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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Epicanthal folds: Epicanthal folds are the skin folds of the upper eyelid covering the inner corner of the eye. These folds are a normal anatomical variation and are not typically related to forceps-assisted births.
B. Depressed anterior fontanel: A depressed fontanel (the soft spot on a baby's head) might indicate dehydration or a potential concern but is not directly associated with forceps use during birth.
C. Facial asymmetry
Forceps-assisted births involve the use of forceps to aid in the delivery of the baby's head. Facial asymmetry can occur as a result of the pressure applied by the forceps during the birth process. This pressure might cause temporary facial bruising or swelling, leading to an asymmetrical appearance, particularly in the immediate post-birth assessment.
D. Uneven gluteal skinfolds: Uneven gluteal skinfolds, which refer to asymmetry in the skinfolds of the buttocks, are not typically linked to forceps use during delivery. This finding might be a normal variation or could indicate other unrelated conditions.
Correct Answer is A
Explanation
A. Uterine tenderness is a common finding in endometritis. This inflammation of the endometrial lining can cause tenderness upon palpation of the uterus.
B. Temperature 37.4o C (99.3 F): Fever is a common symptom of endometritis. The body's response to infection often includes an elevated temperature.
C. WBC count 9000/mm3: In endometritis, there is typically an elevated white blood cell count as the body responds to the infection. A count of 9000/mm3 is within the normal range and may not be indicative of infection, making this choice less likely.
D. Scant lochia: Endometritis is associated with an increase in lochial flow rather than a decrease. Lochia may be increased in amount and foul-smelling in cases of endometritis. Scant lochia is more likely to be associated with other postpartum conditions but not necessarily endometritis.
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