A couple are seeking advice regarding what they can do to increase the chances of becoming pregnant. What recommendation can the nurse give to the couple?
1. The couple could use vaginal lubricants during intercourse.
2. The couple should delay having intercourse until the day of ovulation.
3. The woman should refrain from douching.
4. The woman should be on top during intercourse.
3
Rationale 1: Vaginal lubricants can alter the pH of the reproductive system and adversely affect the couple's chances of becoming pregnant.
Rationale 2: This is not good advice, as fertilization can take place anywhere from day 7 to 17 during a 28–30-day cycle.
Rationale 3: This is the correct answer, as douching can wash the sperm out and change the pH of the vagina to make it hostile to sperm.
Rationale 4: The male superior position with the female remaining recumbent for at least 20–30 minutes after intercourse maximizes the number of sperm reaching the cervix.
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