A couple is struggling with infertility and wants to know how to maintain their emotional balance.
Which response from the nurse would be most appropriate?

Choice A rationale:

Joining a support group can be beneficial. I can provide some recommendations.

Support groups offer a safe and supportive environment where couples can share their experiences, feelings, and coping strategies with others who understand what they are going through. This can be incredibly helpful in reducing isolation, normalizing their emotions, and promoting a sense of hope. Support groups can also provide valuable information and resources about infertility, treatment options, and coping strategies. Additionally, they can help couples develop a sense of community and belonging, which can be especially important during a challenging time.

I can provide some recommendations for support groups in your area. This demonstrates the nurse's willingness to help the couple find the resources they need and underscores the value of support groups in managing infertility.

Choice B rationale:

Share your situation with friends and family so they can provide support.

While sharing with friends and family can be helpful for some couples, it's important to recognize that not everyone may be able to provide the kind of support that is needed. Some friends and family members may not understand the challenges of infertility or may offer unsolicited advice, which can be hurtful. Additionally, couples may not feel comfortable sharing such personal information with their loved ones. It's important to respect the couple's privacy and preferences in this regard.

Choice C rationale:

Start adoption proceedings immediately as it can be challenging to adopt an infant.

This response is not appropriate as it does not address the couple's immediate concern, which is how to maintain their emotional balance while dealing with infertility. It also assumes that the couple is interested in adoption, which may not be the case. While adoption can be a wonderful option for some families, it's a major decision that requires careful consideration and should not be rushed into.

Choice D rationale:

Speak only with other friends who are dealing with infertility as they can provide the most help.

While connecting with others who are experiencing infertility can be helpful, it's important not to isolate oneself from other sources of support. Friends and family who are not dealing with infertility can still offer valuable support, understanding, and companionship. It's important to have a variety of supportive relationships in one's life.

Choice A rationale:

Fetal lung maturity is not assessed through chorionic villus sampling (CVS). It's primarily evaluated through amniocentesis, a different prenatal diagnostic procedure that involves sampling amniotic fluid.

CVS focuses on placental tissue, not lung development.

It's essential for clients to understand the specific purposes of each prenatal test to make informed decisions and have accurate expectations.

Choice B rationale:

While a non-stress test (NST) might be recommended after CVS in some cases, it's not a routine part of the procedure.

The decision to conduct an NST is based on individual risk factors and assessment by healthcare providers.

It's essential for clients to understand the potential need for additional testing but not assume it's always required.

Choice C rationale:

CVS is considered an invasive procedure, as it involves entering the uterus to collect placental tissue.

Non-invasive prenatal testing (NIPT) methods, which analyze fetal DNA in maternal blood, are available for screening purposes.

It's crucial for clients to differentiate between invasive and non-invasive prenatal testing options to make informed choices based on their preferences and risk factors.

Choice D rationale:

This statement accurately reflects the primary purpose of CVS.

It's a diagnostic procedure that can detect various genetic abnormalities, such as Down syndrome, cystic fibrosis, and TaySachs disease, during the first trimester of pregnancy.

Understanding the ability to detect genetic abnormalities early in pregnancy allows clients to make informed decisions about their pregnancy management and prepare for potential outcomes.