Infertility NCLEX Questions

Infertility NCLEX Questions Related

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A nurse is educating a patient about the two-week wait period after an IVF embryo transfer. What should the nurse emphasize?

  • A. Avoid any physical activity during this time.
  • B. Take a pregnancy test immediately after the transfer.
  • C. Focus on stress management and follow any prescribed medications.
  • D. Increase protein intake to improve embryo implantation chances.
Correct Answer: C

Rationale: The correct answer is C: Focus on stress management and follow any prescribed medications. During the two-week wait period after an IVF embryo transfer, it is crucial for the patient to manage stress levels as high stress can negatively impact implantation. Following prescribed medications is important for maintaining optimal conditions for the embryo to implant successfully.

Avoiding physical activity (choice A) is not necessary as moderate physical activity is usually permitted unless advised otherwise by the healthcare provider. Taking a pregnancy test immediately (choice B) is not recommended as it may not accurately reflect the outcome at such an early stage. Increasing protein intake (choice D) may be beneficial for overall health but does not directly impact embryo implantation during the two-week wait period.

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A couple asks about the role of hormone testing in infertility evaluation. What should the nurse explain?

  • A. Hormone testing is only necessary after conception.
  • B. It identifies hormonal imbalances affecting ovulation and fertility.
  • C. Hormone testing predicts the gender of future embryos.
  • D. It measures physical factors like uterine health.
Correct Answer: B

Rationale: The correct answer is B because hormone testing is essential in identifying hormonal imbalances that can affect ovulation and fertility. By measuring hormone levels such as estrogen, progesterone, and follicle-stimulating hormone, healthcare providers can pinpoint issues that may be inhibiting conception. Hormone testing helps determine the timing of ovulation and the overall health of the reproductive system.

Choice A is incorrect because hormone testing is not solely for post-conception purposes; it is crucial in diagnosing infertility issues. Choice C is inaccurate as hormone testing does not predict the gender of embryos but rather focuses on hormonal balance. Choice D is also incorrect as hormone testing primarily assesses hormone levels, not physical factors like uterine health.

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.

A nurse is discussing male infertility with a client. Which of the following is a common cause of reduced male fertility?

  • A. High testosterone levels
  • B. Frequent use of lubricants during intercourse
  • C. Smoking and alcohol consumption
  • D. Daily exercise routines
Correct Answer: C

Rationale: The correct answer is C: Smoking and alcohol consumption. Smoking and alcohol can negatively impact male fertility by affecting sperm quality and quantity. Smoking can lead to DNA damage in sperm, while alcohol can disrupt hormone levels. High testosterone levels (A) actually do not commonly cause reduced fertility. Frequent use of lubricants (B) may hinder sperm movement, but it's not a common cause. Daily exercise (D) can improve overall health and fertility.

A provider has ordered several diagnostic procedures for a couple with suspected infertility. Which diagnostic procedure 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 the hormone secreted after ovulation, indicating that ovulation has occurred. Monitoring progesterone levels can confirm ovulation. FSH (A) and estrogen (C) levels reflect the ovarian function but do not directly confirm ovulation. Vaginal ultrasound (D) can visualize the ovaries but does not definitively confirm ovulation.

The nurse is counseling a couple about ovulation predictor kits. What is the most important advice?

  • A. They require a prescription.
  • B. They detect the LH surge, signaling ovulation within the next 24 to 36 hours.
  • C. They are most effective when used randomly during the cycle.
  • D. They confirm pregnancy rather than ovulation.
Correct Answer: B

Rationale: The correct answer is B because ovulation predictor kits detect the LH surge, which occurs approximately 24 to 36 hours before ovulation. This information is crucial for timing intercourse to maximize the chances of conception. Choice A is incorrect because ovulation predictor kits are typically available over the counter and do not require a prescription. Choice C is incorrect because these kits should be used strategically around the expected time of ovulation for accurate results. Choice D is incorrect because ovulation predictor kits do not confirm pregnancy; they only indicate the LH surge and impending ovulation.

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