Practice Quiz

CNM Certified Nurse Midwife

Category - Gynecology

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A female client comes to the clinic complaining of pain in the pelvic area. The client tells the nurse midwife that she feels a vague sense of bladder fullness after voiding. Constant sensation to void is also reported. The client is diagnosed with cystitis. Which of the following instructions given by the nurse midwife is the most appropriate for the client?
  1. Wear underwear made of nylon.
  2. Douche at least twice a month.
  3. Increase intake of cranberry juice.
  4. Relieve the discomfort with tub baths.
Explanation
Answer: C - Increasing the intake of cranberry juice may help relieve the symptoms of cystitis. Cranberry juice increases the acidity of the urine, which prevents bacterial growth. The client must be instructed to wear underwear made of cotton to keep the area dry. The client can shower, but tub baths allow the bacteria to access the urinary tract more easily.
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