A surer is caring for a client who is experiencing infertility and is requesting in vitro fertilization. Which of the following information should the nurse provide to the client?

Inform the client that sperm will be introduced to the uterus during ovulation

Instruct the client to avoid freezing embryos for possible use in the future.

Inform the client about the possible need for reduction of multiple fetuses

Instruct the client not to use donor oocytes

Answer and Explanation

The Correct Answer is C

A. Inform the client that sperm will be introduced to the uterus during ovulation: This statement is not accurate for in vitro fertilization (IVF). In IVF, fertilization occurs outside the uterus in a laboratory, and embryos are then transferred to the uterus.

B. Instruct the client to avoid freezing embryos for possible use in the future: Freezing embryos is a common practice in IVF, allowing the client to preserve embryos for future use if the initial IVF cycle is not successful or if the client wants to pursue additional pregnancies later on.

C. Inform the client about the possible need for reduction of multiple fetuses: This is the correct answer. IVF increases the likelihood of multiple pregnancies, such as twins or triplets. The nurse should inform the client about the potential risks associated with multiple pregnancies and the possibility of needing to reduce the number of fetuses to ensure a healthier pregnancy.

D. Instruct the client not to use donor oocytes: The use of donor oocytes (eggs) is a common practice in IVF, especially for clients who may have difficulty producing viable eggs. It is not necessary to instruct the client not to use donor oocytes unless there are specific medical or personal reasons to avoid this option.

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Correct Answer is A

Explanation

To calculate the estimated date of delivery using Nägele's rule:

Start with the first day of the last menstrual period (LMP).

Add 7 days.

Count back 3 months.

Add 1 year.

The last menstrual period started on June 21.

Adding 7 days to June 21: June 28

Counting back 3 months from June: March 28

Adding 1 year to March: March 28 in the next year

Therefore, the estimated date of delivery using Nägele's rule would be March 28 in the next year.

A. The client urinates 30 ml/hr B. The uterine fundus is 2 cm above the umbilicus C. The bladder is distended upon palpation D. The client does not feel the urge to urinate

Correct Answer is A

Explanation

A. The client urinates 30 ml/hr

Effective voiding after the removal of a urinary catheter involves the ability to produce an adequate amount of urine. A urine output of 30 ml per hour is within the normal range, indicating that the client is passing urine consistently, which is a positive sign of bladder function.

B. The uterine fundus is 2 cm above the umbilicus: The position of the uterine fundus is related to postpartum uterine involution and is not a direct indicator of effective voiding. It is more relevant to assessing the progress of the uterus returning to its pre-pregnancy state.

C. The bladder is distended upon palpation: A distended bladder is a sign of urinary retention, not effective voiding. If the bladder is distended, it indicates that the client may not be emptying the bladder properly.

D. The client does not feel the urge to urinate: Lack of urge to urinate could be a sign of urinary retention or impaired bladder function. A normal and healthy bladder function includes the sensation of the urge to void when the bladder is filling.

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A surer is caring for a client who is experiencing infertility and is requesting in vitro fertilization. Which of the following information should the nurse provide to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in calculating the estimated date of birth using Nägele's rule for a client who is pregnant and whose last menstrual cycle started june 21. Which of the following is the estimated date of delivery in the next year?

Correct Answer is A

Explanation

A nurse is caring for a postpartum client who recently had an indwelling urinary catheter removed. Which of the following findings indicates that the client is able to void effectively?

Correct Answer is A

Explanation

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