A physician prescribes clomiphene citrate (Clomid, Serophene) for a woman experiencing infertility. She is very concerned about the risk of multiple births. The nurse's most appropriate response is:
a. "This is a legitimate concern. Would you like to discuss this further before your treatment begins?"
b. "No one has ever had more than triplets with Clomid."
c. "Ovulation will be monitored with ultrasound so that this will not happen."
d. "Ten percent is a very low risk, so you don't need to worry too much."
ANS: A
The incidence of multiple pregnancies with the use of these medications is significantly increased. The patient's concern is legitimate and should be discussed so that she can make an informed decision. Stating that no one has ever had "more than triplets" is inaccurate and negates the patient's concerns. Ultrasound cannot ensure that a multiple pregnancy will not occur. The percentage quoted in this statement is inaccurate. The comment "don't worry" discredits the patient's concern.
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