Infertility NCLEX Questions

Infertility NCLEX Questions Related

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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.

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A nurse is educating a patient about ovulation tracking. What method should the nurse recommend?

  • A. Using ovulation predictor kits to detect the LH surge.
  • B. Tracking cervical mucus changes only after ovulation.
  • C. Measuring basal body temperature in the evening.
  • D. Testing progesterone levels daily.
Correct Answer: A

Rationale: The correct answer is A: Using ovulation predictor kits to detect the LH surge. This method is recommended because it directly detects the hormone surge that triggers ovulation, providing a reliable indication of the most fertile period for conception. Tracking cervical mucus changes only after ovulation (B) may not accurately predict the fertile window. Measuring basal body temperature in the evening (C) is less accurate than measuring it in the morning. Testing progesterone levels daily (D) is not a practical or necessary method for ovulation tracking.

A patient undergoing fertility treatment asks about egg quality improvement. What should the nurse recommend?

  • A. Consuming a diet rich in antioxidants may support better egg quality.
  • B. Relying solely on supplements guarantees improved egg quality.
  • C. Exercising excessively will enhance egg maturation.
  • D. Egg quality is not influenced by external factors.
Correct Answer: A

Rationale: The correct answer is A because antioxidants help reduce oxidative stress, which can improve egg quality. Antioxidants protect eggs from damage caused by free radicals. Consuming a diet rich in antioxidants can support better egg quality.

Choice B is incorrect because relying solely on supplements does not guarantee improved egg quality. Choice C is incorrect because excessive exercise can actually have a negative impact on egg maturation. Choice D is incorrect because egg quality can be influenced by external factors such as diet, lifestyle, and environmental factors.

A genetic counselor's report states, 'The genetic nomenclature for this fetus is 46, XX.' How should the nurse who reads this report interpret the cytogenetic results?

  • A. The baby is female with a normal number of chromosomes.
  • B. The baby is hermaphroditic male with female chromosomes.
  • C. The baby is male with an undisclosed genetic anomaly.
  • D. There is insufficient information to answer this question.
Correct Answer: A

Rationale: 46, XX indicates a genetically normal female.

The nurse is creating a pedigree from a client's family history. Which of the following symbols should the nurse use to represent a female?

  • A. Circle.
  • B. Square.
  • C. Triangle.
  • D. Diamond.
Correct Answer: A

Rationale: In pedigrees, a circle represents a female.

During preconception counseling, a nurse discusses the impact of male age on fertility. What statement requires correction?

  • A. Pregnancy rates are not related to the age of the male partner.
  • B. Sexually active males should be routinely tested for STIs and treated appropriately.
  • C. Maintaining a healthy weight is important for the reproductive health of both female and male partners.
  • D. Certain medications, such as testosterone supplementation and chemotherapy, can impact male fertility.
Correct Answer: A

Rationale: The correct answer is A because male age does impact fertility. Advanced paternal age is associated with decreased fertility and increased risk of genetic abnormalities in offspring. Choice B is correct as STIs can affect fertility. Choice C is relevant as obesity can impact male fertility. Choice D is correct as certain medications can impact male fertility. Overall, choice A is incorrect as male age does play a role in fertility outcomes.

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