of impact on menstrual cycles or libido. Providing accurate information empowers clients to make informed choices regarding their reproductive health. It also helps in dispelling myths or misconceptions that may lead to unnecessary concerns or misunderstandings.

Correct Answer: C

Rationale: In teaching a woman who has just had an intrauterine device (IUD) inserted, it is essential for the nurse to emphasize the importance of reporting any complaints of painful intercourse to the physician (Option C). This is crucial because painful intercourse could indicate a potential issue with the IUD placement or other complications that need prompt medical attention to prevent further complications or risks to the woman's health. Option A is incorrect because palpating the lower abdomen each month to check the patency of the device is not recommended as it can displace the IUD or cause injury. Option B is also incorrect as there is no requirement for bed rest after IUD insertion unless specified by the healthcare provider based on individual circumstances. Option D is incorrect as inserting spermicidal jelly after every sexual encounter is not necessary with an IUD in place and can actually increase the risk of irritation or infection. In an educational context, it is important for nurses to provide accurate and evidence-based information to support women in understanding the proper care and follow-up after IUD insertion. By explaining the rationale behind the correct answer and debunking misconceptions related to the other options, nurses can empower women to take charge of their reproductive health and seek appropriate medical care when needed.

Correct Answer: C

Rationale: The correct answer is C) Breakthrough bleeding is a common side effect. When teaching a breastfeeding woman about Seasonale (ethinyl estradiol and levonorgestrel), it is crucial to highlight the common side effects associated with the medication. Breakthrough bleeding is a common occurrence with extended-cycle oral contraceptives like Seasonale, where women may experience unscheduled bleeding or spotting between their periods. Option A) The woman will menstruate every 8 to 9 weeks is incorrect because Seasonale is designed to reduce the frequency of menstruation to four times a year, not every 8 to 9 weeks. Option B) The pills are taken for 3 out of every 4 weeks is incorrect as Seasonale is typically taken daily for 84 consecutive days followed by a 7-day hormone-free interval. Option D) Breastfeeding is compatible with the medication is incorrect as estrogen-containing contraceptives like Seasonale are generally not recommended for breastfeeding women due to potential risks of decreased milk production and composition. In an educational context, it is important for nurses to provide accurate and detailed information to breastfeeding women about their contraceptive options, including the mechanism of action, common side effects, and potential impact on breastfeeding. This empowers women to make informed decisions about their reproductive health while considering their individual needs and circumstances.

Correct Answer: B

Rationale: The correct answer is B) Thoroughly moisten the sponge with water before inserting. This is important because the contraceptive sponge needs to be moistened to activate the spermicide it contains, which helps to immobilize or kill sperm, thus increasing its effectiveness in preventing pregnancy. By not moistening the sponge, the spermicide may not work properly, reducing the contraceptive effectiveness. Option A) Insert the sponge at least one hour before intercourse is incorrect because the sponge needs to be inserted immediately before intercourse, not an hour before, to ensure maximum effectiveness. Option C) Spermicidal jelly must be inserted at the same time the sponge is inserted is incorrect because the sponge already contains spermicide, so additional spermicidal jelly is not necessary and may increase the risk of irritation. Option D) A new sponge must be inserted every time a couple has intercourse is incorrect because the contraceptive sponge can be left in place for up to 24 hours and can be used for multiple acts of intercourse within that timeframe. In an educational context, it is crucial for students to understand the proper usage of contraceptive methods to provide accurate information and support to women in their reproductive healthcare decisions. Understanding the details of how each method works and the correct usage instructions can help prevent unintended pregnancies and promote overall reproductive health.