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What is the significance of progesterone supplementation in fertility treatments?
- A. It triggers ovulation during the treatment cycle.
- B. It maintains the uterine lining to support implantation and early pregnancy.
- C. It reduces hormonal fluctuations in male partners.
- D. It eliminates the need for ovarian stimulation.
Correct Answer: B
Rationale: The correct answer is B because progesterone supplementation helps maintain the uterine lining, which is crucial for implantation and early pregnancy success. Progesterone prepares the endometrium for embryo implantation by thickening the uterine lining and promoting blood flow. This ensures a supportive environment for the developing embryo. The other choices are incorrect as progesterone does not directly trigger ovulation (A), reduce hormonal fluctuations in male partners (C), or eliminate the need for ovarian stimulation (D) in fertility treatments.
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What dietary recommendation should the nurse provide to a patient trying to conceive?
- A. Follow a high-protein diet to support fertility.
- B. Consume a variety of fruits, vegetables, and whole grains.
- C. Eliminate all sources of fat from the diet.
- D. Increase caffeine intake for better energy during ovulation.
Correct Answer: B
Rationale: The correct answer is B: Consume a variety of fruits, vegetables, and whole grains. This recommendation is based on the importance of a balanced and nutritious diet for overall health and fertility. Fruits, vegetables, and whole grains provide essential vitamins, minerals, and antioxidants that support reproductive health. High-protein diets (choice A) may be beneficial but should not be the sole focus. Eliminating all sources of fat (choice C) is not recommended as healthy fats are essential for hormone production. Increasing caffeine intake (choice D) can have negative effects on fertility. In summary, a diet rich in fruits, vegetables, and whole grains provides the necessary nutrients for optimal fertility.
A 25-year-old woman, G0 P0000, enters the infertility clinic stating that she has just learned she is positive for the BRCA1 and the BRCA2 genes. She asks the nurse what her options are for getting pregnant and breastfeeding her baby. The nurse should base her reply on which of the following?
- A. Fertility of women who carry the BRCA1 and BRCA2 genes is similar to that of unaffected women.
- B. Women with these genes should be advised not to have children because the children could inherit the defective genes.
- C. Women with these genes should have their ovaries removed as soon as possible to prevent ovarian cancer.
- D. Lactation is contraindicated for women who carry the BRCA1 and BRCA 2 genes.
Correct Answer: A
Rationale: BRCA1/2 status does not directly affect fertility or breastfeeding.
A couple undergoing fertility treatments asks about lifestyle modifications to improve success rates. What should the nurse recommend?
- A. Avoid all forms of exercise to conserve energy.
- B. Maintain a healthy weight and reduce alcohol and caffeine intake.
- C. Consume a high-protein diet regardless of current health status.
- D. Focus solely on the male partner's health.
Correct Answer: B
Rationale: The correct answer is B because maintaining a healthy weight and reducing alcohol and caffeine intake can positively impact fertility treatment success rates. Excessive weight, alcohol, and caffeine consumption can negatively affect fertility. Avoiding exercise entirely (choice A) can lead to decreased overall health. Consuming a high-protein diet (choice C) may not be suitable for everyone and may not directly impact fertility. Focusing only on the male partner's health (choice D) neglects the importance of both partners' health in fertility outcomes.
A nurse is discussing the benefits of a single embryo transfer (SET) in IVF. What should the nurse emphasize?
- A. SET guarantees a successful pregnancy with one attempt.
- B. SET reduces the risk of multiple pregnancies and associated complications.
- C. SET eliminates the need for ovarian stimulation in future cycles.
- D. SET improves egg quality for future cycles.
Correct Answer: B
Rationale: The correct answer is B: SET reduces the risk of multiple pregnancies and associated complications. This is because transferring a single embryo in IVF lowers the chances of multiple gestations, which can lead to higher risks for both the mother and the babies. This choice emphasizes the importance of safety and health benefits for both the mother and potential offspring.
Choice A is incorrect as there is no guarantee of a successful pregnancy with one attempt. Choice C is incorrect as ovarian stimulation may still be needed in future cycles even with SET. Choice D is incorrect as SET does not directly improve egg quality for future cycles.
A couple that has been attempting to become pregnant for 5 years is seeking assistance from an infertility clinic. The nurse assesses the clients' emotional responses to their infertility. Which of the following responses would the nurse expect to find? Select all that apply.
- A. Anger at others who have babies.
- B. Feelings of failure because they can't make a baby.
- C. Sexual excitement because they want so desperately to conceive a baby.
- D. Sadness because of the perceived loss of being a parent.
Correct Answer: A
Rationale: Common emotional responses to infertility include anger, feelings of failure, and sadness.