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A nurse is discussing lifestyle changes to optimize fertility. Which recommendation is accurate?
- A. Avoid moderate exercise to conserve energy for conception.
- B. Quit smoking to improve reproductive health.
- C. Eliminate all carbohydrates from the diet.
- D. Increase caffeine intake to boost energy levels.
Correct Answer: B
Rationale: Correct Answer: B
Rationale:
- Smoking is known to have negative effects on reproductive health, reducing fertility in both men and women.
- Quitting smoking can improve reproductive outcomes and increase chances of conception.
- Smoking can harm egg and sperm quality, leading to infertility issues.
- Other choices are incorrect as moderate exercise, carbohydrates, and increased caffeine intake do not directly impact fertility.
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A provider has ordered diagnostic procedures for a couple with suspected infertility. Which test is useful for determining if ovulation has occurred?
- A. FSH level
- B. Progesterone level
- C. Estrogen level
- D. Vaginal ultrasound
Correct Answer: B
Rationale: The correct answer is B: Progesterone level. Progesterone is released after ovulation, indicating that ovulation has occurred. Monitoring progesterone levels can confirm ovulation timing. FSH (A) is more related to ovarian reserve. Estrogen (C) levels fluctuate during the menstrual cycle. Vaginal ultrasound (D) can visualize ovarian follicles but does not confirm ovulation.
A patient undergoing IVF asks about the role of gonadotropins. What should the nurse explain?
- A. Gonadotropins suppress ovulation to control the cycle.
- B. They stimulate the ovaries to produce multiple eggs for retrieval.
- C. They are only used during natural conception cycles.
- D. Gonadotropins replace progesterone in early pregnancy.
Correct Answer: B
Rationale: The correct answer is B because gonadotropins stimulate the ovaries to produce multiple eggs for retrieval during IVF. This is crucial to increase the chances of successful fertilization. Choice A is incorrect as gonadotropins actually stimulate ovulation. Choice C is incorrect as gonadotropins are specifically used in assisted reproductive technologies like IVF. Choice D is incorrect as gonadotropins do not replace progesterone but rather help in follicular development.
Nurses working in a midwifery office have attended a conference to learn about factors that increase a woman's risk of becoming infertile. To evaluate the nurses' learning, the conference coordinator tested the nurses' knowledge at the conclusion of the seminar. Which of the following problems should the nurses state increase a client's risk of developing infertility problems? Select all that apply.
- A. Women who have menstrual cycles that are up to 30 days long.
- B. Women who experience pain during intercourse.
- C. Women who have had pelvic inflammatory disease.
- D. Women who have excess facial hair.
Correct Answer: B
Rationale: Pain during intercourse, pelvic inflammatory disease, and hirsutism (excess facial hair) are associated with infertility.
A nurse is offering preconception counseling in a primary care clinic. Which statement by a patient indicates a need for 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. Pregnancy rates are indeed related to the age of the male partner because sperm quality and quantity decline with age. This is crucial information in preconception counseling. Choice B is correct as STI testing for sexually active males is important for reproductive health. Choice C is correct as maintaining a healthy weight is crucial for both partners' fertility. Choice D is correct as certain medications can impact male fertility. In summary, the incorrect choice (A) contradicts established knowledge about male age and fertility, making it the correct answer.
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).