A Roman Catholic couple is infertile. Their health care practitioner advises them that their best chance of getting pregnant is via in vitro fertilization with a mixture of the man's sperm and donor sperm. Which of the following issues, related to this procedure, should the nurse realize may be in conflict with the couple's religious beliefs? Select all that apply.

Correct Answer: A

Rationale: The correct answer is A) The man will ejaculate by masturbation into a specially designed condom. In this scenario, the conflict with the Roman Catholic couple's religious beliefs stems from the act of masturbation, which is considered sinful according to Catholic teachings. Masturbation is seen as contrary to the procreative purpose of sexual intercourse within marriage. Option B) The woman may become pregnant with donor sperm may not necessarily conflict with their beliefs as long as the sperm is from the woman's husband or within the marriage. Option C) Fertilization is occurring in the artificial environment of the laboratory does not directly contradict Catholic beliefs as the issue lies more with the method of sperm collection. Option D) More embryos will be created than will be used to inseminate the woman might raise ethical concerns about unused embryos but does not directly conflict with Catholic teachings regarding the act of masturbation. Educationally, understanding the religious and ethical considerations that may impact healthcare decisions is crucial for providing culturally sensitive care. Nurses must be aware of these nuances to support patients in making informed choices that align with their beliefs and values.

Correct Answer: D

Rationale: The correct answer is option D: "You should experience the same sensations you feel when your doctor does your Pap test." Rationale: Option D is correct because it provides accurate information about what the client can expect during the postcoital test. The sensation during a Pap test involves a speculum examination of the cervix, which is similar to the examination performed during a postcoital test. This statement helps prepare the client for the procedure and reduces anxiety. Option A is incorrect because the timing of a postcoital test is not related to the menstrual cycle but is usually scheduled within a specific timeframe after intercourse. Option B is incorrect as it describes a hysterosalpingogram (HSG) where dye is used to visualize the fallopian tubes and uterus, not a postcoital test. Option C is incorrect as refraining from intercourse for four days prior to the test is not necessary for a postcoital test, as the purpose is to evaluate cervical mucus changes after intercourse. Educational Context: Educating clients about fertility testing procedures is crucial for informed decision-making and reducing anxiety. Providing accurate information about what to expect during tests helps clients feel more comfortable and prepared. Understanding the rationale behind each answer enhances clinical knowledge and promotes effective patient education in infertility care.

Correct Answer: D

Rationale: In the context of a client hospitalized with severe ovarian hyperstimulation syndrome and experiencing fluid volume excess due to third spacing, the highest priority nursing goal is ensuring the client's lung fields remain clear throughout hospitalization (option D). This is crucial because fluid volume excess can lead to pulmonary complications such as pulmonary edema and impaired gas exchange. Maintaining clear lung fields is essential for adequate oxygenation and preventing respiratory distress in this critical condition. Option A, focusing on the client's weight, is not the highest priority as it does not directly address the immediate risk of respiratory compromise from fluid volume excess. Option B, regarding skin breakdown, is important but secondary to ensuring respiratory function. Option C, related to electrolyte levels, is also important but does not address the urgent need to maintain clear lung fields in the face of fluid excess. In an educational context, understanding prioritization of nursing goals is crucial in providing effective and safe care to patients. This question highlights the need for nurses to identify the most critical issue that requires immediate attention to prevent complications and prioritize interventions accordingly. It emphasizes the importance of clinical judgment and critical thinking in delivering quality patient care.

Correct Answer: D

Rationale: The correct answer is option D) the probability of any of your children having the disease is less than 10%. This response is appropriate because Huntington's disease (HD) is caused by a dominant genetic mutation on chromosome 4. In this case, since the prospective father has not been tested for HD and only one parent has a family history of the disease, the risk of passing on the gene to offspring is less than 50%. This is because the father may not carry the gene, and if he does, the child still has a 50% chance of inheriting it. Option D correctly conveys the uncertainty of inheritance in this scenario. Option A is incorrect because simply stating that HD is an autosomal dominant disease does not address the specific situation of the couple's inquiry. Option B is incorrect as it inaccurately suggests a 1 in 4 chance for each child, which is not accurate given the information provided. Option C is also incorrect as it oversimplifies the genetic inheritance of HD based on family history alone. In an educational context, it is crucial for nurses to understand and communicate complex genetic concepts accurately to patients. Providing clear and evidence-based explanations about genetic risks can help couples make informed decisions about family planning and genetic testing. Understanding the nuances of genetic inheritance patterns is essential in providing accurate and compassionate care to individuals seeking information about genetic conditions like Huntington's disease.

Correct Answer: C

Rationale: In the context of infertility, it is crucial to prioritize addressing the emotional and psychological needs of the client. In this scenario, the highest priority intervention is option C) Acknowledge the client's anxiety about the possible findings. This is the correct answer because it demonstrates empathy and shows the client that her feelings are valid and important. Assessing the fetal heart rate (option A) may be important for monitoring the baby's well-being, but in this situation, the client's emotional state takes precedence. Checking the client's temperature (option B) is not relevant to the situation at hand and does not address the client's immediate needs. Answering questions regarding the genetic abnormality (option D) is important, but acknowledging and addressing the client's anxiety first creates a supportive environment for effective communication and information sharing. In an educational context, this question highlights the importance of patient-centered care in reproductive health. It emphasizes the significance of addressing the emotional needs of clients undergoing fertility treatments or genetic testing, as their emotional well-being can impact their overall experience and decision-making process. By prioritizing empathy and communication, healthcare providers can build trust and facilitate meaningful interactions with clients facing challenging situations related to infertility and genetic testing.