Health Promotion and Maintenance Q 124
The client using a diaphragm should be instructed to:
A. Refrain from keeping the diaphragm in longer than 4 hours
B. Keep the diaphragm in a cool location
C. Have the diaphragm resized if she gains 5 pounds
D. Have the diaphragm resized if she has any surgery
Correct Answer: B. Keep the diaphragm in a cool location
The client using a diaphragm should keep the diaphragm in a cool location. The diaphragm is a birth control (contraceptive) device that prevents sperm from entering the uterus. The diaphragm is a small, reusable rubber or silicone cup with a flexible rim that covers the cervix. Before sex, the diaphragm is inserted deep into the vagina so that part of the rim fits snugly behind the pubic bone.
Option A: She should refrain from leaving the diaphragm in longer than 8 hours, not 4 hours. Always use the diaphragm with spermicidal cream, foam or gel. Avoid use of body lotions near the vagina and vaginal medications when using the diaphragm. If using a diaphragm and douche, wait until at least six hours after sex to avoid washing away spermicide.
Option C: The traditional dome-shaped diaphragm comes in different sizes, and the woman needs to be fitted for one by her healthcare provider. A newer diaphragm option — the Caya diaphragm — comes in one size. To get either type of diaphragm, the woman needs a prescription from her healthcare provider.
Option D: She should have the diaphragm resized when she gains or loses 10 pounds or has abdominal surgery. The woman will require an internal examination to assess what size of diaphragm will be suitable for her. A diaphragm should be replaced at least every 2 years. It should be examined regularly for holes or weak spots, and replaced as needed. She will need to be ‘resized’ for a diaphragm if she lost or gained more than 7 pounds in weight or have had a pregnancy.