A woman who desires a second-trimester medical abortion has been educated about the procedure, side effects, and follow-up. What statement by the patient indicates that additional teaching is needed?
A.
"I understand that I might need several doses of the prostaglandins."
B.
"I will get over-the-counter medication to treat any headache that I get."
C.
"I will watch for dizziness when standing if I have vomiting or diarrhea."
D.
"If I get a fever with chills, I should go to the emergency department."
ANS: D
Second-trimester medical abortions are associated with several side effects and may require multiple doses of prostaglandins to achieve the desired results. Side effects include headache, nausea, vomiting, diarrhea, fever, chills, dizziness, and cramping. Because fever and chills are a possible expected side effect, the woman would not need to go to the emergency department. The other statements are correct and indicate good understanding.
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