Infertility NCLEX Questions

Infertility NCLEX Questions Related

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A patient undergoing IVF asks about the risks of transferring multiple embryos. What should the nurse discuss?

  • A. Increased chances of multiple pregnancies, which can pose risks to both mother and babies.
  • B. Reduced implantation rates due to overcrowding in the uterus.
  • C. Improved success rates with no associated risks.
  • D. Increased likelihood of genetic abnormalities.
Correct Answer: A

Rationale: The correct answer is A because transferring multiple embryos during IVF increases the likelihood of multiple pregnancies, which can lead to complications for both the mother and babies, such as preterm birth and low birth weight. This is a well-documented risk in IVF procedures.

Choice B is incorrect because overcrowding in the uterus does not reduce implantation rates; rather, it can increase the chances of successful implantation of the embryos.

Choice C is incorrect as transferring multiple embryos does not guarantee improved success rates and can actually increase the risks associated with multiple pregnancies.

Choice D is incorrect because while there is a slightly increased risk of genetic abnormalities in pregnancies resulting from IVF, the primary concern related to transferring multiple embryos is the increased risk of multiple pregnancies.

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A couple asks about the role of hormone testing in infertility evaluation. What should the nurse explain?

  • A. Hormone testing is only necessary after conception.
  • B. It identifies hormonal imbalances affecting ovulation and fertility.
  • C. Hormone testing predicts the gender of future embryos.
  • D. It measures physical factors like uterine health.
Correct Answer: B

Rationale: The correct answer is B because hormone testing is essential in identifying hormonal imbalances that can affect ovulation and fertility. By measuring hormone levels such as estrogen, progesterone, and follicle-stimulating hormone, healthcare providers can pinpoint issues that may be inhibiting conception. Hormone testing helps determine the timing of ovulation and the overall health of the reproductive system.

Choice A is incorrect because hormone testing is not solely for post-conception purposes; it is crucial in diagnosing infertility issues. Choice C is inaccurate as hormone testing does not predict the gender of embryos but rather focuses on hormonal balance. Choice D is also incorrect as hormone testing primarily assesses hormone levels, not physical factors like uterine health.

What is the significance of progesterone in confirming ovulation?

  • A. Low progesterone levels indicate successful ovulation.
  • B. Elevated progesterone levels confirm that ovulation has occurred.
  • C. Progesterone levels do not fluctuate during the cycle.
  • D. Progesterone testing is only relevant during pregnancy.
Correct Answer: B

Rationale: The correct answer is B: Elevated progesterone levels confirm that ovulation has occurred. Progesterone is produced by the corpus luteum after ovulation, supporting the uterine lining for potential implantation. Elevated progesterone levels indicate a functional corpus luteum, which only occurs after ovulation. Low progesterone levels do not indicate successful ovulation as they may suggest anovulation or inadequate luteal phase support. Progesterone levels fluctuate during the menstrual cycle, peaking post-ovulation. Progesterone testing is not only relevant during pregnancy but also in assessing ovulation and menstrual cycle health.

A client is in the third stage of labor. Which finding would alert the nurse that the placenta is separating?

  • A. uterus becomes globular
  • B. fetal head at vaginal opening
  • C. umbilical cord shortens
  • D. mucous plug is expelled
Correct Answer: A

Rationale: The uterus becoming globular and upward rising is a sign of placental separation. This change in shape indicates that the placenta is detaching from the uterine wall. The other options are not indicative of placental separation.

A client is to undergo a postcoital test for infertility. The nurse should include which of the following statements in the client's preprocedure counseling?

  • A. You will have the test the day after your menstruation ends.
  • B. You will have a dye put into your vein that will show up on x-ray.
  • C. You should refrain from having intercourse for the four days immediately prior to the test.
  • D. You should experience the same sensations you feel when your doctor does your Pap test.
Correct Answer: D

Rationale: The postcoital test involves assessing cervical mucus after intercourse, similar to a Pap test.

At her first prenatal visit, a woman relates that her maternal aunt has cystic fibrosis (CF), an autosomal recessive illness. Which of the following comments is appropriate for the nurse to make at this time?

  • A. We can check to see whether or not you are a carrier for cystic fibrosis.
  • B. It is unnecessary for you to worry since your aunt is not a direct relation.
  • C. You should have an amniocentesis to see whether or not your child has the disease.
  • D. Please ask your mother whether she has ever had any symptoms of cystic fibrosis.
Correct Answer: A

Rationale: Carrier testing can determine if the woman carries the CF gene.

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