Nokea
A nurse is teaching a couple about the benefits of IVF. Which statement is accurate?
- A. IVF has a 100% success rate for all couples.
- B. IVF allows for genetic testing of embryos before transfer.
- C. IVF eliminates the need for hormonal injections.
- D. IVF can be performed without any fertility medications.
Correct Answer: B
Rationale: The correct answer is B because IVF allows for genetic testing of embryos before transfer, enabling couples to screen for genetic disorders and select healthy embryos. This statement is accurate as genetic testing is a crucial benefit of IVF. The other choices are incorrect because: A is incorrect as IVF success rates vary and are not 100%; C is incorrect as hormonal injections are often necessary in IVF to stimulate egg production; D is incorrect as fertility medications are commonly used to prepare the body for IVF procedures.
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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.
A patient undergoing IUI asks why sperm washing is performed. What is the nurse's explanation?
- A. It concentrates healthy sperm to increase fertilization potential.
- B. It ensures sperm are only viable for IVF procedures.
- C. It reduces the chances of genetic abnormalities in offspring.
- D. It prevents ovulation from occurring too early in the cycle.
Correct Answer: A
Rationale: The correct answer is A because sperm washing in IUI concentrates healthy sperm, removing debris and non-motile sperm, increasing the chance of fertilization. Choice B is incorrect as sperm washing is not specifically for IVF. Choice C is incorrect, as genetic abnormalities are not directly related to sperm washing. Choice D is incorrect, as sperm washing does not affect ovulation timing.
The nurse is reviewing the monitoring strip of a woman in labor who is experiencing a contraction. The nurse notes the time the contraction takes from its onset to reach its highest intensity. The nurse interprets this time as which phase?
- A. increment
- B. acme
- C. peak
- D. decrement
Correct Answer: A
Rationale: The correct answer is A because the time from the onset of a contraction to its highest intensity corresponds to the increment phase, which is the buildup of the contraction. The acme is the peak intensity, and the decrement is the relaxation phase.
The genetic counselor informs a couple that they have a 25% probability of getting pregnant with a child with a severe genetic disease. The couple asks the nurse exactly what that means. Which of the following responses by the nurse is appropriate?
- A. Their first child will have the genetic disease.
- B. If they have four children
- C. one of the children will have the disease.
- D. Their fourth child will have the genetic disease.
Correct Answer: D
Rationale: A 25% probability applies independently to each pregnancy.
Which statement by a gravid client who is a carrier for Duchenne muscular dystrophy, an X-linked recessive disease, indicates that she understands the implications of her status?
- A. If I have a girl
- B. she will be healthy.
- C. None of my children will be at risk of the disease.
- D. If I have a boy
Correct Answer: A
Rationale: Girls of carriers have a 50% chance of being carriers but are not affected unless the father also contributes the defective gene.