The client undergoing infertility treatment reports to the nurse ...

[NguyenJ]

The client undergoing infertility treatment reports to the nurse that her partner is angry all of the time since beginning treatment, and is very negative in comments made about the likelihood of their achieving pregnancy.
 
  The client states, I was angry and depressed, but now I am dedicated to following through with treatment, and hoping we get pregnant. What is the best interpretation of these comments? The partner is: Select all that apply. 1. Exhibiting signs of the anger stage of grieving the loss of their dreams of having children.
  2. In a different stage of grief than the client.
  3. Having difficulty accepting the reality of their infertility.
  4. Showing that he will not be a good parent.
  5. Feeling guilty about not being able to father a child.
  Correct

Question 2

Which statements by a breastfeeding class participant indicate that teaching was effective? Select all that apply.
 
  1. Breastfed infants get more skin-to-skin contact, and sleep better.
  2. Breastfeeding raises the level of a hormone that makes me feel good.
  3. Breastfeeding is complex and difficult, and I probably won't succeed.
  4. Breastfeeding is worthwhile, even if it costs more overall.
  5. Breastfed infants have fewer digestive and respiratory illnesses.
  Correct

[Smiles0805]

Answer to Question 1

1, 2
Rationale:
1. The client's description of her partner correlates with the anger stage of grief. Couples often experience the stages of grief when infertility is diagnosed, because childbearing is an expected outcome in marriage; the inability to become pregnant is the loss of the dream of parenthood.
2. The client is in acceptance stage of grief, while the partner is in the anger stage. It is common and normal for families to be in different stages of the grieving process.
3. The partner is in the anger stage of grief. Lack of acceptance would manifest as not believing that the diagnosis is correct.
4. Being in the anger stage of grief is expected and normal, and has no bearing on parenting ability.
5. Guilt would manifest as feelings that it is his fault that pregnancy has not yet occurred. The client is describing anger.

Answer to Question 2

1, 2, 5
Rationale:
1. This is a true statement.
2. Every time an infant suckles, the prolactin level doubles; prolactin creates feelings of euphoria and relaxation.
3. Although there is skill involved in getting a baby to nurse successfully and coordinating the infant's efforts with the maternal efforts, breastfeeding is not perceived as difficult by the majority of women who attempt to do so.
4. Breastfeeding actually costs substantially less than formula feeding, even considering the need for increased calcium and protein intake during lactation.
5. This is a true statement. Reduced infections are due to immunologic properties in breast milk, and to the fact that breastfed infants are not put to bed with a bottle, a practice known to increase ear infections.