A patient is using the contraceptive sponge as a birth control method. What action is important in order to maintain the sponge's effectiveness?
1. Insert the sponge at least 1 hour before intercourse.
2. Thoroughly moisten the sponge with water before inserting.
3. Spermicidal jelly must be inserted at the same time the sponge is inserted.
4. A new sponge must be inserted every time a couple has intercourse.
2
Rationale 1: The sponge can be inserted any time between 24 hours and within a few minutes before intercourse.
Rationale 2: The sponge must be moistened with water until it is foamy.
Rationale 3: Additional spermicide does not have to be used.
Rationale 4: The sponge offers contraceptive protection for up to 24 hours no matter how many times a couple has intercourse.
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