CNM Certified Nurse Midwife

Category - Gynecology

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A diaphragm is initially fitted to a 23-year-old female client by the nurse midwife. Which of the following occurrences would not necessitate another fitting?

She goes through a dilatation and curettage.
She gains 20 pounds.
She gets pregnant.
She loses 10 pounds.

Explanation

Answer: D - The client does not need another fitting if she loses 10 pounds. The client should see the nurse midwife for a second fitting if she gains or loses at least 15 pounds, goes through a cervical dilatation and curettage or gets pregnant. These conditions may change the pelvic and vaginal contours.

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CNM Certified Nurse Midwife

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