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A nurse is evaluating the effectiveness of preconception education. Which statement by the client indicates additional education is needed?
- A. I know smoking is harmful in pregnancy, so I plan to quit soon. My husband has agreed to avoid smoking in my presence.
- B. I have started taking a daily prenatal vitamin with folic acid.
- C. My husband bought a small desk for his laptop computer.
- D. We plan to avoid the use of chemicals in our garden this year.
Correct Answer: C
Rationale: The correct answer is C because buying a small desk for a laptop computer is unrelated to preconception education. This statement does not demonstrate any understanding or action related to preparing for a healthy pregnancy. Choices A, B, and D all show a proactive approach towards preconception health by addressing smoking cessation, prenatal vitamin intake with folic acid, and avoiding harmful chemicals, respectively.
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During a fertility evaluation, a patient learns about ovarian stimulation. What does this involve?
- A. Suppressing ovulation to regulate menstrual cycles.
- B. Using medications to increase the number of mature eggs produced.
- C. Monitoring hormone levels without medication.
- D. Performing surgery to retrieve eggs directly from the ovaries.
Correct Answer: B
Rationale: The correct answer is B because ovarian stimulation involves using medications to increase the number of mature eggs produced. This process is commonly used in fertility treatments like in vitro fertilization (IVF) to enhance the chances of successful fertilization. By stimulating the ovaries, multiple eggs can be retrieved, increasing the likelihood of successful conception.
Choice A is incorrect because suppressing ovulation is not the goal of ovarian stimulation; it is the opposite, to promote egg production. Choice C is incorrect as monitoring hormone levels alone does not involve the use of medications to stimulate egg production. Choice D is incorrect because surgery to retrieve eggs directly from the ovaries is a different procedure known as egg retrieval, not ovarian stimulation.
A woman asks the obstetrician's nurse about cord blood banking. Which of the following responses by the nurse would be best?
- A. I think it would be best to ask the doctor to tell you about that.
- B. The cord blood is frozen in case your baby develops a serious illness in the future.
- C. The doctors could transfuse anyone who gets into a bad accident with the blood.
- D. Cord blood banking is very expensive and the blood is rarely ever used.
Correct Answer: B
Rationale: Cord blood banking preserves stem cells for potential future medical use.
A client is receiving Pergonal (menotropins) intramuscularly for ovarian stimulation. Which of the following is a common side effect of this therapy?
- A. Piercing rectal pain.
- B. Mood swings.
- C. Visual disturbances.
- D. Jerky tremors.
Correct Answer: B
Rationale: Mood swings are a known side effect of hormonal therapies like Pergonal.
A client, G4 P4004, states that her husband has just been diagnosed with polycystic kidney disease (PKD), an autosomal dominant disease. The husband is heterozygous for PKD, while the client has no PKD genes. The client states, 'I have not had our children tested because they have such a slim chance of inheriting the disease. We intend to wait until they are teenagers to do the testing.' The nurse should base her reply on which of the following?
- A. Because affected individuals rarely exhibit symptoms before age 60
- B. the children should be allowed to wait until they are adults to be tested.
- C. The woman may be exhibiting signs of denial since each of the couple's children has a 50/50 chance of developing the disease.
- D. Because the majority of the renal cysts that develop in affected individuals are harmless
Correct Answer: B
Rationale: Each child of a heterozygous parent has a 50% chance of inheriting the gene.
A patient asks about the benefits of Preimplantation Genetic Testing (PGT) during IVF. What should the nurse explain?
- A. PGT is used to improve uterine health.
- B. It helps identify genetic abnormalities in embryos before transfer.
- C. PGT eliminates the need for regular fertility testing.
- D. It guarantees a healthy pregnancy.
Correct Answer: B
Rationale: The correct answer is B: It helps identify genetic abnormalities in embryos before transfer. PGT is used during IVF to screen embryos for genetic conditions, allowing for the selection of healthy embryos for transfer, reducing the risk of passing genetic disorders to offspring. This is a crucial benefit of PGT as it helps in making informed decisions about embryo selection. Choices A, C, and D are incorrect because PGT focuses on genetic screening of embryos, not on improving uterine health, eliminating the need for fertility testing, or guaranteeing a healthy pregnancy.