Question

A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm: True/ False Which of the following statements should the nurse include in the teaching?

a) "You should replace the diaphragm every 5 years: True/ False"
b) "You should leave the diaphragm in place for at least 6 hours after intercourse: True/ False"
c) "You should use an oil-based product as a lubricant when inserting the diaphragm: True/ False"
d) "You should insert the diaphragm when your bladder is full: True/ False"

Answer 1

The false statement that a diaphragm should be inserted with a full bladder is countered by the correct information that it should be inserted with an empty bladder for proper placement and comfort.

Step-by-step explanation:

The statement, "You should insert the diaphragm when your bladder is full", is False. As part of family planning education, it is essential for a nurse to clarify the proper use of a diaphragm. This birth control method is a barrier device that is inserted into the vagina to cover the cervix. Its effectiveness largely depends on its correct placement and usage.

A diaphragm, such as the one shown in comparison to a U.S. quarter for size, should fit snugly over the cervix to prevent sperm from entering the cervical canal. It should ideally be covered with spermicide before insertion, enhancing its contraceptive effectiveness. Unlike what the statement suggests, it is best to insert the diaphragm with an empty bladder to ensure proper placement and to avoid discomfort.

Moreover, it is recommended to leave the diaphragm in place for at least six hours following intercourse but not more than 24 hours to reduce the risk of urinary tract infections (UTIs). While diaphragms have a lower failure rate compared to condoms, they do not protect against sexually transmitted infections (STIs) and may increase the possibility of UTIs.