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A nurse is educating a patient about frozen embryo transfer (FET). What should be emphasized?
- A. FET requires daily hormone injections for success.
- B. FET involves transferring previously frozen embryos into the uterus.
- C. FET is only performed if natural conception is impossible.
- D. FET guarantees a successful pregnancy outcome.
Correct Answer: B
Rationale: The correct answer is B: FET involves transferring previously frozen embryos into the uterus. This is because FET is a process where frozen embryos from a previous IVF cycle are thawed and transferred into the uterus. The other choices are incorrect: A is false as hormone injections may not be required daily, C is false as FET can be done for various reasons beyond just natural conception issues, and D is false as success is not guaranteed in any fertility treatment.
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A woman has been advised that the reason she has had a number of spontaneous abortions is because she has an inheritable mutation. Which of the following situations is consistent with this statement?
- A. A client developed skin cancer after being exposed to the sun.
- B. A client developed colon cancer from an inherited dominant gene.
- C. A reciprocal translocation was reported on a client's genetic analysis.
- D. A client's left arm failed to develop when she was a fetus.
Correct Answer: C
Rationale: Reciprocal translocations can disrupt genes and lead to recurrent miscarriages.
What is the primary goal of using gonadotropins in fertility treatments?
- A. To suppress ovulation for egg preservation.
- B. To stimulate the ovaries to produce multiple eggs.
- C. To prevent hormonal fluctuations during the menstrual cycle.
- D. To enhance uterine lining growth for implantation.
Correct Answer: B
Rationale: The primary goal of using gonadotropins in fertility treatments is to stimulate the ovaries to produce multiple eggs. This increases the chances of successful fertilization and pregnancy. Gonadotropins mimic the natural hormones that regulate ovulation and stimulate the growth of follicles in the ovaries. By producing multiple eggs, there is a higher likelihood of at least one egg being successfully fertilized.
Choice A is incorrect because gonadotropins actually stimulate ovulation rather than suppress it.
Choice C is incorrect as gonadotropins do not prevent hormonal fluctuations but rather help regulate and induce controlled hormonal changes.
Choice D is incorrect as the primary goal of using gonadotropins is not to enhance uterine lining growth but rather to stimulate egg production in the ovaries.
A couple is seeking infertility counseling. The practitioner has identified the factors listed below in the woman's health history. Which of these findings may be contributing to the couple's infertility?
- A. The client is 36 years old.
- B. The client was 13 years old when she started to menstruate.
- C. The client works as a dental hygienist 3 days a week.
- D. The client jogs 2 miles every day.
Correct Answer: A
Rationale: Advanced maternal age is a significant factor in reduced fertility.
A nurse is discussing lifestyle changes to optimize fertility. Which recommendation is accurate?
- A. Avoid moderate exercise to conserve energy for conception.
- B. Quit smoking to improve reproductive health.
- C. Eliminate all carbohydrates from the diet.
- D. Increase caffeine intake to boost energy levels.
Correct Answer: B
Rationale: Correct Answer: B
Rationale:
- Smoking is known to have negative effects on reproductive health, reducing fertility in both men and women.
- Quitting smoking can improve reproductive outcomes and increase chances of conception.
- Smoking can harm egg and sperm quality, leading to infertility issues.
- Other choices are incorrect as moderate exercise, carbohydrates, and increased caffeine intake do not directly impact fertility.
A patient asks about the benefits of time-lapse embryo monitoring in IVF. What should the nurse highlight?
- A. It guarantees successful implantation of embryos.
- B. It allows continuous observation of embryo development without disturbing the culture environment.
- C. It eliminates the need for hormone support during IVF.
- D. It shortens the time required for fertilization.
Correct Answer: B
Rationale: The correct answer is B because time-lapse embryo monitoring in IVF allows continuous observation of embryo development without disturbing the culture environment. This is crucial as it provides real-time data on embryo growth and helps in selecting the healthiest embryos for transfer. Choice A is incorrect as implantation success is not guaranteed by monitoring alone. Choice C is incorrect as hormone support is still needed in IVF. Choice D is incorrect as time-lapse monitoring does not affect the fertilization process itself.