Author Question: The nurse teaches the pregnant patient that positions for sexual intercourse might need modification ... (Read 141 times)

segrsyd · **on:** Jun 27, 2018

The nurse teaches the pregnant patient that positions for sexual intercourse might need modification during later pregnancy. An appropriate position for intercourse during the third trimester is:

1. Lithotomy.
2. Fowler's.
3. Supine.
4. Side-lying.

Question 2

The patient who was raped is extremely upset when a pregnancy test confirms that she is pregnant, and requests information regarding pregnancy termination. Which statement is best for the nurse to include?

1. Abortion is morally wrong, and should not be undertaken.
2. You are too late to have a medical abortion.
3. Surgical abortion can result in uterine perforation.
4. Both medical and surgical abortions are 100 effective.

alvinum · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

4
Rationale 1: The lithotomy position can be uncomfortable during advanced pregnancy, and is not recommended.
Rationale 2: Fowler's position can be uncomfortable during advanced pregnancy, and is not recommended.
Rationale 3: The supine position can be uncomfortable during advanced pregnancy, and is not recommended.
Rationale 4: As the abdomen increases in girth during later pregnancy, changes in position might be necessary to achieve sexual activity. The side-lying position reduces pressure on the abdomen and avoids supine hypotension.

Answer to Question 2

3
Rationale 1: Although many nurses have strong moral objections against abortion, in order to be effective in a therapeutic relationship, the nurse must avoid being judgmental.
Rationale 2: Medical abortion is 96 effective, and is undertaken within the first seven weeks of pregnancy.
Rationale 3: Surgical abortion approaches 100 effectiveness, and the risks include uterine perforation and infection (although the risk is very small).
Rationale 4: Surgical abortion approaches 100 effectiveness, and the risks include uterine perforation and infection (although the risk is very small). Medical abortion is 96 effective, and is undertaken within the first seven weeks of pregnancy.