Nokea
A 35-year-old client is being seen for her yearly gynecological examination. She states that she and her partner have been trying to become pregnant for a little over 6 months, and that a friend had recently advised her partner to take ginseng to improve the potency of his sperm. The woman states that they have decided to take their friend's advice. On which of the following information should the nurse base his or her reply?
- A. Based on their history
- B. the client and her partner have made the appropriate decision regarding their fertility.
- C. Ginseng can cause permanent chromosomal mutations and should be stopped immediately.
- D. It is unnecessary to become concerned about this woman's fertility because she has tried to become pregnant for only a few months.
Correct Answer: D
Rationale: While ginseng may have some benefits, fertility counseling is advisable given the duration of attempts.
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During preconception counseling, a nurse discusses the impact of male age on fertility. What statement requires correction?
- A. Pregnancy rates are not related to the age of the male partner.
- B. Sexually active males should be routinely tested for STIs and treated appropriately.
- C. Maintaining a healthy weight is important for the reproductive health of both female and male partners.
- D. Certain medications, such as testosterone supplementation and chemotherapy, can impact male fertility.
Correct Answer: A
Rationale: The correct answer is A because male age does impact fertility. Advanced paternal age is associated with decreased fertility and increased risk of genetic abnormalities in offspring. Choice B is correct as STIs can affect fertility. Choice C is relevant as obesity can impact male fertility. Choice D is correct as certain medications can impact male fertility. Overall, choice A is incorrect as male age does play a role in fertility outcomes.
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.
A client who is undergoing ovarian stimulation for infertility calls the infertility nurse and states, “My abdomen feels very bloated, my clothes are very tight, and my urine is very dark.†Which of the following is the appropriate statement for the nurse to make at this time?
- A. Please take a urine sample to the lab so they can check it for an infection.
- B. Those changes indicate that you are likely already pregnant.
- C. It is important for you to come into the office to be examined today.
- D. Abdominal bloating is an expected response to the medications.
Correct Answer: C
Rationale: Symptoms described could indicate ovarian hyperstimulation syndrome, requiring immediate evaluation.
What advice should the nurse give a patient with irregular periods trying to conceive?
- A. Track ovulation using basal body temperature and ovulation kits.
- B. Increase carbohydrate intake to regulate cycles.
- C. Avoid exercise to prevent further irregularity.
- D. Undergo hormone therapy immediately.
Correct Answer: A
Rationale: The correct answer is A because tracking ovulation using basal body temperature and ovulation kits helps identify the most fertile days for conception. This method allows the patient to time intercourse effectively. Increasing carbohydrate intake (B) does not address the root cause of irregular periods. Avoiding exercise (C) is not recommended as moderate exercise can actually help regulate menstrual cycles. Undergoing hormone therapy immediately (D) is an aggressive approach and should only be considered after other options have been explored.
During a preconception consultation, a patient asks about factors affecting egg quality. What should the nurse explain?
- A. Age is the primary factor influencing egg quality.
- B. Diet has no impact on egg quality.
- C. Hormonal treatments guarantee improvement in egg quality.
- D. Exercise is the only way to enhance egg quality.
Correct Answer: A
Rationale: The correct answer is A: Age is the primary factor influencing egg quality. As a tutor, I will explain this by stating that the quality of a woman's eggs declines with age due to factors like genetic abnormalities and decreased mitochondrial function. This decline can affect fertility and increase the risk of chromosomal abnormalities in offspring.
For the incorrect choices:
B: Diet can impact egg quality by providing essential nutrients, so this choice is incorrect.
C: Hormonal treatments may help with fertility but do not guarantee improvement in egg quality, making this choice incorrect.
D: Exercise can contribute to overall health but is not the only way to enhance egg quality, making this choice incorrect.
In summary, age is a crucial factor affecting egg quality, while diet, hormonal treatments, and exercise play roles but are not primary influencers.