Author Question: A 32-year-old woman is scheduled for an induced abortion using instillation of hypertonic saline ... (Read 108 times)

serike · **on:** Jun 25, 2018

A 32-year-old woman is scheduled for an induced abortion using instillation of hypertonic saline solution. Which information will the nurse plan to discuss with the patient before the procedure?

a. The patient will require a general anesthetic.
b. The expulsion of the fetus may take 1 to 2 days.
c. There is a possibility that the patient may deliver a live fetus.
d. The procedure may be unsuccessful in terminating the pregnancy.

Question 2

The nurse in the infertility clinic is explaining in vitro fertilization (IVF) to a couple. The woman tells the nurse that they cannot afford IVF on her husband's salary.

The man replies that if his wife worked outside the home, they would have enough money. Which nursing diagnosis is appropriate?
a. Decisional conflict related to inadequate financial resources
b. Ineffective sexuality patterns related to psychological stress
c. Defensive coping related to anxiety about lack of conception
d. Ineffective denial related to frustration about continued infertility

TheDev123 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
Uterine contractions take 12 to 36 hours to begin after the hypertonic saline is instilled. Because the saline is feticidal, the nurse does not need to discuss any possibility of a live delivery or that the pregnancy termination will not be successful. General anesthesia is not needed for this procedure.

Answer to Question 2

ANS: C
The statements made by the couple are consistent with the diagnosis of defensive coping. No data indicate that ineffective sexuality and ineffective denial are problems. Although the couple is quarreling about finances, the data do not provide information indicating that the finances are inadequate.