North American Registry of Midwives (NARM) Practice Exam

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What factor increases the likelihood of a tampon being indicated in Toxic Shock Syndrome (TSS)?

  1. The material of the tampon

  2. The length of tampon usage

  3. The absorbency of the tampon

  4. The brand of the tampon

The correct answer is: The absorbency of the tampon

The factor that increases the likelihood of a tampon being indicated in Toxic Shock Syndrome (TSS) is the absorbency of the tampon. High absorbency tampons can significantly raise the risk of TSS because they are associated with prolonged use and the ability for Staphylococcus aureus bacteria to grow within the tampon environment. When tampons absorb menstrual fluid, they can create a moist environment that may facilitate bacterial growth. If a highly absorbent tampon is used for an extended period without being changed, it raises the risk of TSS as the bacteria can release toxins that enter the bloodstream. This outcome is particularly notable in the context of TSS, as the syndrome is linked to overgrowth of these bacteria. While factors such as the material and brand of the tampon or the length of usage are also important considerations, the absorbency directly correlates with the likelihood of bacteria growth and toxin production, making it the critical factor in this context. Understanding the implications of tampon absorbency helps both users and healthcare providers in making informed choices to minimize risks associated with TSS.