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A client is to undergo a postcoital test for infertility. The nurse should include which of the following statements in the client's preprocedure counseling?
- A. You will have the test the day after your menstruation ends.
- B. You will have a dye put into your vein that will show up on x-ray.
- C. You should refrain from having intercourse for the four days immediately prior to the test.
- D. You should experience the same sensations you feel when your doctor does your Pap test.
Correct Answer: D
Rationale: The postcoital test involves assessing cervical mucus after intercourse, similar to a Pap test.
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The nurse is educating a patient about the role of luteal phase support in fertility treatments. What should be emphasized?
- A. It involves increasing estrogen levels to support ovulation.
- B. It requires progesterone supplementation to maintain uterine lining integrity.
- C. It eliminates the need for hormonal monitoring during treatments.
- D. It helps prevent the LH surge during ovulation induction.
Correct Answer: B
Rationale: The correct answer is B because luteal phase support is crucial in fertility treatments to maintain the uterine lining for potential embryo implantation. Progesterone supplementation is necessary to support this phase, as it ensures a hospitable environment for the embryo. Option A is incorrect because luteal phase support primarily focuses on progesterone, not estrogen. Option C is incorrect as hormonal monitoring is still essential during fertility treatments. Option D is incorrect because luteal phase support does not prevent the LH surge, which is necessary for ovulation.
Which of the following medical conditions could possibly affect a woman's fertility status?
- A. Past medical history of asthma during childhood that is presently under control with the use of an inhaler.
- B. Recently diagnosed with polycystic ovarian syndrome.
- C. Past surgical history of removal of external polyps on labial tissue.
- D. History of frequent sinus headaches that is seasonal in nature treated with over-the-counter medication.
Correct Answer: B
Rationale: The correct answer is B, recently diagnosed with polycystic ovarian syndrome (PCOS). PCOS is a common hormonal disorder that can affect a woman's fertility by causing irregular ovulation or no ovulation. This can make it difficult to conceive.
- Choice A (asthma with inhaler): Asthma does not directly impact fertility.
- Choice C (polyps removal): External polyps removal does not typically affect fertility.
- Choice D (sinus headaches): Seasonal sinus headaches do not directly impact fertility.
In summary, PCOS can affect fertility due to hormonal imbalances affecting ovulation, making it the most relevant medical condition in this context.
A nurse is educating a couple about lifestyle factors that impact fertility. What recommendation should the nurse give?
- A. Avoid moderate alcohol consumption.
- B. Reduce stress levels through relaxation techniques.
- C. Increase protein intake for better egg quality.
- D. Use over-the-counter fertility supplements.
Correct Answer: B
Rationale: The correct answer is B: Reduce stress levels through relaxation techniques. Stress can negatively impact fertility by disrupting hormone levels and ovulation. Relaxation techniques can help manage stress, promoting better reproductive health.
A: Avoiding moderate alcohol consumption is important for fertility, but stress reduction has a more direct impact.
C: While protein is essential for overall health, there is no direct evidence linking increased protein intake to improved egg quality.
D: Using over-the-counter fertility supplements may not be necessary if stress reduction can improve fertility outcomes without additional interventions.
A man has inherited the gene for familial adenomatous polyposis (FAP), an autosomal dominant disease. He and his wife wish to have a baby. Which of the following would provide the couple with the highest probability of conceiving a healthy child?
- A. Amniocentesis.
- B. Chorionic villus sampling.
- C. Pre-implantation genetic diagnosis.
- D. Gamete intrafallopian transfer.
Correct Answer: C
Rationale: Pre-implantation genetic diagnosis allows screening of embryos before implantation.
The nurse is educating a client about hysterosalpingograms. Which information should the nurse include prior to this procedure?
- A. This procedure is always performed under general anesthesia.
- B. This procedure should be performed after ovulation has occurred.
- C. This procedure involves instillation of a radiopaque dye into the uterine cavity.
- D. After the procedure, the client should take Tylenol to decrease cramping.
Correct Answer: C
Rationale: Rationale for Correct Answer C:
1. Hysterosalpingogram (HSG) involves instillation of a radiopaque dye into the uterine cavity to visualize the uterus and fallopian tubes.
2. This dye helps to identify any abnormalities or blockages in the reproductive system.
3. The nurse should include this information as it is essential for the client to understand the purpose and process of the procedure.
4. Understanding the use of the dye can help alleviate any anxiety or concerns the client may have.
Summary of Incorrect Choices:
A: This procedure is typically performed without general anesthesia.
B: HSG can be performed at various points in the menstrual cycle, not specifically after ovulation.
D: Tylenol may be recommended for pain relief post-procedure, but it is not a necessary pre-procedure step.