A nurse is educating a client who is 23 weeks pregnant about immunizations.
Which statement should the nurse include in the teaching?

Choice A rationale

While it might seem helpful to offer to tell the parents for the client, it’s important to respect the client’s autonomy and confidentiality. The nurse should support the client in making their own decisions about disclosure.

Choice B rationale

It’s not necessarily true that the parents will have to be told why the client is being admitted. Confidentiality is a key aspect of healthcare, especially when it comes to sensitive issues like sexually transmitted infections.

Choice C rationale

This response is empathetic and non-judgmental. It acknowledges the client’s feelings and opens up a conversation without forcing any action. This allows the client to feel heard and supported, which is crucial in a healthcare setting.

Choice D rationale

While this response might be well-intentioned, it assumes that the parents will understand and doesn’t acknowledge the client’s fear or concern. It’s important for the nurse to validate the client’s feelings and provide support.

Choice A rationale

Bleeding or spotting can accompany implantation. This is a common occurrence and does not necessarily indicate a problem with the pregnancy. It happens when the fertilized egg attaches to the lining of the uterus. Some women may mistake this bleeding for a light period, but it’s a sign of pregnancy.

Choice B rationale

Fertilization typically takes place in the outer third of the fallopian tube. After ovulation, the egg travels down the fallopian tube towards the uterus. If sperm are present in the fallopian tube at this time, fertilization can occur. This is a normal part of the reproductive process.

Choice C rationale

Sperm can remain viable in the woman’s reproductive tract for 2 to 3 days. This means that intercourse does not have to coincide exactly with ovulation in order to achieve pregnancy. The sperm can survive long enough to fertilize the egg when it is released.

Choice D rationale

The statement “Implantation occurs between 2 and 3 weeks after conception” is incorrect and requires intervention by the nurse. Implantation actually occurs about 6-10 days after ovulation, which is less than 2 weeks after conception.