44. A woman came to a clinic with her husband with complaint of inability to conceive for one year after unprotected intercourse 2. They couples are highly concerned about conception and their health status. The laboratory investigation results show normal semen analysis and hormonal section . Unexplained infertility is diagnosed for the couple. What is the priority nursing intervention for this couple? A. Provide medication to resume fertility B. Advise to reduce alcohol consumption C. Suggest alternative sources of childbearing D. Reassure the couple for psychological upset 45. A nurse provides post abortion care for a pregnant woman who has vaginal bleeding for two days. She has lower abdomina I pain and small uterus for dates. Her blood pressure is 100/60 mmHg and pulse rate is 110/min . the woman is diagnosed with incomplete abortion. What is the priority nursing intervention for this woman? A. Give appointment : after two weeks B. Provide clear instruction on self-care C. Counsel on consumption of abortion D. Resuscitate the woman with normal saline 46. An adolescent girl with complaint of excessive menstrual bleeding for more than a week came to a health center. She also has fainting, breast tenderness and loss of appetite. She uses more than five pads per day. Her blood pressure is 80/60mmHg pulse rate is 120/min , temperature is 37.5^circ C and her hemoglobir level is 10.0gm/dL What is the priority nursing intervention for this girl? A. Administer iron-sulfate B. Administer IV fluid C. Administer antipyretics D. Administer oral contraceptive

44. D. Reassure the couple for psychological upset<br /><br />Explanation: In the case of unexplained infertility, the priority nursing intervention is to provide emotional support and reassurance to the couple. This is because infertility can be a stressful and emotionally challenging situation, and it is important to address the psychological aspects of their concerns. Providing medication to resume fertility (option A) may not be appropriate if the cause of infertility is unknown. Reducing alcohol consumption (option B) may be a good general health recommendation, but it may not directly address the couple's concerns about infertility. Suggesting alternative sources of childbearing (option C) may not be the most appropriate initial intervention.<br /><br />45. D. Resuscitate the woman with normal saline<br /><br />Explanation: In the case of incomplete abortion, the priority nursing intervention is to stabilize the woman's vital signs and address any signs of shock or significant blood loss. This may involve resuscitating the woman with normal saline (option D) to help maintain her blood pressure and fluid balance. Providing clear instruction on self-care (option B) may be important, but it is not the immediate priority in this situation. Counseling on consumption of abortion (option C) may not be appropriate or helpful in this situation. Giving an appointment after two weeks (option A) may not be the most appropriate initial intervention.<br /><br />46. A. Administer iron-sulfate<br /><br />Explanation: In the case of excessive menstrual bleeding and anemia, the priority nursing intervention is to address the underlying cause of the anemia, which is likely due to blood loss. Administering iron-sulfate (option A) can help to replenish the iron stores in the body and address the anemia. Administering IV fluid (option B) may be helpful in managing symptoms of shock or significant blood loss, but it may not directly address the underlying cause of the anemia. Administering antipyretics (option C) may help to manage fever, but it may not directly address the underlying cause of the anemia. Administering oral contraceptives (option D) may not be appropriate or helpful in this situation.