Nokea
A client is to receive Pergonal (menotropins) injections for infertility prior to in vitro fertilization. Which of the following is the expected action of this medication?
- A. Prolongation of the luteal phase.
- B. Stimulation of ovulation.
- C. Suppression of menstruation.
- D. Promotion of cervical mucus production.
Correct Answer: B
Rationale: Pergonal stimulates ovulation by promoting the maturation and release of ova.
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How does lifestyle modification improve fertility in women?
- A. It guarantees successful conception within one cycle.
- B. Maintaining a healthy weight and reducing stress improve hormonal balance and ovulation.
- C. Eliminating all carbohydrates enhances egg quality.
- D. Exercise has no role in supporting fertility.
Correct Answer: B
Rationale: The correct answer is B because maintaining a healthy weight and reducing stress can improve hormonal balance and ovulation, leading to increased fertility. Healthy lifestyle choices positively impact reproductive health by regulating menstrual cycles and promoting optimal conditions for conception. Eliminating all carbohydrates (choice C) is not necessary and can be harmful as the body needs a balanced diet. Exercise (choice D) plays a crucial role in supporting fertility by promoting overall health and reducing stress, contrary to the statement that exercise has no role in fertility. Choice A is incorrect as successful conception is not guaranteed within one cycle with lifestyle modifications.
A patient asks about intrauterine insemination (IUI) as a treatment option. What should the nurse explain?
- A. IUI involves placing washed sperm directly into the uterus.
- B. IUI bypasses the need for ovulation tracking.
- C. IUI eliminates the risk of multiple pregnancies.
- D. IUI guarantees fertilization.
Correct Answer: A
Rationale: The correct answer is A because IUI involves placing washed sperm directly into the uterus, increasing the chances of fertilization. This process bypasses potential issues in the reproductive tract and brings sperm closer to the egg, enhancing the likelihood of conception. Options B, C, and D are incorrect as IUI still requires ovulation tracking, does not eliminate the risk of multiple pregnancies, and does not guarantee fertilization as it depends on various factors.
What is the purpose of a saline sonohysterogram in infertility evaluation?
- A. To assess ovarian function and reserve.
- B. To visualize the uterine cavity for abnormalities.
- C. To monitor hormone levels in real-time.
- D. To detect genetic abnormalities in embryos.
Correct Answer: B
Rationale: The correct answer is B, to visualize the uterine cavity for abnormalities. A saline sonohysterogram is a diagnostic procedure that involves injecting saline into the uterus and performing an ultrasound to assess the uterine cavity for abnormalities such as polyps, fibroids, or adhesions. This helps in identifying potential causes of infertility related to uterine issues.
A: Assessing ovarian function and reserve is typically done through blood tests and ultrasound imaging, not a saline sonohysterogram.
C: Monitoring hormone levels in real-time is usually done through blood tests, not imaging procedures like a saline sonohysterogram.
D: Detecting genetic abnormalities in embryos is typically done through preimplantation genetic testing or genetic screening, not a saline sonohysterogram.
A man has been instructed to make an appointment with the laboratory for sperm analysis. Which instruction should the nurse provide?
- A. Keep the sample in a cooler for transport.
- B. Deliver the sample to the laboratory within 1 hour of collection.
- C. Collect the sample during a period of frequent sexual activity.
- D. An acceptable collection method is withdrawal prior to ejaculation.
Correct Answer: B
Rationale: The correct answer is B because delivering the sample to the laboratory within 1 hour of collection ensures the sample is fresh and provides accurate results. Keeping the sample in a cooler (choice A) is unnecessary and may not be feasible. Collecting the sample during frequent sexual activity (choice C) can skew results. Withdrawal method (choice D) may not provide an adequate sample for analysis. Timing and freshness are crucial for accurate results.
What is the role of cervical mucus observation in tracking ovulation?
- A. To confirm ovulation has already occurred.
- B. To detect peak fertility by observing changes in mucus consistency.
- C. To determine the overall health of the uterus.
- D. To predict the gender of the future baby.
Correct Answer: B
Rationale: The correct answer is B: To detect peak fertility by observing changes in mucus consistency. Cervical mucus observation is used to identify the most fertile period during a woman's menstrual cycle. This method helps in predicting ovulation by tracking changes in mucus consistency, which indicates the best time for conception. Other choices are incorrect because cervical mucus observation does not confirm ovulation has already occurred (A), determine the overall health of the uterus (C), or predict the gender of the future baby (D).