Nokea
A nurse working in an infertility clinic should include which of the following in her discussions with the couple?
- A. Adoption as an alternative to infertility treatments.
- B. The legal controversy surrounding artificial insemination.
- C. The need to seek marriage counseling before undergoing infertility treatments.
- D. Statistics regarding the number of couples who never learn why they are infertile.
Correct Answer: A
Rationale: Adoption is a practical and compassionate alternative for couples struggling with infertility.
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Which instruction by the nurse should be included in the teaching plan for an infertile woman who has been shown to have a 28-day biphasic menstrual cycle?
- A. Douche with a cider vinegar solution immediately before having intercourse.
- B. Schedule intercourse every day from day 8 to day 14 of the menstrual cycle.
- C. Be placed on follicle-stimulating hormone therapy by the fertility specialist.
- D. Assess the basal body temperature pattern for at least 6 more months.
Correct Answer: B
Rationale: Intercourse during the fertile window (days 8–14 in a 28-day cycle) maximizes conception chances.
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.
A patient undergoing IVF asks about the role of gonadotropins. What should the nurse explain?
- A. Gonadotropins suppress ovulation to control the cycle.
- B. They stimulate the ovaries to produce multiple eggs for retrieval.
- C. They are only used during natural conception cycles.
- D. Gonadotropins replace progesterone in early pregnancy.
Correct Answer: B
Rationale: The correct answer is B because gonadotropins stimulate the ovaries to produce multiple eggs for retrieval during IVF. This is crucial to increase the chances of successful fertilization. Choice A is incorrect as gonadotropins actually stimulate ovulation. Choice C is incorrect as gonadotropins are specifically used in assisted reproductive technologies like IVF. Choice D is incorrect as gonadotropins do not replace progesterone but rather help in follicular development.
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 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.