A patient undergoing ovarian stimulation asks about the purpose of frequent ultrasounds. What should the nurse explain?
- A. Ultrasounds monitor embryo development after transfer.
- B. They assess the growth and development of ovarian follicles.
- C. They confirm ovulation has occurred naturally.
- D. Ultrasounds are used to visualize uterine contractions.
Correct Answer: B
Rationale: The correct answer is B because frequent ultrasounds are used to monitor the growth and development of ovarian follicles during ovarian stimulation. This is essential to ensure proper timing for ovulation induction or egg retrieval. Ultrasounds do not monitor embryo development after transfer (choice A), confirm natural ovulation (choice C), or visualize uterine contractions (choice D) in this context.
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The nurse is instructing a client on taking her basal body temperature. What is the primary purpose of this test?
- A. To determine if the client's cervical mucus contains enough estrogen to support sperm motility.
- B. To identify if the client's temperature rises 1 to 5 days after midcycle.
- C. To assess whether surgical correction of uterine pathology is needed.
- D. To identify if the client is experiencing blockage of the uterine cavity and fallopian tubes.
Correct Answer: B
Rationale: Rationale: The correct answer is B because basal body temperature rises 1 to 5 days after midcycle, indicating ovulation. This helps determine the client's most fertile period for conception. Choice A is incorrect as basal body temperature does not assess cervical mucus. Choice C is incorrect as it does not evaluate uterine pathology. Choice D is incorrect as basal body temperature does not assess blockage of uterine cavity or fallopian tubes.
A couple undergoing fertility treatments asks about male factor infertility. What should the nurse discuss?
- A. Male infertility is always caused by low testosterone levels.
- B. Sperm count, motility, and morphology are critical factors in male fertility.
- C. Male infertility does not affect the success of fertility treatments.
- D. Male factor infertility cannot be diagnosed with a semen analysis.
Correct Answer: B
Rationale: The correct answer is B because sperm count, motility, and morphology are indeed critical factors in male fertility. Sperm count refers to the number of sperm present, motility is the ability of sperm to move effectively, and morphology relates to the shape and structure of sperm. These factors directly impact a man's fertility potential.
Choice A is incorrect because male infertility can have various causes, not solely low testosterone levels. Choice C is incorrect as male infertility can impact the success of fertility treatments. Choice D is incorrect because semen analysis is a key diagnostic tool for identifying male factor infertility.
A client is hospitalized in the acute phase of severe ovarian hyperstimulation syndrome. The following nursing diagnosis has been identified: Fluid volume excess (extravascular) related to third spacing. Which of the following nursing goals is highest priority in relation to this diagnosis?
- A. Client's weight will be within normal limits by date of discharge.
- B. Client's skin will show no evidence of breakdown throughout hospitalization.
- C. Client's electrolyte levels will be within normal limits within one day.
- D. Client's lung fields will remain clear throughout hospitalization.
Correct Answer: D
Rationale: Respiratory compromise is a critical concern in severe ovarian hyperstimulation syndrome.
What is the primary purpose of a semen analysis in an infertility evaluation?
- A. To assess sperm count, motility, and morphology.
- B. To determine the presence of infections in the reproductive tract.
- C. To measure hormone levels affecting sperm production.
- D. To identify potential genetic anomalies in sperm.
Correct Answer: A
Rationale: The primary purpose of a semen analysis in an infertility evaluation is to assess sperm count, motility, and morphology. This is crucial as these factors directly impact male fertility. Sperm count indicates the quantity of sperm present, motility relates to their ability to move effectively towards the egg, and morphology assesses the shape and structure of sperm, which can affect their ability to fertilize an egg. Evaluating these parameters helps identify potential issues causing infertility. Other choices are incorrect as semen analysis primarily focuses on assessing sperm quality, not infections, hormone levels, or genetic anomalies in sperm.
A couple undergoing IVF asks about the risk of multiple pregnancies. What should the nurse discuss?
- A. Transferring multiple embryos increases the risk of multiples, which can lead to complications.
- B. Single embryo transfers always result in twins or higher multiples.
- C. Multiple pregnancies have no impact on maternal or fetal health.
- D. The number of embryos transferred does not affect pregnancy outcomes.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Transferring multiple embryos increases the chance of multiple pregnancies, which can lead to complications such as preterm birth and low birth weight.
2. This is an important consideration for the couple undergoing IVF to understand the potential risks involved.
3. Single embryo transfers reduce the risk of multiples and associated complications.
4. Choices B, C, and D are incorrect as they provide inaccurate information that contradicts the known risks associated with multiple pregnancies.