Nokea
A couple is seeking advice regarding actions that they can take to increase their potential of becoming pregnant. Which of the following recommendations should the nurse give to the couple?
- A. The couple should use vaginal lubricants during intercourse.
- B. The couple should delay having intercourse until the day of ovulation.
- C. The woman should refrain from douching.
- D. The man should be on top during intercourse.
Correct Answer: C
Rationale: Douching can alter the vaginal pH and reduce sperm motility, thus reducing fertility.
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What advice should the nurse give a patient with irregular periods trying to conceive?
- A. Track ovulation using basal body temperature and ovulation kits.
- B. Increase carbohydrate intake to regulate cycles.
- C. Avoid exercise to prevent further irregularity.
- D. Undergo hormone therapy immediately.
Correct Answer: A
Rationale: The correct answer is A because tracking ovulation using basal body temperature and ovulation kits helps identify the most fertile days for conception. This method allows the patient to time intercourse effectively. Increasing carbohydrate intake (B) does not address the root cause of irregular periods. Avoiding exercise (C) is not recommended as moderate exercise can actually help regulate menstrual cycles. Undergoing hormone therapy immediately (D) is an aggressive approach and should only be considered after other options have been explored.
A 35-year-old client is being seen for her yearly gynecological examination. She states that she and her partner have been trying to become pregnant for a little over 6 months, and that a friend had recently advised her partner to take ginseng to improve the potency of his sperm. The woman states that they have decided to take their friend's advice. On which of the following information should the nurse base his or her reply?
- A. Based on their history
- B. the client and her partner have made the appropriate decision regarding their fertility.
- C. Ginseng can cause permanent chromosomal mutations and should be stopped immediately.
- D. It is unnecessary to become concerned about this woman's fertility because she has tried to become pregnant for only a few months.
Correct Answer: D
Rationale: While ginseng may have some benefits, fertility counseling is advisable given the duration of attempts.
A newly married woman states, "My friend told me I would never have a baby because I had pelvic inflammatory disease when I was younger. I don't understand how that can affect whether or not I get pregnant." The nurse's most appropriate response is
- A. "Your friend may be right. The disease may affect your ability to conceive."
- B. "Pelvic inflammatory disease may damage the ovaries and prevent ovulation."
- C. "Your friend has been misinformed. Fallopian tube damage occurs only following gonorrhea."
- D. "Infection may cause scarring and obstruction of the fallopian tubes, which can prevent the fertilized egg from reaching the uterus."
Correct Answer: D
Rationale: The correct answer is D because pelvic inflammatory disease (PID) can lead to scarring and obstruction of the fallopian tubes. This can prevent the fertilized egg from traveling to the uterus for implantation, thus affecting fertility. Choice A is incorrect as it makes a definitive statement without considering individual variations in the impact of PID. Choice B is incorrect because while PID can lead to ovarian damage, it primarily affects the fallopian tubes. Choice C is incorrect as fallopian tube damage can result from various infections, not just gonorrhea. Thus, the most appropriate response is D, as it directly addresses how PID can impact fertility through fallopian tube obstruction.
A patient undergoing IVF asks about blastocyst transfer. What is the nurse's best explanation?
- A. Blastocyst transfer occurs on the day of egg retrieval.
- B. It involves transferring embryos that have developed for 5 to 6 days.
- C. Blastocyst transfer guarantees pregnancy success.
- D. It is performed only when natural conception has failed.
Correct Answer: B
Rationale: The correct answer is B because blastocyst transfer typically occurs on day 5 or 6 after fertilization when the embryo has reached a more advanced stage of development. This increases the likelihood of successful implantation in the uterus. Choice A is incorrect because it does not align with the typical timeline of blastocyst transfer. Choice C is incorrect as pregnancy success is not guaranteed with blastocyst transfer, though it may improve the chances. Choice D is incorrect as blastocyst transfer is a standard procedure in IVF and not limited to cases where natural conception has failed.
The nurse responsible for completing the medical history during a couple's initial visit to the reproductive medicine clinic recognizes which of the following as the leading cause of tubal factor infertility in the female?
- A. History of endometriosis
- B. History of pelvic inflammatory disease
- C. History of ectopic pregnancy
- D. History of Asherman's syndrome
Correct Answer: B
Rationale: Rationale:
B: History of pelvic inflammatory disease (PID) is the leading cause of tubal factor infertility as it can lead to scarring and blockages in the fallopian tubes, hindering the passage of eggs.
A: Endometriosis can affect fertility but is not the leading cause of tubal factor infertility.
C: Ectopic pregnancy can result from tubal issues but is not the leading cause of tubal factor infertility.
D: Asherman's syndrome involves scarring in the uterus, not the fallopian tubes, making it less likely to be the leading cause of tubal factor infertility.