A surer is caring for a client who is experiencing infertility and is requesting in vitro fertilization. Which of the following information should the nurse provide to the client?
Inform the client that sperm will be introduced to the uterus during ovulation
Instruct the client to avoid freezing embryos for possible use in the future.
Inform the client about the possible need for reduction of multiple fetuses
Instruct the client not to use donor oocytes
The Correct Answer is C
A. Inform the client that sperm will be introduced to the uterus during ovulation: This statement is not accurate for in vitro fertilization (IVF). In IVF, fertilization occurs outside the uterus in a laboratory, and embryos are then transferred to the uterus.
B. Instruct the client to avoid freezing embryos for possible use in the future: Freezing embryos is a common practice in IVF, allowing the client to preserve embryos for future use if the initial IVF cycle is not successful or if the client wants to pursue additional pregnancies later on.
C. Inform the client about the possible need for reduction of multiple fetuses: This is the correct answer. IVF increases the likelihood of multiple pregnancies, such as twins or triplets. The nurse should inform the client about the potential risks associated with multiple pregnancies and the possibility of needing to reduce the number of fetuses to ensure a healthier pregnancy.
D. Instruct the client not to use donor oocytes: The use of donor oocytes (eggs) is a common practice in IVF, especially for clients who may have difficulty producing viable eggs. It is not necessary to instruct the client not to use donor oocytes unless there are specific medical or personal reasons to avoid this option.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Previous cervical cerclage
Cervical cerclage is a surgical procedure in which a stitch is placed in the cervix to reinforce it and reduce the risk of preterm birth. The fact that the client has had a previous cervical cerclage suggests a history of cervical insufficiency or a shortened cervix, which increases the risk of preterm delivery in subsequent pregnancies.
B. Previous delivery at 37 weeks gestation: A delivery at 37 weeks gestation is considered term. While it is on the earlier side of term, it does not inherently indicate an increased risk for preterm delivery.
C. Previous delivery of a newborn weighing 2.5 kg (5.5 lb): While low birth weight can be associated with preterm birth, the weight alone does not necessarily indicate a history of preterm delivery. Birth weight can be influenced by various factors.
D. Previous reactive non-stress test: A reactive non-stress test is a reassuring result, indicating that the fetus is responsive and generally doing well. It does not suggest a history or risk of preterm delivery.
Correct Answer is C
Explanation
A. Subcutaneous in the left vastus lateralis: Phytonadione is usually administered IM, not subcutaneously. The vastus lateralis muscle in the thigh is a common site for IM injections in newborns.
B. IM in the right deltoid: The deltoid muscle in the upper arm is not typically the recommended site for administering medications to newborns. The vastus lateralis muscle in the thigh is preferred for newborn IM injections due to better muscle development and blood flow.
C. IM in the left vastus lateralis: This is the correct option. Phytonadione, or Vitamin K, is routinely given to newborns to prevent vitamin K deficiency bleeding (VKDB). It's administered as an IM injection into the vastus lateralis muscle in the thigh, which is a standard practice for newborn vitamin K administration.
D. Subcutaneous in the right deltoid: Subcutaneous administration in the deltoid is not typically used for newborns, especially for medications like phytonadione that are commonly administered IM.
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