100 Questions and Answers About Infertility

100 Questions and Answers About Infertility Related

Review 100 Questions and Answers About Infertility related questions and content

Lisa, a 35-year-old practicing attorney and marathon runner, presents to the clinic with a complaint of irregular menses. She tells the nurse, 'My husband and I want to start a family but it hasn't happened yet. We stopped using birth control 6 months ago. Should we be concerned?' What is the nurse's best response?

  • A. Relax and it will happen.
  • B. No, infertility is the failure to conceive after 1 year of unprotected intercourse.
  • C. Aging and extreme exercise regimens may impact fertility. You should address your concerns with your provider during today's visit.
  • D. Decreasing your exercise frequency and intensity will increase your chances of conceiving.
Correct Answer: C

Rationale: The correct answer is C because it addresses Lisa's concerns about fertility in a comprehensive and logical manner. Firstly, it acknowledges the potential impact of aging and extreme exercise on fertility, which is important considering Lisa's age and marathon running. Secondly, it emphasizes the importance of discussing her concerns with her healthcare provider during the visit, ensuring a thorough evaluation and appropriate guidance. This response shows understanding of the possible factors contributing to her irregular menses and infertility concerns.

Now, let's analyze the other choices:
A: "Relax and it will happen" is dismissive and lacks medical advice or addressing potential underlying causes of infertility.
B: "No, infertility is the failure to conceive after 1 year of unprotected intercourse" provides a definition of infertility but does not offer practical advice or address Lisa's specific situation.
D: "Decreasing your exercise frequency and intensity will increase your chances of conceiving" assumes exercise is the sole factor affecting fertility and oversimplifies the issue without considering other potential causes.

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During a consultation, a patient asks about the role of antioxidants in fertility. What should the nurse emphasize?

  • A. Antioxidants only benefit male fertility by improving sperm motility.
  • B. Antioxidants help reduce oxidative stress, improving egg and sperm quality.
  • C. Antioxidants guarantee successful fertilization and implantation.
  • D. Antioxidants are not relevant to reproductive health.
Correct Answer: B

Rationale: The correct answer is B because antioxidants can help reduce oxidative stress, which is beneficial for both egg and sperm quality in fertility. Antioxidants neutralize harmful free radicals, protecting reproductive cells from damage. Choice A is incorrect because antioxidants benefit both male and female fertility. Choice C is incorrect as antioxidants do not guarantee successful fertilization and implantation, but they can support the process. Choice D is incorrect as antioxidants do play a role in reproductive health by improving fertility outcomes.

A patient asks how ovulation predictor kits work. What should the nurse explain?

  • A. They measure estrogen levels in the blood.
  • B. They detect the luteinizing hormone (LH) surge in urine.
  • C. They confirm pregnancy after ovulation.
  • D. They monitor basal body temperature.
Correct Answer: B

Rationale: The correct answer is B: Ovulation predictor kits work by detecting the luteinizing hormone (LH) surge in urine. LH surge triggers ovulation within 24-48 hours. This surge can be detected in urine, indicating that ovulation is about to occur. Estrogen levels (A) fluctuate throughout the menstrual cycle but are not directly related to ovulation. Pregnancy confirmation (C) occurs after ovulation and fertilization. Basal body temperature (D) monitoring helps track ovulation patterns but does not predict ovulation directly.

The nurse is providing genetic counseling for an expectant couple who just found out that their child has Down syndrome. Which is the best way for the nurse to handle this?

  • A. Be supportive by answering questions and clarifying information and options.
  • B. Inform the parents that they should not tell anyone until they have made a decision concerning termination of the pregnancy.
  • C. Refer the couple to another specialist for a second opinion.
  • D. Tell the couple that there are a lot of parents who have children with Down syndrome and they all do fine.
Correct Answer: A

Rationale: The correct answer is A because the nurse should be supportive, answer questions, and clarify information and options to help the couple make informed decisions. This approach shows empathy and respect for the couple's autonomy.

Choice B is incorrect as it is not the nurse's role to dictate when the parents should disclose the information. Choice C is not the best option as the nurse should continue to provide support rather than immediately referring the couple for a second opinion. Choice D is incorrect because generalizing outcomes for all parents of children with Down syndrome may not be helpful or accurate for this specific couple.

A woman undergoing evaluation of infertility states, "At least when we're through with all of these tests, we will know what is wrong." The nurse's best response is

  • A. "I know the test will identify what is wrong."
  • B. "I'm sure that once you finish these tests, your problem will be resolved."
  • C. "Even with diagnostic testing, infertility remains unexplained in about 20% of couples."
  • D. "Once you've identified your problem, you may want to look at the option of adoption."
Correct Answer: C

Rationale: The correct answer is C because it acknowledges the uncertainty in diagnosing infertility, which can remain unexplained in about 20% of couples even after testing. This response is the best because it provides realistic information without giving false hope or making assumptions.

Choice A is incorrect because it asserts that the tests will definitely identify the problem, which is not always the case. Choice B is incorrect as it assumes the problem will be resolved after testing, which may not be true. Choice D is incorrect as it jumps to the conclusion of adoption without addressing the uncertainty of infertility testing.

What is the purpose of intracytoplasmic sperm injection (ICSI) in IVF procedures?

  • A. To allow multiple sperm to fertilize an egg for better results.
  • B. To assist fertilization by injecting a single sperm directly into an egg.
  • C. To ensure ovulation occurs during stimulation cycles.
  • D. To bypass ovarian stimulation entirely.
Correct Answer: B

Rationale: The correct answer is B, to assist fertilization by injecting a single sperm directly into an egg. In ICSI, a single sperm is carefully selected and injected into an egg to aid fertilization, particularly in cases of male infertility. This method ensures that fertilization occurs successfully by bypassing natural barriers. Choice A is incorrect as multiple sperm fertilizing an egg can lead to genetic abnormalities. Choice C is incorrect as ovulation is induced before egg retrieval, not during stimulation cycles. Choice D is incorrect as ovarian stimulation is necessary to produce multiple eggs for retrieval.

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