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

A. Dinoprostone vaginal inserts (e.g., Cervidil) should be kept frozen until use and do not require thawing or warming before insertion. Allowing the medication to reach room temperature is unnecessary and could compromise its stability and effectiveness.

B. Verifying that informed consent is obtained is essential before administering dinoprostone. The client must understand the purpose, potential risks, and alternatives to labor induction, ensuring ethical and legal standards are met.

C. Semi-Fowler’s positioning may be used during labor but is not a priority immediately after insertion. Positioning is secondary to consent and safety considerations.

D. Instructing the client to avoid urinary elimination is not required for dinoprostone administration and does not impact the safety or effectiveness of labor induction.

A.

Rationale:

A. Maternal cytomegalovirus can be transmitted to the newborn through contact with infected bodily fluids, including saliva and urine.

B. Airborne precautions are not necessary for cytomegalovirus, as it is primarily transmitted through contact with infected bodily fluids, not through airborne droplets.

C. There is no prophylactic treatment with acyclovir for cytomegalovirus; treatment options are limited and typically reserved for severe cases.

D. Lesions are not typically visible on the mother's genitalia with cytomegalovirus; the virus is often asymptomatic or causes mild symptoms in healthy adults.