An expectant couple complains of dyspareunia. Which action by the nurse is best?
A.
Assess the woman's family history and genetic background.
B.
Explain that this condition is a normal finding during pregnancy.
C.
Instruct the couple that sex during pregnancy is not advised.
D.
Suggest sexual positions that might be more comfortable.
ANS: D
Dyspareunia is painful intercourse that may result from pelvic congestion and impaired circulation caused by the enlarging uterus during pregnancy. The nurse should reassure the couple that having sex during pregnancy is acceptable (unless there are medical reasons to contraindicate it) and suggest positions for sex that might be more comfortable for the woman. There is no reason to assess the woman's family history and genetic background. Simply explaining that dyspareunia is normal is dismissive of the couple's concern, although they should be reassured that this does sometimes happen and then they should be offered education on ways to alleviate it.
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