Question Of The Day: Antepartum Period

Q. The nurse has discussed sexuality issues during the prenatal period with a primigravida who is at 32 weeks' gestation. She has had one episode of preterm labor. The nurse determines that the client understands the instructions when she says:

A. "I can resume sexual intercourse when the bleeding stops."
B. "I should not get sexually aroused or have any nipple stimulation."
C. "I can resume sexual intercourse in 1 to 2 weeks."
D. "I should not have sexual intercourse until my next prenatal visit."

Correct Answer: B

Explanation: This client has already had one episode of preterm labor at 32 weeks' gestation. Sexual intercourse, arousal, and nipple stimulation may result in the release of oxytocin which can contribute to continued preterm labor and early delivery. The client should be advised to refrain from these activities until closer to term, which is 6 to 8 weeks later. Telling the client that intercourse is acceptable after the bleeding stops is incorrect and may lead to early delivery of a preterm neonate. The client should not have intercourse for at least 6 weeks because of the danger of inducing labor. There is no indication when the client's next prenatal visit is scheduled.