A patient at the prenatal clinic tells the nurse that she plans ...

[codyclark]

A patient at the prenatal clinic tells the nurse that she plans to continue daily douching to maintain vaginal cleanliness during her pregnancy. The nurse's best response is:
 
  a. That is an excellent way to prevent an infection.
  b. Be sure to use an antimicrobial solution.
  c. You must be careful to maintain the alkalinity of your vagina.
  d. Frequent douching alters the normal acidic nature of the vagina, increasing the risk of infection.

Question 2

To assess the adequacy of the pelvis for delivery, the examiner measures the:
 
  a. Diagonal conjugate
  b. Midpelvis
  c. Ischial spines
  d. False pelvis

[wshriver]

Answer to Question 1

ANS: D
A change in the normally acidic pH of the vagina, caused by excessive douching or use of vaginal sprays or deodorant tampons, alters its self-cleansing properties and increases the risk of infection.

Answer to Question 2

ANS: A
The diagonal conjugate is commonly measured during a pelvic examination to determine whether the pelvic outlet is large enough for the fetus to pass through.