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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Administer oxygen via face mask at 10 L/min: While oxygen administration may be necessary for a client experiencing excessive bleeding, the first action should be to assess the extent of blood loss. Administering oxygen is not the priority at this point.

B. Prepare the client to receive plasma expander: Plasma expanders, such as intravenous fluids, may be part of the treatment for postpartum hemorrhage, but the immediate priority is to assess the client's blood loss and determine the need for blood products. Fluid replacement alone may not address the underlying issue.

C. Collect hemoglobin and hematocrit levels: This is the correct first action. Hemoglobin and hematocrit levels provide crucial information about the extent of blood loss and the need for further interventions, such as blood transfusions. This information helps guide the overall management of the client.

D. Insert an indwelling urinary catheter: While assessing urinary output is important, it is not the first priority when a client is saturating perineal pads every 10 to 15 minutes. The immediate concern is to assess and manage the excessive bleeding, and obtaining hemoglobin and hematocrit levels is a crucial step in this process.

A. apply a vaginal lubricant to the diaphragm prior to insertion B. insert the diaphragm up to 6 hr before intercourse C. Remove the diaphragm 2 to 4 hr after intercourse D. Wash diaphragm with soap between uses

Correct Answer is B

Explanation

a: The diaphragm should be used with a spermicide, not a vaginal lubricant. Spermicide is necessary to kill sperm and increase the effectiveness of the diaphragm.

b: The diaphragm can be inserted up to 6 hours before intercourse, making it a convenient option for contraception. It should be left in place for at least 6 hours after intercourse but not more than 24 hours to ensure effectiveness.

c: The diaphragm should not be removed 2 to 4 hours after intercourse. It must remain in place for at least 6 hours after intercourse to provide effective contraception.

d:Washing the diaphragm with detergent soap can damage the latex and increase the risk of deterioration. It should be washed with mild soap and water or with a special cleanser recommended by the healthcare provider.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is 6 hr postpartum and is saturating perineal pads every 10 to 15 min. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is providing instructions to a client who has chosen a diaphragm for birth control. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

A nurse is caring for a postpartum client who recently had an indwelling urinary catheter removed. Which of the following findings indicates that the client is able to void effectively?

A nurse is caring for a client who is taking an oral contraceptive. The nurse should instruct the client to report which of the following findings to the provider immediately?

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A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?

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