A 28-year-old client is seeking advice from the nurse about why she has not been able to conceive. The client is discouraged and states that she has been "trying to get pregnant for 4 months." Which statement by the nurse is best?

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11ecbb05_ca53_e8e9_b433_699ad46f1654_MD0009_00 Teaching about menstrual cycle physiology increases fertility awareness and helps couples optimize their chances of becoming pregnant sooner. Timing of sexual intercourse near ovulation (ie, "fertile window") is essential to conception because the ovum and sperm have limited viability in the reproductive tract. Instructing the client about how to track menstrual cycles (eg, length and regularity of menses) and recognize signs of ovulation (eg, cyclic changes in cervical mucus) may improve fertility awareness. Urine ovulation predictor kits may also be used to detect the surge of luteinizing hormone (LH) that precedes ovulation by 12-24 hours. These predictor kits are easily accessed, over-the-counter tests that can help the client time intercourse during the "fertile window" to improve chances of conceiving (Option D). (Option A) It is best to provide teaching and encouragement rather than alternatives to pregnancy (eg, adoption, surrogacy). (Option B) Teaching about fertility-enhancing medications (eg, clomiphene) may be indicated for clients unable to conceive naturally but is not the best reply to this client at this time. (Option C) Infertility is the inability to conceive after 12 months of frequent, unprotected intercourse for clients without medical complications (eg, advanced maternal age). However, this is not the best response because this teaching does not assist the client. Educational objective: Teaching clients about menstrual cycle physiology may increase fertility awareness and improve their chances of achieving pregnancy sooner. Over-the-counter ovulation predictor kits detect the surge of luteinizing hormone (LH) that precedes ovulation so that clients can time sexual intercourse during their "fertile window."

A 28-Year-Old Client Is Seeking Advice from the Nurse About