North American Registry of Midwives (NARM) Practice Exam

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Prepare for the North American Registry of Midwives Exam. Utilize flashcards and multiple choice questions, each with hints and explanations. Get ready to excel!

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When considering the use of diaphragms, what is a key factor for their effectiveness?

Usage during menstrual cycles
Proper fit and care over time
Using with water-based lubes
Replacing them every year

The correct answer is: Proper fit and care over time

The effectiveness of diaphragms as a contraceptive method heavily relies on their proper fit and care over time. A properly fitted diaphragm ensures an adequate seal against the cervix, which is crucial for preventing sperm from entering the uterus. If the diaphragm is too large or too small, it may not provide the necessary protection, making it less effective. Additionally, consistent care, which includes cleaning and proper storage, contributes to the diaphragm's longevity and effectiveness. Regular checks for wear and potential damage are also important. If the diaphragm shows signs of deterioration, it may become less effective and should be replaced. While other factors, such as using compatible lubricants and regular replacement, contribute to the diaphragm's overall use, they are secondary to the importance of a proper fit and ongoing care. Proper fitting ensures that the device functions as intended, ultimately influencing its success as a contraceptive method.