CNM Certified Nurse Midwife

Category - Gynecology

Clomiphene citrate is prescribed to a woman to stimulate ovulation. Which of the following statements by the nurse midwife is the most appropriate for this client?
  1. “If no results are obtained after the second course of clomiphene citrate therapy, the therapy will be discontinued.”
  2. “Blurring of vision is an expected side effect of the medication.”
  3. “Bruising or bleeding should be reported.”
  4. “Blood samples are obtained periodically.”
Explanation
Answer: C - Bruising or bleeding should be reported. In addition, bloating, stomach pain and blurring of vision require consultation. The therapy is discontinued after three unsuccessful courses of clomiphene. The therapy requires 24-hour urine samples.
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