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Chapter 2: Problem 134

The client using a diaphragm should be instructed to: A. Refrain from keeping the diaphragm in Ionger than 4 hours B. Keep the diaphragm in a cool location C. Have the diaphragm resized if she gains 5 pounds D. Have the diaphragm resized if she has any surgery

Short Answer

Expert verified
Answer: The most important aspect to consider is having the diaphragm resized if the user experiences any significant changes to their body, such as weight gain or loss, or if they have had any surgery, particularly pelvic or abdominal surgery. This is crucial to maintain the proper fit of the diaphragm, which is essential for its effectiveness as a contraceptive method.

Step by step solution

01

Understand the diaphragm

A diaphragm is a barrier method of contraception, made of silicone or latex, that covers the cervix to prevent sperm from entering the uterus. It is important to use it correctly and maintain it properly to ensure its effectiveness.
02

Analyze Option A

Option A says that the client should "refrain from keeping the diaphragm in longer than 4 hours". However, the recommended usage time for a diaphragm is to leave it in place for at least 6 hours after sexual intercourse, and not to exceed 24 hours of total use. Therefore, Option A is incorrect.
03

Analyze Option B

Option B suggests that the client should "keep the diaphragm in a cool location". This is a reasonable recommendation since any contraceptive method should be stored in a clean, cool, and dry place to prevent damage. However, this statement on its own does not provide enough information about proper diaphragm usage and care to be considered the best answer, so we need to check the other options.
04

Analyze Option C

Option C states that the client should "have the diaphragm resized if she gains 5 pounds". This is an important aspect of diaphragm use because weight changes can affect the fit of the device, leading to reduced effectiveness. A general guideline is to consider resizing if there is a weight gain or loss of 10 pounds or more, but discussing any weight changes with a healthcare provider is recommended. While Option C is more relevant to proper diaphragm maintenance than Option B, let's check the final option as well.
05

Analyze Option D

Option D advises the client to "have the diaphragm resized if she has any surgery". In some cases, surgery, particularly pelvic or abdominal surgery, can alter the position or size of internal structures, which may affect the proper fit of the diaphragm. It is important to discuss with a healthcare provider any surgeries or medical procedures that may affect the effectiveness of the diaphragm. This option is also important and connected to diaphragm maintenance and proper use.
06

Choose the best answer

Both Options C and D are relevant to the diaphragm usage and care. However, Option D is more inclusive, as it also covers situations in which the diaphragm might need resizing due to surgical procedures that may affect its fit. Therefore, the best answer for the question is Option D: "Have the diaphragm resized if she has any surgery".

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