Nokea
A patient asks about the purpose of AMH (Anti-Müllerian Hormone) testing. What should the nurse explain?
- A. AMH testing predicts the exact time of ovulation.
- B. AMH levels indicate ovarian reserve and egg quantity.
- C. AMH is used to confirm pregnancy success after IVF.
- D. AMH determines sperm quality in male partners.
Correct Answer: B
Rationale: The correct answer is B: AMH levels indicate ovarian reserve and egg quantity. This is because Anti-Müllerian Hormone (AMH) is primarily secreted by the ovaries and its levels in the blood reflect the number of remaining follicles in the ovaries, which correlates with ovarian reserve and egg quantity. This information is vital for assessing a woman's fertility potential, especially in the context of fertility treatments such as in vitro fertilization (IVF). Choice A is incorrect as AMH testing does not predict the exact time of ovulation, it assesses ovarian reserve. Choice C is incorrect as AMH testing is not used to confirm pregnancy success after IVF, but rather to determine the likelihood of successful response to ovarian stimulation. Choice D is incorrect as AMH does not determine sperm quality in male partners, as it is a hormone produced by the ovaries and is not related to male reproductive function.
You may also like to solve these questions
A nurse is teaching about lifestyle factors that can affect male fertility. Which recommendation is appropriate?
- A. Limit exposure to high temperatures, such as saunas.
- B. Increase calorie intake to boost sperm production.
- C. Use over-the-counter supplements to improve sperm quality.
- D. Avoid physical activity to conserve energy for reproduction.
Correct Answer: A
Rationale: The correct answer is A: Limit exposure to high temperatures, such as saunas. High temperatures can negatively impact sperm production and quality by affecting the testes' ability to regulate temperature. Saunas, hot tubs, and hot baths can increase scrotal temperature, leading to decreased sperm count and motility. This recommendation is appropriate as it addresses a known lifestyle factor that can affect male fertility.
Summary of why other choices are incorrect:
B: Increasing calorie intake does not necessarily boost sperm production. A balanced diet is important for overall health, but excessive calorie intake may lead to obesity, which can negatively impact fertility.
C: Using over-the-counter supplements may not always improve sperm quality, and some supplements may have negative effects. It's essential to consult a healthcare provider before taking any supplements.
D: Avoiding physical activity is not recommended as moderate exercise is beneficial for overall health and can support sperm production. Physical activity helps maintain a healthy weight, which is important for fertility.
How does weight management affect fertility in both men and women?
- A. It has no impact on fertility outcomes.
- B. Maintaining a healthy weight improves hormonal balance and sperm quality.
- C. Weight loss is only beneficial for women trying to conceive.
- D. Being underweight enhances fertility in men.
Correct Answer: B
Rationale: The correct answer is B because maintaining a healthy weight positively affects hormonal balance and sperm quality in both men and women, leading to improved fertility outcomes. This is supported by research showing the link between obesity and infertility. Choice A is incorrect as weight management does impact fertility. Choice C is incorrect as weight loss can benefit fertility in both genders. Choice D is incorrect as being underweight can actually negatively impact fertility in men.
A woman undergoing evaluation of infertility states, "At least when we're through with all of these tests, we will know what is wrong." The nurse's best response is
- A. "I know the test will identify what is wrong."
- B. "I'm sure that once you finish these tests, your problem will be resolved."
- C. "Even with diagnostic testing, infertility remains unexplained in about 20% of couples."
- D. "Once you've identified your problem, you may want to look at the option of adoption."
Correct Answer: C
Rationale: The correct answer is C because it acknowledges the uncertainty in diagnosing infertility, which can remain unexplained in about 20% of couples even after testing. This response is the best because it provides realistic information without giving false hope or making assumptions.
Choice A is incorrect because it asserts that the tests will definitely identify the problem, which is not always the case. Choice B is incorrect as it assumes the problem will be resolved after testing, which may not be true. Choice D is incorrect as it jumps to the conclusion of adoption without addressing the uncertainty of infertility testing.
A woman who has had multiple miscarriages is advised to go through genetic testing. The client asks the nurse the rationale for this recommendation. The nurse should base his or her response on which of the following?
- A. The woman's pedigree may exhibit a mitochondrial inheritance pattern.
- B. The majority of miscarriages are caused by genetic defects.
- C. A woman's chromosomal pattern determines her fertility.
- D. There is a genetic marker that detects the presence of an incompetent cervix.
Correct Answer: B
Rationale: Genetic defects are a common cause of recurrent miscarriages.
The nurse is educating a client about hysterosalpingograms. Which information should the nurse include in her discussion prior to this procedure?
- A. This procedure is always performed under general anesthesia.
- B. This procedure should be performed after ovulation has occurred.
- C. This procedure involves instillation of a radiopaque dye into the uterine cavity.
- D. After the procedure, the client should take Tylenol to decrease cramping.
Correct Answer: C
Rationale: Rationale:
C is correct because hysterosalpingogram involves injecting a radiopaque dye into the uterine cavity to visualize the uterus and fallopian tubes. This helps identify any blockages or abnormalities.
A is incorrect as the procedure is usually done without general anesthesia.
B is incorrect as the procedure is typically scheduled in the early follicular phase.
D is incorrect as Tylenol may not be sufficient for managing post-procedure cramping.