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A nurse is caring for a client who inquires about a cervical cap for contraception. The nurse should identify that which of the following manifestations is a contraindication for the use of a cervical cap?

A.

History of methicillin-resistant Staphylococcus aureus.

B.

History of thrombophlebitis.

C.

History of toxic shock syndrome.

D.

Type 1 diabetes mellitus.

Answer and Explanation

The Correct Answer is C

Choice A rationale

 

History of methicillin-resistant Staphylococcus aureus (MRSA) is not directly related to the use of a cervical cap. The main concern with a cervical cap is infection, but MRSA history alone doesn't make it a contraindication for this form of contraception.

 

Choice B rationale

 

History of thrombophlebitis is more of a concern with hormonal contraceptives due to the risk of blood clots. A cervical cap does not involve hormones, so this condition is not a direct contraindication.

 

Choice C rationale

 

History of toxic shock syndrome (TSS) is a contraindication for the use of a cervical cap because the cap can increase the risk of developing TSS again. TSS is associated with prolonged use of barrier contraceptives, which can create an environment that fosters the growth of bacteria responsible for TSS.

 

Choice D rationale

 

Type 1 diabetes mellitus is not a direct contraindication for the use of a cervical cap. The concern with diabetes is often related to blood glucose control and potential infections, but it doesn't specifically contraindicate the use of cervical caps.


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View Related questions

Correct Answer is B

Explanation

Choice A rationale

Wearing a loose-fitting bra does not help in managing mastitis. Proper breast support and continuing breastfeeding are important to keep the milk flowing and reduce inflammation.

Choice B rationale

Continuing to breastfeed helps to clear the infection and maintain milk supply. It ensures that the ducts are cleared, reducing inflammation and aiding recovery from mastitis.

Choice C rationale

Limiting fluid intake is not recommended. Adequate hydration is crucial to help with milk production and overall recovery, especially during an infection.

Choice D rationale

An abdominal sonogram is not relevant to the management of mastitis. Treatment focuses on antibiotics, pain relief, and continued breastfeeding. .

Correct Answer is D

Explanation

Choice A rationale

Lecithin/sphingomyelin (L/S) ratio does not indicate genetic disorders; it's used to assess fetal lung maturity.

Choice B rationale

The test does not determine placental function. It specifically evaluates fetal lung maturity through the ratio of lecithin to sphingomyelin in amniotic fluid.

Choice C rationale

The test is not used to assess the risk of Rh incompatibility. The L/S ratio focuses on lung development rather than blood compatibility issues.

Choice D rationale

The L/S ratio assesses the baby's lung maturity, indicating if the lungs produce enough surfactant for proper function after birth.

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