A nurse is teaching a client who is experiencing infertility about clomiphene citrate. Which adverse effects should the nurse include?

Choice A rationale
Frequent urination is a common symptom in early pregnancy due to increased blood flow to the woman’s kidneys. While it can be inconvenient, it is usually not a sign of a serious problem.
Choice B rationale
Periodic tingling of the fingers can be a symptom of carpal tunnel syndrome, which is common during pregnancy due to fluid retention causing pressure on the median nerve. While it can be uncomfortable, it is usually not a serious concern.
Choice C rationale
Back pain following intercourse can be a normal symptom of pregnancy due to hormonal changes and stretching of ligaments. It is usually not a cause for immediate concern.
Choice D rationale
Severe vomiting in early pregnancy could be a sign of hyperemesis gravidarum, a severe form of nausea and vomiting in pregnancy that can lead to dehydration and weight loss. This is a potentially serious condition that requires immediate medical attention.

Choice A rationale
An oxygen saturation of 89% in a newborn who was born 2 hours ago and was admitted to the neonatal intensive care unit with chest wall retractions and blue discoloration of the hands and feet indicates a decline in the newborn’s status. This level of oxygen saturation is below the normal range for a newborn, which is typically above 95%10111213. This could indicate that the newborn is not getting enough oxygen, which could be due to a variety of conditions, including respiratory distress syndrome.
Choice B rationale
Nasal flaring is a sign of respiratory distress in a newborn. However, it is a nonspecific sign and does not necessarily indicate a decline in the newborn’s status. It could be a normal response to the newborn’s efforts to breathe more effectively.
Choice C rationale
Fine crackles can be a sign of a lung condition in a newborn. However, they are a nonspecific sign and do not necessarily indicate a decline in the newborn’s status. They could be a normal finding in a newborn who was born 2 hours ago.
Choice D rationale
An apneic episode less than 15 seconds in a newborn who was born 2 hours ago is not necessarily indicative of a decline in the newborn’s status. Brief periods of apnea (pauses in breathing) are common in newborns and are usually not a cause for concern unless they last longer than 20 seconds or are associated with other signs of distress.