Nokea
A client's amniocentesis results were reported as 46, XY. Her obstetrician informed her at the time that everything 'looks good.' Shortly after birth the baby is diagnosed with cerebral palsy. Which of the following responses will explain this result?
- A. It is likely that the client received the wrong amniocentesis results.
- B. Cerebral palsy is not a genetic disease.
- C. The genes that cause cerebral palsy have not yet been discovered.
- D. The genetics lab failed to test for cerebral palsy.
Correct Answer: B
Rationale: Cerebral palsy is not typically caused by genetic factors.
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What is the significance of basal body temperature (BBT) tracking in fertility?
- A. BBT predicts the exact time of ovulation.
- B. A rise in BBT confirms that ovulation has occurred.
- C. BBT tracking eliminates the need for ovulation predictor kits.
- D. BBT remains constant throughout the menstrual cycle.
Correct Answer: B
Rationale: Correct Answer: B
Rationale:
1. BBT rise confirms ovulation due to increased progesterone post-ovulation.
2. Progesterone causes a slight increase in BBT, signaling the release of an egg.
3. The shift in BBT helps predict the fertile window for conception.
4. BBT tracking does not predict the exact time of ovulation (A), nor eliminate the need for ovulation predictor kits (C), and BBT does not remain constant throughout the cycle (D).
What is the primary goal of using gonadotropins in fertility treatments?
- A. To suppress ovulation for egg preservation.
- B. To stimulate the ovaries to produce multiple eggs.
- C. To prevent hormonal fluctuations during the menstrual cycle.
- D. To enhance uterine lining growth for implantation.
Correct Answer: B
Rationale: The primary goal of using gonadotropins in fertility treatments is to stimulate the ovaries to produce multiple eggs. This increases the chances of successful fertilization and pregnancy. Gonadotropins mimic the natural hormones that regulate ovulation and stimulate the growth of follicles in the ovaries. By producing multiple eggs, there is a higher likelihood of at least one egg being successfully fertilized.
Choice A is incorrect because gonadotropins actually stimulate ovulation rather than suppress it.
Choice C is incorrect as gonadotropins do not prevent hormonal fluctuations but rather help regulate and induce controlled hormonal changes.
Choice D is incorrect as the primary goal of using gonadotropins is not to enhance uterine lining growth but rather to stimulate egg production in the ovaries.
Which instruction by the nurse should be included in the teaching plan for an infertile woman who has been shown to have a 28-day biphasic menstrual cycle?
- A. Douche with a cider vinegar solution immediately before having intercourse.
- B. Schedule intercourse every day from day 8 to day 14 of the menstrual cycle.
- C. Be placed on follicle-stimulating hormone therapy by the fertility specialist.
- D. Assess the basal body temperature pattern for at least 6 more months.
Correct Answer: B
Rationale: Intercourse during the fertile window (days 8–14 in a 28-day cycle) maximizes conception chances.
What is the role of hCG injections in fertility treatments?
- A. To prevent ovulation during stimulation cycles.
- B. To trigger the release of mature eggs from the ovary.
- C. To enhance the quality of embryos for transfer.
- D. To suppress uterine contractions post-implantation.
Correct Answer: B
Rationale: The correct answer is B: To trigger the release of mature eggs from the ovary. hCG injections are commonly used in fertility treatments to induce ovulation by mimicking the hormone LH, which triggers the release of mature eggs from the ovary. This is crucial for assisted reproductive techniques like in vitro fertilization.
A: Incorrect. hCG injections do not prevent ovulation; instead, they promote it.
C: Incorrect. hCG injections do not directly enhance the quality of embryos.
D: Incorrect. hCG injections are not used to suppress uterine contractions post-implantation; they are primarily for ovulation induction.
A nurse is instructing a client on taking her basal body temperature. The nurse understands that this test is used to determine which of the following?
- A. If the client's cervical mucus contains enough estrogen to support sperm motility.
- B. If the client's temperature rises 1 to 5 days after the midcycle.
- C. If surgical correction of uterine pathology is needed.
- D. If the client is experiencing blockage of the uterine cavity and fallopian tubes.
Correct Answer: B
Rationale: The correct answer is B because basal body temperature rises 1 to 5 days after ovulation, indicating that ovulation has occurred. This is important for tracking fertility and planning conception.
A is incorrect because basal body temperature is not used to determine estrogen levels in cervical mucus.
C is incorrect because basal body temperature is not used to diagnose uterine pathology.
D is incorrect because basal body temperature does not assess blockages in the uterine cavity or fallopian tubes.