A physician prescribes clomiphene citrate (Clomid) for a woman experiencing infertility. She is very concerned about the risk for multiple births. The nurse's most appropriate response is:
a. "No one has ever had more than triplets with Clomid."
b. "Would you like to discuss your concerns further before your treatment begins?"
c. "Ovulation will be monitored with ultrasound so that this will not happen."
d. "Ten percent is a very low risk, so you do not need to worry too much."
ANS: B
Medication to induce ovulation may be administered to the woman who does not ovulate or ovulates irregularly. Clomiphene citrate is the drug most commonly given to stimulate ovulation. More than one ovum (ovarian hyperstimulation syndrome) may be released and fertilized, making twins and other multiples more common. Women should be allowed to discuss their concerns before beginning treatment.
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