Author Question: A newly married woman states, My friend told me I would never have a baby because I had pelvic ... (Read 18 times)

nenivikky · **on:** Jun 27, 2018

A newly married woman states, My friend told me I would never have a baby because I had pelvic inflammatory disease when I was younger. I don't understand how that can affect whether or not I get pregnant. The nurse's best response is:

a. Your friend may be right. The disease may affect your ability to conceive.
b. Pelvic inflammatory disease may damage the ovaries and prevent ovulation.
c. Infection may cause scarring and obstruction of the fallopian tubes, which can prevent the fertilized egg from reaching the uterus.
d. Your friend has been misinformed. Fallopian tube damage occurs only following gonorrhea.

Question 2

A laboratory finding indicative of disseminated intravascular coagulation is:

a. decreased fibrinogen.
b. increased platelets.
c. increased hematocrit.
d. decreased thromboplastin time.

paavo · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Providing the client with accurate, complete information is the best response. Pelvic inflam-matory disease does produce scarring and obstruction of the fallopian tube if the infection is not treated.
The nurse needs to provide more detailed information so that the client understands the rea-son for possible infertility.
The nurse needs to provide more accurate information, this statement does not give enough of an explanation.
This is a false statement.

Answer to Question 2

A
DIC develops when the blood clotting factor thromboplastin is released into the maternal bloodstream as a result of placental bleeding. Thromboplastin activates widespread clotting, which uses the available fibrinogen, resulting in a decreased fibrinogen level.