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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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When assessing cervical effacement of a client in labor, the nurse assesses which characteristic?
- A. extent of opening to its widest diameter
- B. degree of thinning
- C. passage of the mucous plug
- D. fetal presenting part
Correct Answer: B
Rationale: Cervical effacement refers to the degree of thinning of the cervix, not the extent of opening. This assessment is important in determining progress in labor. The other options are not related to cervical effacement.
A nurse is providing care to a woman in labor. After assessment of the fetus, the nurse documents the fetal lie. Which term would the nurse use?
- A. flexion
- B. extension
- C. longitudinal
- D. cephalic
Correct Answer: C
Rationale: The correct answer is C because fetal lie refers to the relationship of the long axis of the fetus to the long axis of the mother. The primary lies are longitudinal, oblique, and transverse. Flexion and extension are terms used to describe fetal attitude, while cephalic is used to describe fetal presentation.
During preconception counseling, a patient asks about the impact of caffeine on fertility. What should the nurse emphasize?
- A. Moderate caffeine intake is generally considered safe.
- B. Caffeine improves ovulation and increases conception chances.
- C. All caffeine should be eliminated to conceive successfully.
- D. Caffeine intake only affects male fertility.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Moderate caffeine intake is generally considered safe during preconception as excessive intake may affect fertility.
2. Studies show that moderate caffeine consumption doesn't significantly impact fertility.
3. Advising complete elimination may be overly restrictive and challenging for patients.
4. Caffeine can affect both male and female fertility, not just male fertility.
5. Emphasizing moderation allows for informed decision-making and realistic lifestyle changes.
Summary of other choices:
B: Incorrect - Caffeine does not improve ovulation or increase conception chances.
C: Incorrect - Complete elimination of caffeine is unnecessary for successful conception.
D: Incorrect - Caffeine intake can affect both male and female fertility, not limited to male fertility.
A woman asks the nurse, 'My nuchal fold scan results were abnormal. What does that mean?' Which of the following comments is appropriate for the nurse to make at this time?
- A. I am sorry to tell you that your baby will be born with a serious deformity.
- B. The results show that your child will have cri du chat syndrome.
- C. The test is done to see if you are high risk for preterm labor.
- D. An abnormal test indicates that your baby may have Down syndrome.
Correct Answer: D
Rationale: Abnormal nuchal fold scans can indicate chromosomal abnormalities like Down syndrome.
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.