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. Subcutaneous in the left vastus lateralis: Phytonadione is usually administered IM, not subcutaneously. The vastus lateralis muscle in the thigh is a common site for IM injections in newborns.
B. IM in the right deltoid: The deltoid muscle in the upper arm is not typically the recommended site for administering medications to newborns. The vastus lateralis muscle in the thigh is preferred for newborn IM injections due to better muscle development and blood flow.
C. IM in the left vastus lateralis: This is the correct option. Phytonadione, or Vitamin K, is routinely given to newborns to prevent vitamin K deficiency bleeding (VKDB). It's administered as an IM injection into the vastus lateralis muscle in the thigh, which is a standard practice for newborn vitamin K administration.
D. Subcutaneous in the right deltoid: Subcutaneous administration in the deltoid is not typically used for newborns, especially for medications like phytonadione that are commonly administered IM.
Correct Answer is A
Explanation
A. The client’s fundus is firm and midline: Oxytocin is commonly administered in the third stage of labor to promote uterine contraction and prevent postpartum hemorrhage. A therapeutic effect of oxytocin is the firm and midline positioning of the uterus, indicating effective contraction and the prevention of excessive bleeding.
B. The client’s umbilical cord lengthens: The lengthening of the umbilical cord is not an expected therapeutic effect of oxytocin administration. Oxytocin primarily affects uterine contractions.
C. The client reports a feeling of vaginal fullness: A feeling of vaginal fullness is not a typical therapeutic effect of oxytocin administration. It may be associated with other factors, such as the presence of blood clots or retained placental fragments, and should be further assessed.
D. The client saturates a perineal pad in 1 hour: Saturating a perineal pad in 1 hour is not an expected therapeutic effect of oxytocin. Excessive bleeding or saturation of perineal pads may be a sign of postpartum hemorrhage and requires immediate attention.
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