A nurse is caring for a client who is at 14 weeks of gestation. Which of the following statements should the nurse identify as the client being emotionally prepared for pregnancy?

Rationale:

• Opioid intoxication. The client was found unresponsive with a needle in the left antecubital space, suggesting recent intravenous drug use. The administration of naloxone, an opioid antagonist, further supports opioid intoxication as the likely condition. Additionally, the client presents with decreased level of consciousness, respiratory depression (respiratory rate of 10/min), and decreased bowel sounds, all of which are classic signs of opioid intoxication.
• Pupil characteristics
  The client’s pupils are miotic (constricted), which is a hallmark sign of opioid intoxication due to the drug’s effect on the parasympathetic nervous system. Opioids, particularly heroin and prescription narcotics, cause pinpoint pupils, which can help differentiate opioid intoxication from other conditions that may cause altered mental status.

Rationale for Incorrect Options:

• Opioid withdrawal is characterized by symptoms such as agitation, dilated pupils, diarrhea, and tachycardia, none of which are present in this client. Instead, the client exhibits signs of central nervous system depression rather than hyperactivity, making withdrawal unlikely.
• Hallucinogen intoxication typically presents with hallucinations, paranoia, agitation, and altered sensory perception. The client’s presentation does not include these findings, making hallucinogen intoxication an unlikely cause.
• Alcohol intoxication is associated with slurred speech, ataxia, and confusion, but the client’s history indicates only one beer was consumed, which is not enough to cause such profound central nervous system depression. The presence of a needle and response to naloxone further support opioid intoxication rather than alcohol intoxication.
• Alcohol withdrawal presents with symptoms such as tremors, tachycardia, hypertension, and agitation. The client is instead experiencing respiratory depression and sedation, which are inconsistent with alcohol withdrawal.

A. "Same-sex activity is less risky during pregnancy than male-female intercourse." Sexual activity of any kind can pose potential risks, such as vaginal irritation, pressure on the abdomen, or infection transmission if proper hygiene is not maintained. While pregnancy risks associated with semen exposure do not apply in a same-sex relationship, safety considerations remain important.
B. "There are some modifications that can increase the safety of sexual activity during your pregnancy." Sexual activity is generally safe during pregnancy, but adjustments may be necessary to ensure comfort and reduce potential risks. As the pregnancy progresses, certain positions may need to be changed to avoid pressure on the abdomen. If complications such as placenta previa or a history of preterm labor are present, additional precautions may be recommended.
C. "Most people find that pregnancy significantly decreases their desire for sexual activity." Sexual desire during pregnancy varies among individuals. Some may experience a decrease due to hormonal changes, nausea, or fatigue, while others may have an increased desire for sexual activity.
D. "Since you are monogamous there are no risks related to sexual activity during your pregnancy." A monogamous relationship reduces the risk of sexually transmitted infections but does not eliminate other potential concerns. Vaginal irritation, complications related to certain pregnancy conditions, or discomfort due to physical changes can still occur, making it important to discuss any concerns with a healthcare provider.