CNM Certified Nurse Midwife

Category - Gynecology

The following female clients are contraindicated for diaphragm use except for:
  1. A client with a history of toxic shock syndrome.
  2. A client with allergy to rubber.
  3. A client with umbilical hernia.
  4. A client with recurrent UTI.
Explanation
Answer: C - A client with umbilical hernia is not contraindicated for diaphragm use. Clients with a history of toxic shock syndrome, allergy to rubber and recurrent UTI are contraindicated for diaphragm use. Diaphragm use is also not recommended for a client whose uterus is prolapsed, retroflexed or anteflexed to such a degree that the cervix is also displaced. Urinary tract infections are a risk of diaphragm use because of the pressure on the urethra.
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