A young woman who is sexually active asks the nurse about using the vaginal sponge as a method of contraception. Which of the following is accurate information the nurse would include in the teaching plan?
A) The vaginal sponge is effective for a long as 36 hours following insertion.
B) The vaginal sponge is more effective in women who have had babies.
C) The vaginal sponge needs to be left in place for at least 12 hours after intercourse.
D) The vaginal sponge must be removed within 30 hours of insertion.
D
Feedback:
The vaginal sponge is a barrier method made of a polyurethane foam and the spermicide nonoxynol-9, commercially called the Today Sponge. It is effective for as long as 24 hours. In a woman who has not had any children, it is between 84% and 91% effective. In a woman who has had children, the effectiveness rate decreases to 68%–80%. It needs to remain in place at least 6 hours after intercourse, but be removed within 30 hours of insertion. There is a risk of toxic shock syndrome (TSS) if left in more than 30 hours.
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