A Client Wants to Use the Vaginal Sponge as a Method

Multiple Choice

A client wants to use the vaginal sponge as a method of contraception. Which statements indicate that the client needs further instruction about use of this method? Select all that apply.

A) "I should never leave the sponge in for more than 6 hours."
B) "I need to use a lubricant prior to insertion of the sponge."
C) "I can insert the sponge up to 24 hours before having sex."
D) "I need to add spermicidal cream to the sponge prior to having sex."
E) "I need to moisten the sponge with water prior to use."