A client with a history of relapsing-remitting multiple sclerosis (MS)is expecting her first child. Which of the following nursing interventions would be indicated for this client?
A)Suggest the client seek reproductive counseling.
B)Tell the client to expect a period of remission after delivery.
C)Instruct the client to expect an exacerbation of symptoms while pregnant.
D)Discuss the client's options for pain control during labor, as her contractions will be especially severe.

Question

Quizplus · Accepted Answer

A)A definite genetic cause of MS has not been established; however, studies suggest that genetic factors make some individuals more susceptible to the disorder than others. Also, some medications used in the treatment of MS can be harmful to a fetus. Thus, reproductive counseling would be recommended for this client. Pregnancy often brings about remission (not exacerbation)of MS, and there is a slightly increased relapse rate postpartum. The strength of uterine contractions in a client with MS is not severe, and because clients often have lessened sensation, labor may be almost painless.
B)A definite genetic cause of MS has not been established; however, studies suggest that genetic factors make some individuals more susceptible to the disorder than others. Also, some medications used in the treatment of MS can be harmful to a fetus. Thus, reproductive counseling would be recommended for this client. Pregnancy often brings about remission (not exacerbation)of MS, and there is a slightly increased relapse rate postpartum. The strength of uterine contractions in a client with MS is not severe, and because clients often have lessened sensation, labor may be almost painless.
C)A definite genetic cause of MS has not been established; however, studies suggest that genetic factors make some individuals more susceptible to the disorder than others. Also, some medications used in the treatment of MS can be harmful to a fetus. Thus, reproductive counseling would be recommended for this client. Pregnancy often brings about remission (not exacerbation)of MS, and there is a slightly increased relapse rate postpartum. The strength of uterine contractions in a client with MS is not severe, and because clients often have lessened sensation, labor may be almost painless.
D)A definite genetic cause of MS has not been established; however, studies suggest that genetic factors make some individuals more susceptible to the disorder than others. Also, some medications used in the treatment of MS can be harmful to a fetus. Thus, reproductive counseling would be recommended for this client. Pregnancy often brings about remission (not exacerbation)of MS, and there is a slightly increased relapse rate postpartum. The strength of uterine contractions in a client with MS is not severe, and because clients often have lessened sensation, labor may be almost painless.

A Client with a History of Relapsing-Remitting Multiple Sclerosis (MS)is