Nokea
During fertility counseling, a patient asks about the impact of age on female fertility. What should the nurse explain?
- A. Female fertility remains constant until menopause.
- B. Fertility begins to decline significantly after age 35.
- C. Age only affects fertility if other health issues are present.
- D. Fertility is unaffected by age until the age of 50.
Correct Answer: B
Rationale: The correct answer is B because fertility significantly declines after age 35 due to a decrease in the quantity and quality of eggs. As women age, the risk of chromosomal abnormalities in eggs increases, impacting fertility. Other choices are incorrect because fertility does not remain constant until menopause (A), age affects fertility regardless of other health issues (C), and fertility starts declining well before the age of 50 (D).
You may also like to solve these questions
What is the role of luteinizing hormone (LH) in the menstrual cycle?
- A. To maintain the uterine lining after ovulation.
- B. To stimulate the release of an egg from the ovary.
- C. To regulate progesterone production during pregnancy.
- D. To inhibit follicle-stimulating hormone (FSH).
Correct Answer: B
Rationale: The correct answer is B: To stimulate the release of an egg from the ovary. LH surge triggers ovulation, releasing the mature egg from the follicle. This is crucial for fertility. A is incorrect because progesterone maintains the uterine lining, not LH. C is incorrect as LH doesn't regulate progesterone during pregnancy, but plays a role in ovulation. D is incorrect as LH and FSH work together to regulate the menstrual cycle, not inhibit each other.
Which lifestyle change should the nurse suggest to improve fertility for both partners?
- A. Increase protein intake significantly.
- B. Exercise rigorously every day.
- C. Maintain a balanced diet and healthy weight.
- D. Reduce water consumption to avoid bloating.
Correct Answer: C
Rationale: The correct answer is C: Maintain a balanced diet and healthy weight. This suggestion is crucial for improving fertility as it promotes overall health, hormonal balance, and reproductive function in both partners. A balanced diet provides essential nutrients for reproductive health, while maintaining a healthy weight reduces the risk of infertility related to obesity or underweight. Option A is incorrect as excessive protein intake can negatively impact fertility. Option B is incorrect as excessive rigorous exercise may disrupt hormonal balance and affect fertility. Option D is incorrect as proper hydration is essential for reproductive health and reducing water consumption is not recommended for fertility improvement.
Chromosome analysis is a diagnostic test that should be offered to which couple?
- A. Never conceived.
- B. Has long-standing infertility.
- C. Has had repeated pregnancy losses.
- D. Has a normal child but has not conceived again.
Correct Answer: C
Rationale: Rationale: Choice C is correct because chromosome analysis is recommended for couples who have experienced repeated pregnancy losses to identify any genetic abnormalities that may be causing the miscarriages. This test can help determine if there are chromosomal issues that could be addressed in future pregnancies. Choices A, B, and D do not necessarily warrant chromosome analysis as they do not directly relate to the potential genetic causes of pregnancy losses.
A patient asks about the purpose of progesterone injections after embryo transfer. What should the nurse explain?
- A. They increase the number of eggs released in future cycles.
- B. They support the uterine lining for implantation and pregnancy maintenance.
- C. They prevent ovarian cyst formation during fertility treatment.
- D. They reduce pregnancy symptoms such as nausea.
Correct Answer: B
Rationale: The correct answer is B: Progesterone injections support the uterine lining for implantation and pregnancy maintenance. Progesterone is essential for preparing the uterus for implantation and maintaining a pregnancy. After embryo transfer, progesterone helps thicken the uterine lining, making it more receptive to the embryo for successful implantation. Other choices are incorrect: A is incorrect because progesterone does not affect the number of eggs released in future cycles; C is incorrect because progesterone does not prevent ovarian cyst formation; D is incorrect because while progesterone can help alleviate some pregnancy symptoms, its primary role is in supporting the uterine lining for pregnancy.
A couple has been told that the male partner, who is healthy, is producing no sperm 'because he has cystic fibrosis.' Which of the following explanations is accurate in relation to this statement?
- A. Since the man is healthy
- B. he could not possibly have cystic fibrosis.
- C. Men with cystic fibrosis often have no epididymis.
- D. The expressivity of cystic fibrosis is variable.
Correct Answer: B
Rationale: Men with cystic fibrosis frequently have congenital absence of the vas deferens, leading to azoospermia.