Nokea
A nurse is educating a patient about the two-week wait period after an IVF embryo transfer. What should the nurse emphasize?
- A. Avoid any physical activity during this time.
- B. Take a pregnancy test immediately after the transfer.
- C. Focus on stress management and follow any prescribed medications.
- D. Increase protein intake to improve embryo implantation chances.
Correct Answer: C
Rationale: The correct answer is C: Focus on stress management and follow any prescribed medications. During the two-week wait period after an IVF embryo transfer, it is crucial for the patient to manage stress levels as high stress can negatively impact implantation. Following prescribed medications is important for maintaining optimal conditions for the embryo to implant successfully.
Avoiding physical activity (choice A) is not necessary as moderate physical activity is usually permitted unless advised otherwise by the healthcare provider. Taking a pregnancy test immediately (choice B) is not recommended as it may not accurately reflect the outcome at such an early stage. Increasing protein intake (choice D) may be beneficial for overall health but does not directly impact embryo implantation during the two-week wait period.
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What is the role of antral follicle count (AFC) in assessing fertility?
- A. It measures uterine health and implantation readiness.
- B. It estimates ovarian reserve by counting developing follicles.
- C. It identifies hormonal imbalances affecting fertility.
- D. It predicts the likelihood of male infertility.
Correct Answer: B
Rationale: The correct answer is B because antral follicle count (AFC) is a direct indicator of ovarian reserve, reflecting the number of small developing follicles in the ovaries. A higher AFC indicates a larger pool of potential eggs, suggesting better fertility potential. Other choices are incorrect as AFC specifically relates to ovarian health and not uterine health (A), hormonal imbalances (C), or male fertility (D).
Lori, who is 32 years old, is taking clomiphene citrate to induce ovulation and presents to the office for a vaginal ultrasound. She mentions experiencing abdominal bloating, nausea, and weight gain of 5 pounds over the past 12 hours. What condition do these symptoms indicate?
- A. Ovulation
- B. Premenstrual syndrome
- C. Ovarian hyperstimulation syndrome
- D. Failed ovulation induction
Correct Answer: C
Rationale: The correct answer is C: Ovarian hyperstimulation syndrome (OHSS). OHSS is a potential complication of ovulation induction with medications like clomiphene citrate. The symptoms of abdominal bloating, nausea, and rapid weight gain indicate fluid accumulation in the abdominal cavity, a hallmark of OHSS. This occurs due to enlarged ovaries releasing excessive fluid into the abdomen. It is important to monitor patients like Lori closely for signs of OHSS to prevent severe complications.
Incorrect choices:
A: Ovulation - Symptoms described are not typical of normal ovulation.
B: Premenstrual syndrome - Symptoms are not consistent with typical PMS symptoms.
D: Failed ovulation induction - Symptoms of weight gain and bloating are not indicative of failed ovulation induction but rather a complication of the treatment.
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.
A nurse is instructing a patient on the role of folic acid in preconception care. What is the correct explanation?
- A. Folic acid prevents iron deficiency anemia in pregnancy.
- B. Folic acid reduces the risk of neural tube defects in the fetus.
- C. Folic acid is only necessary during the first trimester of pregnancy.
- D. Folic acid enhances the absorption of calcium and vitamin D.
Correct Answer: B
Rationale: The correct answer is B because folic acid plays a crucial role in reducing the risk of neural tube defects in the fetus during early pregnancy. Folic acid is essential for proper development of the neural tube, which forms the baby's brain and spinal cord. This is why it is particularly important during preconception care and in the early stages of pregnancy.
Choice A is incorrect because folic acid is not specifically for preventing iron deficiency anemia in pregnancy. Choice C is incorrect as folic acid is important throughout pregnancy, not just in the first trimester. Choice D is incorrect because folic acid does not directly enhance the absorption of calcium and vitamin D.
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.