The patient tells the nurse, "My partner and I never have intercourse when I have my period because I read that it is dangerous." What statement by the nurse is most appropriate?
a. "You can protect the bed linens by placing protective padding under the buttocks."
b. "Reaching orgasm during your period can help to relieve menstrual cramps."
c. "The blood is from the uterus, not the vagina, so intercourse will not harm the vagina."
d. "The increased blood flow to the pelvis will make sex more pleasurable for you."
C
The most important point for the nurse to make is that it is safe to have intercourse during menstruation so that the patient can make an informed choice about whether to do so; therefore, explaining that intercourse will not harm the vagina is the best response. Although the statements about protecting bed linens and about orgasm reducing cramping are true, they do not address the patient's concern that intercourse is dangerous during menstruation. Increased blood flow to the pelvis may or may not increase the patient's pleasure; and it does not address the patient's concerns about safety.
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