Nokea
A nurse is explaining the significance of luteal phase support in fertility treatments. What should the nurse emphasize?
- A. It triggers ovulation during the menstrual cycle.
- B. It involves supplementing progesterone to maintain the uterine lining.
- C. It enhances egg quality during ovarian stimulation.
- D. It prevents implantation failure by increasing estrogen levels.
Correct Answer: B
Rationale: The correct answer is B. Luteal phase support involves supplementing progesterone to maintain the uterine lining, crucial for implantation and early pregnancy support. Progesterone prepares the endometrium for implantation and helps sustain early pregnancy. Other choices are incorrect: A is incorrect as ovulation is triggered by the surge in luteinizing hormone, not luteal phase support. C is incorrect as egg quality is primarily influenced during ovarian stimulation, not luteal phase support. D is incorrect as estrogen is not the primary hormone involved in preventing implantation failure, it is progesterone.
You may also like to solve these questions
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.
A nurse is caring for several women in labor. The nurse determines that which woman is the latent phase of labor?
- A. contractions every 5 minutes, cervical dilation 3 cm
- B. contractions every 3 minutes, cervical dilation 6 cm
- C. contractions every 2 1/2 minutes, cervical dilation 8 cm
- D. contractions every 1 minute, cervical dilation 9 cm
Correct Answer: A
Rationale: Contractions every 5 minutes with cervical dilation of 3 cm is typical of the latent phase of labor. This phase is characterized by early labor with mild contractions and slow cervical dilation. The other scenarios describe more advanced stages of labor with faster contractions and greater cervical dilation, indicating the active phase.
During a fertility consultation, a couple inquires about polycystic ovary syndrome (PCOS). What should the nurse include in the explanation?
- A. PCOS only affects a woman's menstrual cycle.
- B. PCOS can cause irregular ovulation and hormonal imbalances.
- C. PCOS is not related to weight or lifestyle factors.
- D. PCOS has no impact on fertility treatment outcomes.
Correct Answer: B
Rationale: Step 1: PCOS is a complex hormonal disorder affecting women's reproductive systems.
Step 2: It can lead to irregular ovulation, making it difficult to conceive.
Step 3: Hormonal imbalances in PCOS can affect fertility by disrupting the menstrual cycle.
Step 4: Therefore, the nurse should include that PCOS can cause irregular ovulation and hormonal imbalances in the explanation.
Summary: Option B is correct as it highlights the key features of PCOS impacting fertility. Options A, C, and D are incorrect because PCOS affects more than just the menstrual cycle, it is related to weight and lifestyle factors, and it can impact fertility treatment outcomes.
A patient undergoing ovarian stimulation is concerned about side effects. What should the nurse include in patient education?
- A. Side effects are rare and do not require monitoring.
- B. Mild bloating and mood changes are common during stimulation.
- C. The risk of ovarian hyperstimulation syndrome (OHSS) is negligible.
- D. Stimulation guarantees the production of high-quality eggs.
Correct Answer: B
Rationale: Rationale:
Bloating and mood changes are common side effects of ovarian stimulation due to hormonal changes. Educating the patient about this prepares them for possible discomfort. Incorrect choices: A is incorrect as side effects are common and may require monitoring. C is incorrect as OHSS is a potential serious complication. D is incorrect as stimulation does not guarantee egg quality.
A client, G4 P4004, states that her husband has just been diagnosed with polycystic kidney disease (PKD), an autosomal dominant disease. The husband is heterozygous for PKD, while the client has no PKD genes. The client states, 'I have not had our children tested because they have such a slim chance of inheriting the disease. We intend to wait until they are teenagers to do the testing.' The nurse should base her reply on which of the following?
- A. Because affected individuals rarely exhibit symptoms before age 60
- B. the children should be allowed to wait until they are adults to be tested.
- C. The woman may be exhibiting signs of denial since each of the couple's children has a 50/50 chance of developing the disease.
- D. Because the majority of the renal cysts that develop in affected individuals are harmless
Correct Answer: B
Rationale: Each child of a heterozygous parent has a 50% chance of inheriting the gene.