A nurse is teaching a couple about the benefits of IVF. Which statement is accurate?
- A. IVF has a 100% success rate for all couples.
- B. IVF allows for genetic testing of embryos before transfer.
- C. IVF eliminates the need for hormonal injections.
- D. IVF can be performed without any fertility medications.
Correct Answer: B
Rationale: The correct answer is B because IVF allows for genetic testing of embryos before transfer, enabling couples to screen for genetic disorders and select healthy embryos. This statement is accurate as genetic testing is a crucial benefit of IVF. The other choices are incorrect because: A is incorrect as IVF success rates vary and are not 100%; C is incorrect as hormonal injections are often necessary in IVF to stimulate egg production; D is incorrect as fertility medications are commonly used to prepare the body for IVF procedures.
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At ovulation, the basal body temperature usually:
- A. Rises abruptly and then falls 1 or 2 days after menstruation starts.
- B. Falls and remains low for the last half of the cycle.
- C. Is higher during the first half of the cycle than in the last half.
- D. Falls just before ovulation and is higher during the last half.
Correct Answer: A
Rationale: Basal body temperature usually rises abruptly at ovulation and then falls 1 or 2 days after menstruation starts. This rise indicates the release of an egg and the shift from the follicular phase to the luteal phase of the menstrual cycle.
An infertile woman has been diagnosed with endometriosis. She asks the nurse why that diagnosis has made her infertile. Which of the following explanations is appropriate for the nurse to make?
- A. Scarring surrounds the ends of your tubes
- B. preventing your eggs from being fertilized by your partner's sperm.
- C. You are producing insufficient quantities of follicle-stimulating hormone that is needed to mature an egg every month.
- D. Inside your uterus is a benign tumor that makes it impossible for the fertilized egg to implant.
Correct Answer: A
Rationale: Endometriosis can cause scarring and blockage of the fallopian tubes, preventing fertilization.
A woman who is undergoing infertility testing states, "My husband won't discuss this with me. I don't think he cares about or wants a baby." The nurse's ideal response is
- A. "You should confront him about this."
- B. "He probably doesn't understand your concern."
- C. "Men are sometimes less eager to have children."
- D. "It may be harder for him to express his feelings."
Correct Answer: D
Rationale: The correct answer is D because it acknowledges the husband's potential difficulty in expressing his feelings, validating the woman's concerns while also offering empathy. It is important to recognize that discussing infertility can be emotionally challenging for both partners, and the response shows understanding and support.
Choice A is incorrect as it suggests confrontation, which may escalate the situation and lead to further communication breakdown. Choice B implies a lack of understanding on the husband's part, which may not be the case. Choice C is a generalization and may not address the specific dynamics of this couple's situation.
A nurse is educating a group about male infertility. What factor is most likely to affect sperm quality?
- A. Frequent exercise
- B. Use of mobile phones
- C. Exposure to high temperatures
- D. Dietary habits
Correct Answer: C
Rationale: The correct answer is C, exposure to high temperatures. Sperm quality can be significantly affected by high temperatures as heat can damage sperm production. Elevated scrotal temperatures can impair sperm production and motility. Frequent exercise (choice A) is generally beneficial for overall health, including reproductive function. The use of mobile phones (choice B) has not been definitively linked to male infertility. Dietary habits (choice D) can influence overall health but are not as directly linked to sperm quality as exposure to high temperatures.
A 25-year-old female tells the nurse, 'I have always planned on having children, but now I have been diagnosed with leukemia. I will start chemotherapy treatments soon.' The nurse should discuss which fertility preservation options with this patient?
- A. Donor oocytes
- B. Gestational carrier
- C. Ovulation induction with oocyte retrieval
- D. Cryopreservation
Correct Answer: D
Rationale: The correct answer is D: Cryopreservation. This option allows the patient to preserve her fertility by freezing her eggs before starting chemotherapy, which may affect her ovarian function. Cryopreservation is the most suitable choice in this scenario as it provides the patient with the opportunity to have biological children in the future. Donor oocytes (choice A) and gestational carrier (choice B) are not relevant options for this patient as she wants to use her own eggs. Ovulation induction with oocyte retrieval (choice C) may not be feasible due to the urgency of starting chemotherapy and the potential risks associated with ovarian stimulation.