Final answer:
It is important for the nurse to inform a couple considering clomiphene (Clomid) for infertility treatment about the possibility of a multiple pregnancy and the increased production of estrogen and progesterone, as well as the potential negative side effects.
Step-by-step explanation:
When discussing therapy with clomiphene (Clomid) for infertility treatment, it is important that the nurse informs the husband and wife about the possible effect of multiple pregnancy (twins or more). Clomiphene works by stimulating ovulation, and as a result, it often leads to the release of more than one egg, which can increase the chances of conceiving multiples. While this can be seen as a positive effect for those struggling with infertility it is also associated with higher risks for both the mother and the babies, including preterm birth and developmental issues for the babies as well as increased health complications for the mother during pregnancy.
Another effect of clomiphene is an increase in the production of estrogen and progesterone by the ovaries, which is necessary for the maturation and release of eggs. However the nurse should also warn the couple about the potential negative side effects of hormonal therapy, such as an increased risk of stroke, heart attack, blood clots and certain types of cancer.