Nokea
A nurse is evaluating the effectiveness of preconception education. Which statement by the client indicates additional education is needed?
- A. I know smoking is harmful in pregnancy, so I plan to quit soon. My husband has agreed to avoid smoking in my presence.
- B. I have started taking a daily prenatal vitamin with folic acid.
- C. My husband bought a small desk for his laptop computer.
- D. We plan to avoid the use of chemicals in our garden this year.
Correct Answer: C
Rationale: The correct answer is C because buying a small desk for a laptop computer is unrelated to preconception education. This statement does not demonstrate any understanding or action related to preparing for a healthy pregnancy. Choices A, B, and D all show a proactive approach towards preconception health by addressing smoking cessation, prenatal vitamin intake with folic acid, and avoiding harmful chemicals, respectively.
You may also like to solve these questions
A couple is seeking infertility counseling. During the history, it is noted that the man is a cancer survivor, drinks one beer every night with dinner, and takes a sauna every day after work. Which of the following is an appropriate response by the nurse?
- A. It is unlikely that any of these factors is affecting his fertility.
- B. Daily alcohol consumption could be causing his infertility problems.
- C. Sperm may be malformed when exposed to the heat of the sauna.
- D. Cancer survivors have the same fertility rates as healthy males.
Correct Answer: C
Rationale: Exposure to high temperatures, such as those in saunas, can impair spermatogenesis and lead to malformed sperm, making this a significant factor in male infertility.
A patient asks about the purpose of egg retrieval in IVF. What should the nurse explain?
- A. Egg retrieval removes immature eggs for storage.
- B. It collects mature eggs from the ovaries for fertilization in the lab.
- C. Egg retrieval monitors ovarian reserve.
- D. It is performed after implantation to confirm pregnancy.
Correct Answer: B
Rationale: The correct answer is B: It collects mature eggs from the ovaries for fertilization in the lab.
Rationale:
1. Egg retrieval in IVF involves retrieving mature eggs from the woman's ovaries to be fertilized with sperm in a laboratory setting.
2. These fertilized eggs (embryos) are then transferred back into the uterus for potential implantation.
3. This process is crucial for successful IVF as it allows for controlled fertilization outside the body.
Summary of other choices:
A: Incorrect. Egg retrieval is not for storing immature eggs but for obtaining mature eggs for immediate fertilization.
C: Incorrect. Egg retrieval is not for monitoring ovarian reserve; this is typically done through other tests.
D: Incorrect. Egg retrieval occurs before implantation to collect eggs for fertilization, not after implantation.
A client is to have a hysterosalpingogram. In this procedure, the physician will be able to determine which of the following?
- A. Whether or not the ovaries are maturing properly.
- B. If the endometrium is fully vascularized.
- C. If the cervix is incompetent.
- D. Whether or not the fallopian tubes are obstructed.
Correct Answer: D
Rationale: A hysterosalpingogram uses contrast dye to visualize the fallopian tubes and uterus, identifying obstructions.
The nurse is teaching a patient about Follistim AQ, a medication prescribed for ovulation induction. What information should be included?
- A. Eggs or oocytes develop within ovarian follicles. The medication stimulates their development.
- B. Follistim is a manufactured form of FSH, a hormone released during the menstrual cycle.
- C. Rapid weight gain is typical during ovulation induction.
- D. Side effects include breast tenderness and changes in mood.
Correct Answer: A
Rationale: Step 1: Follistim AQ is a medication used for ovulation induction.
Step 2: The medication contains FSH, a hormone that stimulates follicular development.
Step 3: Eggs (oocytes) develop within ovarian follicles during the menstrual cycle.
Step 4: Follistim AQ stimulates the growth and development of ovarian follicles.
Step 5: Therefore, Option A is correct as it accurately explains how Follistim AQ works.
Summary of Incorrect Choices:
B: While Follistim is a form of FSH, the key point is its role in stimulating follicular development, not just being a manufactured hormone.
C: Rapid weight gain is not a typical effect of ovulation induction with Follistim AQ.
D: Side effects like breast tenderness and mood changes may occur, but they are not the primary focus of educating a patient about how the medication works.
A client is admitted to the labor and birthing suite in early labor. On review of her prenatal history, the nurse determines that the client's pelvic shape as identified in the antepartum notes is the most favorable one for a vaginal birth. Which pelvic shape would the nurse have noted?
- A. platypelloid
- B. gynecoid
- C. android
- D. anthropoid
Correct Answer: B
Rationale: The gynecoid pelvic shape is the most favorable for vaginal birth due to its optimal dimensions and orientation for the passage of the fetus. The anthropoid pelvis is also favorable for vaginal birth, but it is not the most favorable shape. The android pelvis and platypelloid pelvis are less favorable for vaginal birth, with the android pelvis having slow descent of the fetal head and the platypelloid pelvis often requiring cesarean birth.