Nokea
A client is to have a hysterosalpingogram. In this procedure, the physician will be able to determine which of the following?
- A. Whether or not the ovaries are maturing properly.
- B. If the endometrium is fully vascularized.
- C. If the cervix is incompetent.
- D. Whether or not the fallopian tubes are obstructed.
Correct Answer: D
Rationale: A hysterosalpingogram uses contrast dye to visualize the fallopian tubes and uterus, identifying obstructions.
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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.
Analyze the pedigree below. Which of the following inheritance patterns does the pedigree depict?
- A. Autosomal dominant.
- B. Mitochondrial inheritance.
- C. X-linked recessive.
- D. Y-linked trait.
Correct Answer: A
Rationale: The pattern suggests autosomal dominant inheritance.
A couple is seeking infertility counseling. During the history, it is noted that the man is a cancer survivor, drinks one beer every night with dinner, and takes a sauna every day after work. Which of the following is an appropriate response by the nurse?
- A. It is unlikely that any of these factors is affecting his fertility.
- B. Daily alcohol consumption could be causing his infertility problems.
- C. Sperm may be malformed when exposed to the heat of the sauna.
- D. Cancer survivors have the same fertility rates as healthy males.
Correct Answer: C
Rationale: Exposure to high temperatures, such as those in saunas, can impair spermatogenesis and lead to malformed sperm, making this a significant factor in male infertility.
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.
A nurse is evaluating the effectiveness of preconception education. Which statement by the client indicates additional education is needed?
- A. I know smoking is harmful in pregnancy, so I plan to quit soon. My husband has agreed to avoid smoking in my presence.
- B. I have started taking a daily prenatal vitamin with folic acid.
- C. My husband bought a small desk for his laptop computer.
- D. We plan to avoid the use of chemicals in our garden this year.
Correct Answer: C
Rationale: The correct answer is C because buying a small desk for a laptop computer is unrelated to preconception education. This statement does not demonstrate any understanding or action related to preparing for a healthy pregnancy. Choices A, B, and D all show a proactive approach towards preconception health by addressing smoking cessation, prenatal vitamin intake with folic acid, and avoiding harmful chemicals, respectively.