QUESTION: "A client asks, "Can my partner and I still engage in sexual intercourse while I'm pregnant?" The nurse's response is based on which of the following?"
CHOICES
( X ) a.) Throughout the pregnancy, coitus interruptus is the preferred method for sexual activity.
( O ) b.) Although sexual desire may change, intercourse is safe during an uncomplicated pregnancy.
( X ) c.) Engaging in intercourse must be avoided until the client is at least 16 weeks pregnant.
( X ) d.) The couple should refrain from engaging in sexual intercourse during the last trimester.
RATIONALE: Generally, engaging in the usual pattern of sexual activity during pregnancy is safe as long as the client is comfortable and no complications arise. The client needs to be informed that some women find intercourse uncomfortable during the first and third trimesters owing to the common discomforts of pregnancy. Numerous myths about engaging in sexual activity during pregnancy exist. However, coitus does not harm the fetus. Coitus interruptus is not considered the preferred method of sexual activity. Avoiding sexual activity until the 16th week of pregnancy is not necessary because coitus does not harm the fetus. During the third trimester, sexual intercourse is still considered safe. But because of the increased size of the woman's abdomen, the couple should consider coital positions other than male superior position. Sexual intercourse would be contraindicated only if the woman experiences bleeding or ruptured membranes. Also, after 32 weeks' gestation, women with a history of preterm labor should be advised that coitus may lead to preterm labor due to the effects of prostaglandin production secondary to sexual intercourse. Stimulation of the breasts and nipples increases the body's production of oxytocin, which also can initiate labor. NURSING PROCESS STEP: Implementation CLIENT NEEDS CATEGORY: Physiological integrity CLIENT NEEDS SUBCATEGORY: Basic care and comfort
