A nurse provides information to a client about the use of a diaphragm. Which statement indicates to the nurse that the client needs further information on how to use the diaphragm?

• A. I can leave the diaphragm in place as long as I want after intercourse
• B. I need to reapply spermicidal cream with repeated intercourse
• C. The diaphragm can be inserted as long as 6 hours before intercourse
• D. The diaphragm needs to be filled with spermicidal cream before insertion

Answer: (A)

Diaphragm use relies on timing and protection: it is a barrier device placed before intercourse and coated with spermicide. After sex, the diaphragm should stay in place for a minimum of 6 hours to ensure the spermicide works, but it should be removed within 24 hours to reduce the risk of infection or toxicity. The idea that you can leave it in place indefinitely doesn’t fit the recommended safety window, which is why that statement signals a need for more information. The other points align with proper guidance: you can insert the diaphragm up to 6 hours before sex, you apply spermicide to the diaphragm before insertion, and you may reapply spermicide if intercourse occurs again. The diaphragm isn’t filled with spermicidal cream; rather, spermicide is applied to the diaphragm to coat the area around the cervix.