In vitro fertilizationembryo transfer (IVF-ET) is a common ...

[cookcarl]

In vitro fertilizationembryo transfer (IVF-ET) is a common approach for women with blocked fallopian tubes or unexplained infertility and for men with very low sperm counts. A husband and wife have arrived for their preprocedural interview.
 
  The husband asks the nurse to explain what the procedure entails. The nurse's most appropriate re-sponse is: a. IVF is a type of assisted reproductive therapy that involves collecting eggs from your wife's ovaries, fertilizing them in the lab with your sperm, and transferring the embryo to her uterus.
  b. A donor embryo will be transferred into your wife's uterus.
  c. Donor sperm will be used to inseminate your wife.
  d. Don't worry about the technical stuff; that's what we are here for.

Question 2

The nurse has received a phone call from a multigravida, who is 21 weeks pregnant and has not felt fetal movement yet. The best action for the nurse to take would be to:
 
  1. Reassure the client that this is a normal finding in multigravidas.
  2. Suggest that she should feel for movement with her fingertips.
  3. Schedule an appointment for her with her physician for that same day.
  4. Tell her gently that her fetus is probably dead.

[FergA]

Answer to Question 1

A

Feedback
A A woman's eggs are collected from her ovaries, fertilized in the laboratory with sperm, and transferred to her uterus after normal embryonic development has occurred.
B This statement describes therapeutic donor insemination.
C This statement describes the procedure for a donor embryo.
D This statement discredits the patient's need for teaching and is not the most ap-propriate response.

Answer to Question 2

3
Rationale:
1. Quickening, or the mother's perception of fetal movement, is usually experienced by the pregnant woman at about 1820 weeks' gestation. Women who have been pregnant previously might feel fetal movement earlier in pregnancy than those who have never been pregnant.
2. Fetal movement can be actively palpated by the client's physician or a trained examiner.
3. Not feeling fetal movement by 21 weeks could indicate that the client's due date is not accurate or that the fetus has died in utero. Fetal movement can be actively palpated by the client's physician or a trained examiner. The woman should be seen as soon as possible.
4. The fetus might have died after or about the 20th week of pregnancy; however, telling the client that the fetus might have died in utero without confirmation of this fact is nontherapeutic.