Nokea
A nurse is providing care to a pregnant woman in labor. The woman is in the first stage of labor. When describing this stage to the client, which event would the nurse identify as the major change occurring during this stage?
- A. regular contractions
- B. cervical dilation
- C. fetal movement through the birth canal
- D. placental separation
Correct Answer: B
Rationale: The primary change during the first stage of labor is cervical dilation. Contractions occur during both the first and second stages, fetal movement through the birth canal is a major change in the second stage, and placental separation occurs in the third stage.
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During infertility counseling, the nurse explains the purpose of an HSG (hysterosalpingogram). What is the best explanation?
- A. It evaluates ovarian function and hormone levels.
- B. It assesses the structure and patency of the uterus and fallopian tubes.
- C. It determines the timing of ovulation for insemination.
- D. It monitors fetal development during early pregnancy.
Correct Answer: B
Rationale: Rationale: The correct answer is B because an HSG is used to visualize the structure and patency of the uterus and fallopian tubes, helping to diagnose causes of infertility such as tubal blockages or abnormalities. A is incorrect because HSG does not assess ovarian function or hormone levels. C is incorrect as HSG does not determine ovulation timing but rather evaluates tubal patency. D is incorrect because HSG is not used to monitor fetal development.
A patient undergoing infertility treatment asks about the importance of stress management. What should the nurse explain?
- A. Stress has no impact on fertility treatment outcomes.
- B. Stress can negatively affect hormone levels and ovulation.
- C. Managing stress is only important after conception occurs.
- D. Stress is a common cause of infertility in both partners.
Correct Answer: B
Rationale: The correct answer is B because stress can indeed negatively affect hormone levels and ovulation, thereby impacting fertility treatment outcomes. High levels of stress can disrupt the delicate balance of hormones involved in the reproductive process, leading to irregular ovulation and potentially hindering conception. It is essential for patients undergoing infertility treatment to manage stress effectively to optimize their chances of success.
Choice A is incorrect because research suggests that stress can impact fertility treatment outcomes. Choice C is incorrect as stress management is important throughout the fertility treatment process, not just after conception. Choice D is incorrect because while stress can contribute to infertility, it is not always the primary cause and can affect fertility differently in each partner.
A nurse is instructing a client on taking her basal body temperature. The nurse understands that this test is used to determine which of the following?
- A. If the client's cervical mucus contains enough estrogen to support sperm motility.
- B. If the client's temperature rises 1 to 5 days after the midcycle.
- C. If surgical correction of uterine pathology is needed.
- D. If the client is experiencing blockage of the uterine cavity and fallopian tubes.
Correct Answer: B
Rationale: The correct answer is B because basal body temperature rises 1 to 5 days after ovulation, indicating that ovulation has occurred. This is important for tracking fertility and planning conception.
A is incorrect because basal body temperature is not used to determine estrogen levels in cervical mucus.
C is incorrect because basal body temperature is not used to diagnose uterine pathology.
D is incorrect because basal body temperature does not assess blockages in the uterine cavity or fallopian tubes.
What is the significance of basal body temperature (BBT) tracking in fertility?
- A. BBT predicts the exact time of ovulation.
- B. A rise in BBT confirms that ovulation has occurred.
- C. BBT tracking eliminates the need for ovulation predictor kits.
- D. BBT remains constant throughout the menstrual cycle.
Correct Answer: B
Rationale: Correct Answer: B
Rationale:
1. BBT rise confirms ovulation due to increased progesterone post-ovulation.
2. Progesterone causes a slight increase in BBT, signaling the release of an egg.
3. The shift in BBT helps predict the fertile window for conception.
4. BBT tracking does not predict the exact time of ovulation (A), nor eliminate the need for ovulation predictor kits (C), and BBT does not remain constant throughout the cycle (D).
A provider has ordered diagnostic procedures for a couple with suspected infertility. Which test 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 released after ovulation, indicating that ovulation has occurred. Monitoring progesterone levels can confirm ovulation timing. FSH (A) is more related to ovarian reserve. Estrogen (C) levels fluctuate during the menstrual cycle. Vaginal ultrasound (D) can visualize ovarian follicles but does not confirm ovulation.