The patient asks whether something she did could have contributed ...

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The patient asks whether something she did could have contributed to her conceiving twins. Which response(s) would be appropriate? (Select all that apply.)
 
  a. Fertility drugs have increased the incidence in multifetal pregnancies.
  b. Women who are older have an increased probability of having twins.
  c. Decreased maternal folate levels have been shown to cause multifetal pregnancies.
  d. In vitro fertilization has increased the incidence of multifetal pregnancies.
  e. Increased vitamin C levels have been linked to multifetal pregnancies.

Question 2

The patient asks the nurse why estrogen is important to pregnancy. Which statement(s) by the nurse would be accurate? (Select all that apply.)
 
  a. Estrogen increases blood flow to uterine vessels.
  b. Estrogen stimulates uterine growth.
  c. Estrogen stimulates the release of prostaglandins.
  d. Estrogen stimulates the production of testosterone.
  e. Estrogen stimulates development of the breast ducts to prepare for lactation.

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Answer to Question 1

ANS: A, B, D
The use of fertility drugs and in vitro fertilization has increased the incidence of multifetal pregnancies. Women who are older have an increased probability of having multifetal pregnancies.

Answer to Question 2

ANS: A, B, E
The hormone estrogen is necessary for the preparation and maintenance of pregnancy.