A client has been notified that because of fallopian tube obstruction, her best option for becoming pregnant is through in vitro fertilization. The client asks the nurse about the procedure. Which of the following responses is correct?
- A. During the stimulation phase of the procedure
- B. the physician will make sure that only one egg reaches maturation.
- C. Preimplantation genetic diagnosis will be performed on your partner's sperm before they are mixed with your eggs.
- D. After ovarian stimulation
Correct Answer: D
Rationale: Extra embryos can be cryopreserved for future use.
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Which situation best describes secondary infertility in a couple?
- A. Never conceived.
- B. Had repeated spontaneous abortions.
- C. Not conceived after 1 year of unprotected intercourse.
- D. Has one child but cannot conceive a second time.
Correct Answer: D
Rationale: The correct answer is D because secondary infertility refers to the inability of a couple to conceive after having one or more children without any fertility issues. This situation indicates that the couple had a successful pregnancy in the past but is now facing difficulties conceiving again.
A, B, and C are incorrect:
A: Never conceived - This does not align with the definition of secondary infertility as it involves a previous successful pregnancy.
B: Had repeated spontaneous abortions - This refers to recurrent pregnancy loss, not secondary infertility.
C: Not conceived after 1 year of unprotected intercourse - This describes primary infertility, not secondary infertility.
A woman, who has undergone amniocentesis, has been notified that her baby is XX with a 14/21 robertsonian chromosomal translocation. The nurse helps the woman to understand which of the following?
- A. The baby will have a number of serious genetic defects.
- B. It is likely that the baby will be unable to have children when she grows up.
- C. Chromosomal translocations are common and rarely problematic.
- D. An abortion will probably be the best decision under the circumstances.
Correct Answer: C
Rationale: Robertsonian translocations are generally asymptomatic and not problematic.
Choose the correct instructions for a man who must provide a semen sample.
- A. After collecting the sample in a condom, refrigerate it until it is transported to the laboratory.
- B. Masturbation is the only way a good sample can be obtained.
- C. Keep the sample near the body, and transport it to the laboratory within 1 hour.
- D. Do not take any regularly scheduled drugs for 3 days before obtaining the sample.
Correct Answer: C
Rationale: The correct instructions for a man providing a semen sample is to keep the sample near the body and transport it to the laboratory within 1 hour. This ensures the sample remains viable for accurate testing.
What is the significance of a semen analysis in evaluating infertility?
- A. It determines the number, shape, and movement of sperm.
- B. It checks for genetic conditions affecting sperm.
- C. It monitors hormone levels in males.
- D. It identifies infections in the reproductive tract.
Correct Answer: A
Rationale: The correct answer is A because a semen analysis assesses important parameters such as sperm count, morphology (shape), and motility (movement), which are crucial factors in male fertility. Sperm count indicates the quantity of sperm available for fertilization. Morphology assesses the structural integrity of sperm, while motility determines their ability to reach and fertilize an egg. These parameters directly impact fertility potential.
Choice B is incorrect because a semen analysis does not specifically check for genetic conditions affecting sperm. Choice C is incorrect as hormone levels are not directly evaluated in a semen analysis. Choice D is incorrect because while infections can affect fertility, they are not the primary focus of a standard semen analysis.
Infertility increases a client's risk of which of the following diseases?
- A. Diabetes mellitus.
- B. Nystagmus.
- C. Cholecystitis.
- D. Ovarian cancer.
Correct Answer: D
Rationale: Infertility, particularly due to conditions like polycystic ovary syndrome (PCOS), increases the risk of ovarian cancer.