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A nurse is explaining the role of intrauterine insemination (IUI). What should the nurse include?
- A. IUI involves placing washed sperm directly into the uterus.
- B. IUI is used to treat structural abnormalities in the uterus.
- C. IUI guarantees fertilization of the egg.
- D. IUI eliminates the need for ovulation tracking.
Correct Answer: A
Rationale: The correct answer is A because intrauterine insemination (IUI) involves placing washed sperm directly into the uterus, increasing the chances of fertilization. This method bypasses potential obstacles in the reproductive tract, aiding sperm in reaching the egg. Choice B is incorrect because IUI is not primarily used to treat structural abnormalities in the uterus but rather to facilitate fertilization. Choice C is incorrect as IUI does not guarantee fertilization since other factors can still affect the success of conception. Choice D is incorrect because ovulation tracking is still important in IUI to ensure optimal timing for the procedure.
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Which lifestyle change should the nurse suggest to improve fertility for both partners?
- A. Increase protein intake significantly.
- B. Exercise rigorously every day.
- C. Maintain a balanced diet and healthy weight.
- D. Reduce water consumption to avoid bloating.
Correct Answer: C
Rationale: The correct answer is C: Maintain a balanced diet and healthy weight. This suggestion is crucial for improving fertility as it promotes overall health, hormonal balance, and reproductive function in both partners. A balanced diet provides essential nutrients for reproductive health, while maintaining a healthy weight reduces the risk of infertility related to obesity or underweight. Option A is incorrect as excessive protein intake can negatively impact fertility. Option B is incorrect as excessive rigorous exercise may disrupt hormonal balance and affect fertility. Option D is incorrect as proper hydration is essential for reproductive health and reducing water consumption is not recommended for fertility improvement.
A patient and her husband have just been told their unborn child has Down syndrome. The patient's husband becomes upset, stating, 'There is no way this can be possible as we have no one in the family with this problem! You must run the test again because the results cannot be correct.' What does the husband's behavior represent?
- A. Denial
- B. Sorrow
- C. Anger
- D. Bargaining
Correct Answer: A
Rationale: The correct answer is A: Denial. The husband's behavior of refusing to accept the test results and requesting them to be run again indicates denial. Denial is a common defense mechanism where individuals reject reality to avoid facing uncomfortable truths. The husband's disbelief due to lack of family history reflects denial in coping with the unexpected news. Sorrow (B), Anger (C), and Bargaining (D) are not applicable in this context as the husband's reaction does not demonstrate sadness, hostility, or attempts to negotiate a different outcome.
An infertility specialist is evaluating whether a woman's cervical mucus contains enough estrogen to support sperm motility. Which of the following tests is the physician conducting?
- A. Ferning capacity.
- B. Basal body temperature.
- C. Culposcopy.
- D. Hysterotomy.
Correct Answer: A
Rationale: Ferning capacity evaluates the presence of fern-like patterns in cervical mucus, indicating sufficient estrogen.
A patient undergoing IUI asks how the procedure increases the chances of conception. What should the nurse explain?
- A. IUI bypasses the cervix, placing sperm directly in the uterus.
- B. IUI enhances egg quality before fertilization.
- C. IUI eliminates the need for ovulation tracking.
- D. IUI combines egg and sperm outside the body before transfer.
Correct Answer: A
Rationale: The correct answer is A because IUI (Intrauterine Insemination) bypasses the cervix and places sperm directly in the uterus, increasing the chances of sperm reaching the fallopian tubes to fertilize the egg. This method improves the sperm's proximity to the egg, optimizing the chances of conception. The other choices are incorrect because B (enhancing egg quality) is not achieved through IUI, C (eliminating ovulation tracking) is not true as tracking is still necessary for timing the procedure, and D (combining egg and sperm outside the body) describes in vitro fertilization (IVF), not IUI.
Chromosome analysis is a diagnostic test that should be offered to which couple?
- A. Never conceived.
- B. Has long-standing infertility.
- C. Has had repeated pregnancy losses.
- D. Has a normal child but has not conceived again.
Correct Answer: C
Rationale: Rationale: Choice C is correct because chromosome analysis is recommended for couples who have experienced repeated pregnancy losses to identify any genetic abnormalities that may be causing the miscarriages. This test can help determine if there are chromosomal issues that could be addressed in future pregnancies. Choices A, B, and D do not necessarily warrant chromosome analysis as they do not directly relate to the potential genetic causes of pregnancy losses.