Author Question: A client reports infertility in spite of trying to get pregnant for the last 18 months. A priority ... (Read 70 times)

appyboo · **on:** Jul 23, 2018

A client reports infertility in spite of trying to get pregnant for the last 18 months. A priority assessment in this client would be:

1. height and weight.
2. understanding of ovulation and timing of intercourse.
3. job status.
4. preferred position during sexual intercourse.

Question 2

The nurse is reviewing the labor and delivery plan for a pregnant client who is scheduled to receive oxytocin (Pitocin) for induction of labor contractions. Which client statement indicates the need for additional instruction from the nurse?

1. I want to walk around as much as possible to help stimulate my labor.
2. I will receive gradually increasing doses of the medication until I'm in active labor.
3. I realize my blood pressure will need to be taken frequently as long as I am on this medication.
4. I will tell you if I develop a headache.

bblaney · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: It is important to know the client's physical characteristics, but these measurements would not help determine the cause of infertility.
Rationale 2: The nurse must discover whether the client understands when conception is most likely to occur before proceeding with other assessments.
Rationale 3: An assessment of the client's job status would not necessarily help determine the cause of infertility.
Rationale 4: This information would not help determine the cause of infertility.
Global Rationale: The nurse must discover whether the client understands when conception is most likely to occur before proceeding with other assessments. It is important to know the client's physical characteristics, but these measurements would not help determine the cause of infertility. An assessment of the client's job status would not necessarily help determine the cause of infertility. Preferred position during sexual intercourse is of no consequence to fertility as long as intercourse is occurring.

Answer to Question 2

Correct Answer: 1
Rationale 1: Clients receiving oxytocin require continuous fetal and maternal monitoring, so the client needs to realize that walking around will not be possible.
Rationale 2: Doses of intravenous oxytocin are increased gradually, every 15 to 60 minutes, until a normal labor pattern is established.
Rationale 3: Vital signs, including blood pressure, should be checked at least every 15 minutes.
Rationale 4: A headache could be a sign of increased blood pressure, which might lead to a need to discontinue the oxytocin.
Global Rationale: Clients receiving oxytocin require continuous fetal and maternal monitoring, so the client needs to realize that walking around will not be possible. Doses of intravenous oxytocin are increased gradually, every 15 to 60 minutes, until a normal labor pattern is established. Vital signs, including blood pressure, should be checked at least every 15 minutes. A headache could be a sign of increased blood pressure, which might lead to a need to discontinue the oxytocin.