Nokea
A nurse is instructing a woman on the use of ovulation predictor kits. What should the nurse tell the client?
- A. A prescription is required.
- B. The kit will determine a serum LH level.
- C. The LH surge usually occurs 12 hours prior to ovulation.
- D. Your interval of greatest fertility is on the day of the LH surge and the following 2 days.
Correct Answer: D
Rationale: The correct answer is D because the interval of greatest fertility is indeed on the day of the LH surge and the following 2 days, maximizing chances of conception. Choice A is incorrect as ovulation predictor kits are typically over-the-counter. Choice B is incorrect as the kit measures urinary LH, not serum. Choice C is incorrect as the LH surge usually occurs 24-36 hours before ovulation, not 12.
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A client's amniocentesis results were reported as 46, XY. Her obstetrician informed her at the time that everything 'looks good.' Shortly after birth the baby is diagnosed with cerebral palsy. Which of the following responses will explain this result?
- A. It is likely that the client received the wrong amniocentesis results.
- B. Cerebral palsy is not a genetic disease.
- C. The genes that cause cerebral palsy have not yet been discovered.
- D. The genetics lab failed to test for cerebral palsy.
Correct Answer: B
Rationale: Cerebral palsy is not typically caused by genetic factors.
A nurse is offering preconception counseling in a primary care clinic. Which statement by a patient indicates a need for correction?
- A. Pregnancy rates are not related to the age of the male partner.
- B. Sexually active males should be routinely tested for STIs and treated appropriately.
- C. Maintaining a healthy weight is important for the reproductive health of both female and male partners.
- D. Certain medications, such as testosterone supplementation and chemotherapy, can impact male fertility.
Correct Answer: A
Rationale: The correct answer is A. Pregnancy rates are indeed related to the age of the male partner because sperm quality and quantity decline with age. This is crucial information in preconception counseling. Choice B is correct as STI testing for sexually active males is important for reproductive health. Choice C is correct as maintaining a healthy weight is crucial for both partners' fertility. Choice D is correct as certain medications can impact male fertility. In summary, the incorrect choice (A) contradicts established knowledge about male age and fertility, making it the correct answer.
A woman has been advised that the reason she has had a number of spontaneous abortions is because she has an inheritable mutation. Which of the following situations is consistent with this statement?
- A. A client developed skin cancer after being exposed to the sun.
- B. A client developed colon cancer from an inherited dominant gene.
- C. A reciprocal translocation was reported on a client's genetic analysis.
- D. A client's left arm failed to develop when she was a fetus.
Correct Answer: C
Rationale: Reciprocal translocations can disrupt genes and lead to recurrent miscarriages.
Nurses working in a midwifery office have attended a conference to learn about factors that increase a woman's risk of becoming infertile. To evaluate the nurses' learning, the conference coordinator tested the nurses' knowledge at the conclusion of the seminar. Which of the following problems should the nurses state increase a client's risk of developing infertility problems? Select all that apply.
- A. Women who have menstrual cycles that are up to 30 days long.
- B. Women who experience pain during intercourse.
- C. Women who have had pelvic inflammatory disease.
- D. Women who have excess facial hair.
Correct Answer: B
Rationale: Pain during intercourse, pelvic inflammatory disease, and hirsutism (excess facial hair) are associated with infertility.
A couple is seeking infertility counseling. The practitioner has identified the factors listed below in the woman's health history. Which of these findings may be contributing to the couple's infertility?
- A. The client is 36 years old.
- B. The client was 13 years old when she started to menstruate.
- C. The client works as a dental hygienist 3 days a week.
- D. The client jogs 2 miles every day.
Correct Answer: A
Rationale: Advanced maternal age is a significant factor in reduced fertility.