A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis.
Which of the following findings should the nurse expect?

A.

Rationale:

A. Breast tenderness:

Correct answer. Clomiphene citrate, a medication used to induce ovulation, can cause breast tenderness as a common adverse effect due to its estrogenic effects.

B. Chills: Chills are not a common adverse effect of clomiphene citrate.

C. Tinnitus: Tinnitus, or ringing in the ears, is not typically associated with clomiphene citrate use.

D. Urinary frequency: Urinary frequency is not a common adverse effect of clomiphene citrate.

Rationale:

A. Using a 21-gauge needle may be too large for a newborn, increasing the risk of discomfort and tissue damage.

B. Inserting the needle at a 45° angle may not be appropriate for intramuscular injections in newborns. The preferred angle is typically 90°.

C. Administering the injection into the vastus lateralis muscle is the recommended site for hepatitis B vaccination in newborns. This site is located on the anterior lateral aspect of the thigh and provides good muscle mass for injection.

D. Vigorously massaging the site following the injection is not recommended as it may increase discomfort and tissue trauma. Instead, gentle pressure can be applied to the site to help reduce discomfort.