Nokea
A nurse is assessing a woman in labor. Which finding would the nurse identify as a cause for concern during a contraction?
- A. heart rate increase from 76 bpm to 90 bpm
- B. blood pressure rise from 110/60 mm Hg to 120/74
- C. white blood cell count of 12,000 cells/mm3
- D. N/A
Correct Answer: D
Rationale: The correct answer is D because none of the given choices are typically a cause for concern during a contraction. If any of the choices were related to fetal distress or abnormal fetal heart rate patterns, they would be concerning.
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Analyze the pedigree below. Which of the following inheritance patterns does the pedigree depict?
- A. Autosomal recessive.
- B. Mitochondrial inheritance.
- C. X-linked recessive.
- D. Y-linked trait.
Correct Answer: A
Rationale: The pattern suggests autosomal recessive inheritance.
A woman asks a nurse about presymptomatic genetic testing for Huntington's disease. The nurse should base her response on which of the following?
- A. There is no genetic marker for Huntington's disease.
- B. Presymptomatic testing cannot predict whether or not the gene will be expressed.
- C. If the woman is positive for the gene for Huntington's
- D. she will develop the disease later in life.
Correct Answer: C
Rationale: A positive result for the Huntington's gene guarantees eventual development of the disease.
During ovulation induction, a patient asks why hormone levels are monitored so frequently. What is the nurse's best response?
- A. To predict embryo quality before fertilization.
- B. To ensure hormone levels stay within safe and effective ranges for egg maturation.
- C. To confirm the patient is pregnant before the cycle ends.
- D. To determine if the uterine lining is ready for implantation.
Correct Answer: B
Rationale: The correct answer is B. Monitoring hormone levels during ovulation induction is essential to ensure that the hormones stay within safe and effective ranges for successful egg maturation. By closely monitoring hormone levels, healthcare providers can adjust medication dosages as needed to optimize the chances of successful ovulation. This helps to minimize the risk of overstimulation or understimulation of the ovaries, which can impact the quality of the eggs produced.
A: Predicting embryo quality before fertilization is not the primary purpose of monitoring hormone levels during ovulation induction.
C: Confirming pregnancy before the cycle ends is not the purpose of hormone level monitoring during ovulation induction.
D: Determining if the uterine lining is ready for implantation is important, but this is typically assessed through other methods such as ultrasound rather than hormone level monitoring.
Lori, who is 32 years old, is taking clomiphene citrate to induce ovulation and presents to the office for a vaginal ultrasound. As the nurse is walking Lori to ultrasound, Lori mentions that over the past 12 hours she has experienced abdominal bloating, nausea, and weight gain of 5 pounds. The nurse recognizes these signs and symptoms to be associated with what condition?
- A. Ovulation
- B. Premenstrual syndrome
- C. Ovarian hyperstimulation syndrome
- D. Failed ovulation induction
Correct Answer: C
Rationale: The correct answer is C: Ovarian hyperstimulation syndrome (OHSS). OHSS is a potential complication of ovulation induction with medications like clomiphene citrate. The symptoms Lori is experiencing (abdominal bloating, nausea, and weight gain) are classic signs of moderate OHSS. The mechanism involves excessive response to the ovulation induction medication leading to enlarged ovaries and fluid accumulation in the abdomen. It is crucial to monitor patients on ovulation induction therapy for signs of OHSS to prevent severe complications.
Choice A: Ovulation - This is incorrect because the symptoms described are not typical of ovulation itself.
Choice B: Premenstrual syndrome - This is incorrect because the symptoms are not specific to premenstrual syndrome and are more indicative of a complication related to medication.
Choice D: Failed ovulation induction - This is incorrect because the symptoms suggest a response to the medication rather than a failure of ovulation.
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.