QUESTION: "After the nurse instructs a client who is scheduled for in vitro fertilization (IVF) about the procedure, which of the following statements by the client indicates to the nurse that the instructions have been successful?"
CHOICES
( X ) a.) "I know that the chances of getting pregnant with this procedure are about 50%."
( X ) b.) "I'll need to receive a series of estrogen injections after I have the procedure."
( O ) c.) "After fertilization, three or four embryos will be transferred through the cervix."
( X ) d.) "My risk for a multiple births is less with this procedure than with the GIFT procedure."
RATIONALE: With IVF, after the ova are fertilized, three or four embryos are transferred through the cervix by way of a special catheter. The success rate for this procedure is only about 20%. Estrogen injections are not required after in vitro fertilization. The risks for multiple pregnancy or multiple births are comparable to those from GIFT procedures. NURSING PROCESS STEP: Evaluation CLIENT NEEDS CATEGORY: Physiological integrity CLIENT NEEDS SUBCATEGORY: Reduction of risk potential
