When the nurse is teaching a woman about the use of a diaphragm, ...

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When the nurse is teaching a woman about the use of a diaphragm, it is important to instruct her that the diaphragm should be rechecked for correct size how often?
 
  1. Every five years routinely
  2. When weight gain or loss beyond five pounds has occurred
  3. After each birth
  4. Only after significant weight loss

Question 2

The primiparous patient has told the nurse that she is afraid she will develop hemorrhoids during pregnancy because her mother did. Which statement would be best for the nurse to make?
 
  1. It is not unusual for women to develop hemorrhoids during pregnancy.
  2. Most women don't have any problem until after they've delivered.
  3. If your mother had hemorrhoids, you will get them, too.
  4. If you get hemorrhoids, you probably will need surgery to get rid of them.

[joechoochoy]

Answer to Question 1

3
Explanation: 3. The diaphragm should be rechecked for correct size after each childbirth and whenever a woman has gained or lost 10 pounds or more.

Answer to Question 2

1
Rationale 1: Many pregnant women will develop hemorrhoids either during pregnancy or after delivery from the pushing efforts of the second stage of labor. The increased weight of the gravid uterus, combined with constipation, can result in the varicosities' prolapsing.
Rationale 2: It is not is true that most women have no hemorrhoids until after the birth. Many women develop hemorrhoids during pregnancy.
Rationale 3: Although there is a familial tendency to develop varicosities, including hemorrhoids, a family history does not automatically mean that a patient will develop the condition.
Rationale 4: Most hemorrhoids will resolve spontaneously, and will not require surgical intervention.

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TYSM

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