An expectant couple asks the nurse about intercourse during ...

[B]

An expectant couple asks the nurse about intercourse during pregnancy and if it is safe for the baby. The nurse should tell the couple that:
 
  a. Intercourse should be avoided if any spotting from the vagina occurs afterward.
  b. Intercourse is safe until the third trimester.
  c. Safer sex practices should be used once the membranes rupture.
  d. Intercourse and orgasm are often contraindicated if a history of or signs of pre-term labor are present.

Question 2

Which laboratory result would be a cause for concern if exhibited by a woman at her first prenatal visit during the second month of her pregnancy?
 
  a. Hematocrit 38, hemoglobin 13 g/dl
  b. White blood cell count 6000/mm3
  c. Platelets 300,000/mm3
  d. Rubella titer 1:6

[essyface1]

Answer to Question 1

D
Rupture of the membranes may require abstaining from intercourse. Uterine contractions that accompany orgasm can stimulate labor and would be problematic if the woman is at risk for or has a history of preterm labor.
Some spotting can normally occur as a result of the increased fragility and vascularity of the cervix and vagina during pregnancy.
Intercourse can continue as long as the pregnancy is progressing normally.
Safer sex practices are always recommended.

Answer to Question 2

D
A rubella titer of less than 1:10 indicates a lack of immunity to rubella, a viral infection that has the potential to cause teratogenic effects on fetal development. Arrangements should be made to administer the rubella vaccine after birth during the postpartum period because ad-ministration of rubella, a live vaccine, would be contraindicated during pregnancy. Women receiving the vaccine during the postpartum period should be cautioned to avoid pregnancy for 3 months.
The lab values for WBCs, platelets, and rubella titer are within the expected range for preg-nant women.