A client comes to the clinic with abdominal pain. Based on her history, the nurse suspects endometriosis.
When reviewing the woman’s history, the nurse would LEAST likely identify which factor as a possible risk?

Choice A rationale
Prolongation of the luteal phase is not the primary action of Pergonal (Menotropins). The luteal phase is part of the menstrual cycle, and while hormones do regulate it, Pergonal’s primary function is not to extend this phase.
Choice B rationale
Pergonal (Menotropins) is used to stimulate ovulation. It contains follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are essential for ovulation. FSH stimulates the growth and maturation of ovarian follicles, and LH triggers ovulation and the development of the corpus luteum.
Choice C rationale
Suppression of menstruation is not an expected action of Pergonal. This medication is used to promote ovulation, not to stop menstrual periods.
Choice D rationale
While hormonal changes during the menstrual cycle can affect cervical mucus production, the primary action of Pergonal is not to promote cervical mucus production. Its main role is to stimulate ovulation.

Choice A rationale
Breastfeeding every 2 hours is actually recommended for newborns and is not a contributing factor to mastitis.
Choice B rationale
Substituting breastfeeding sessions with formula feeding can contribute to mastitis. This is because the milk that is not removed from the breast can lead to engorgement and blocked ducts, which can result in infection.
Choice C rationale
Blisters and cracks on the nipples can allow bacteria to enter the breast tissue, leading to infection and mastitis.
Choice D rationale
Alternating breastfeeding positions can help ensure that the breasts are emptied completely during each feeding, which can help prevent mastitis.