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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The nurse is counseling a couple about ovulation predictor kits. What is the most important advice?
- A. They require a prescription.
- B. They detect the LH surge, signaling ovulation within the next 24 to 36 hours.
- C. They are most effective when used randomly during the cycle.
- D. They confirm pregnancy rather than ovulation.
Correct Answer: B
Rationale: The correct answer is B because ovulation predictor kits detect the LH surge, which occurs approximately 24 to 36 hours before ovulation. This information is crucial for timing intercourse to maximize the chances of conception. Choice A is incorrect because ovulation predictor kits are typically available over the counter and do not require a prescription. Choice C is incorrect because these kits should be used strategically around the expected time of ovulation for accurate results. Choice D is incorrect because ovulation predictor kits do not confirm pregnancy; they only indicate the LH surge and impending ovulation.
During preconception counseling, the nurse discusses the impact of advanced maternal age. What should the nurse emphasize?
- A. Advanced maternal age has no impact on pregnancy outcomes.
- B. Fertility declines with age, increasing the risk of complications.
- C. Only the father's age affects pregnancy success.
- D. Advanced maternal age reduces the need for prenatal care.
Correct Answer: B
Rationale: The correct answer is B because fertility declines with age, leading to increased risk of complications such as chromosomal abnormalities and miscarriages. This is important to emphasize during preconception counseling. Choice A is incorrect as advanced maternal age does impact pregnancy outcomes. Choice C is incorrect because both maternal and paternal age can affect pregnancy success. Choice D is incorrect as advanced maternal age actually increases the need for additional prenatal care due to higher risk factors.
A nurse provides teaching for a patient scheduled for genetic testing. What should the nurse do to help the patient understand what is being taught?
- A. Use simple vocabulary.
- B. Avoid the use of jargon.
- C. Speak slowly and clearly.
- D. Ask the patient to verbalize what was learned.
Correct Answer: D
Rationale: The correct answer is D because asking the patient to verbalize what was learned promotes active learning and helps assess the patient's understanding. It allows the nurse to clarify any misconceptions and reinforce important information. Choice A may be helpful but not sufficient. Choice B is important but may not fully address comprehension. Choice C focuses on communication style rather than assessing understanding.
A genetic counselor's report states, 'The genetic nomenclature for this fetus is 46, XX.' How should the nurse who reads this report interpret the cytogenetic results?
- A. The baby is female with a normal number of chromosomes.
- B. The baby is hermaphroditic male with female chromosomes.
- C. The baby is male with an undisclosed genetic anomaly.
- D. There is insufficient information to answer this question.
Correct Answer: A
Rationale: 46, XX indicates a genetically normal female.
The nurse is creating a pedigree from a client's family history. Which of the following symbols should the nurse use to represent a female?
- A. Circle.
- B. Square.
- C. Triangle.
- D. Diamond.
Correct Answer: A
Rationale: In pedigrees, a circle represents a female.