The nurse is preparing teaching for a pregnant client with a history of preterm labor. What information should the nurse specifically provide regarding sexual activity? Select all that apply
1. Avoid intercourse.
2. Avoid nipple stimulation.
3. Avoid intercourse if vaginal bleeding occurs.
4. Avoid intercourse after the membranes rupture.
5. There are no restrictions to intercourse during pregnancy.
1, 2
Explanation:
1. Women with a history of preterm labor may be advised to avoid intercourse because the oxytocin that is released with orgasm stimulates uterine contractions and may trigger preterm labor.
2. Because oxytocin is also released with nipple stimulation, fondling the breasts may also be contraindicated in women with a history of preterm labor.
3. All pregnant women should be instructed to avoid intercourse if vaginal bleeding occurs.
4. All pregnant women should be instructed to avoid intercourse after the membranes rupture.
5. Women with a history of preterm labor may be advised to avoid intercourse because the oxytocin that is released with orgasm stimulates uterine contractions and may trigger preterm labor.
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