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A patient asks why folic acid is recommended before conception. What should the nurse explain?
- A. It improves egg quality for fertilization.
- B. It prevents neural tube defects in the developing fetus.
- C. It reduces the risk of multiple pregnancies.
- D. It enhances hormone levels during ovulation.
Correct Answer: B
Rationale: The correct answer is B because folic acid is known to prevent neural tube defects like spina bifida in the developing fetus. This is crucial in the early stages of pregnancy when the neural tube is forming. Other choices are incorrect because folic acid does not directly impact egg quality, the risk of multiple pregnancies, or hormone levels during ovulation. Overall, the primary rationale for recommending folic acid before conception is to ensure the proper development of the baby's neural tube.
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The genetic counselor informs a couple that they have a 25% probability of getting pregnant with a child with a severe genetic disease. The couple asks the nurse exactly what that means. Which of the following responses by the nurse is appropriate?
- A. Their first child will have the genetic disease.
- B. If they have four children
- C. one of the children will have the disease.
- D. Their fourth child will have the genetic disease.
Correct Answer: D
Rationale: A 25% probability applies independently to each pregnancy.
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.
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.
A patient undergoing ovulation induction asks about the risks involved. What should the nurse include in the discussion?
- A. There are no risks associated with ovulation induction.
- B. The most common risk is ovarian hyperstimulation syndrome (OHSS).
- C. Ovulation induction reduces the chances of natural conception.
- D. Risks only occur with injectable medications.
Correct Answer: B
Rationale: The correct answer is B: The most common risk is ovarian hyperstimulation syndrome (OHSS). This is because during ovulation induction, there is a risk of overstimulating the ovaries, leading to OHSS. This condition can cause abdominal pain, bloating, and in severe cases, fluid accumulation in the abdomen and chest. Other choices are incorrect: A is false as there are risks associated with ovulation induction. C is incorrect because ovulation induction actually increases the chances of conception. D is incorrect as risks can also occur with oral medications, not just injectables.
A nurse is discussing the benefits of a single embryo transfer (SET) in IVF. What should the nurse emphasize?
- A. SET guarantees a successful pregnancy with one attempt.
- B. SET reduces the risk of multiple pregnancies and associated complications.
- C. SET eliminates the need for ovarian stimulation in future cycles.
- D. SET improves egg quality for future cycles.
Correct Answer: B
Rationale: The correct answer is B: SET reduces the risk of multiple pregnancies and associated complications. This is because transferring a single embryo in IVF lowers the chances of multiple gestations, which can lead to higher risks for both the mother and the babies. This choice emphasizes the importance of safety and health benefits for both the mother and potential offspring.
Choice A is incorrect as there is no guarantee of a successful pregnancy with one attempt. Choice C is incorrect as ovarian stimulation may still be needed in future cycles even with SET. Choice D is incorrect as SET does not directly improve egg quality for future cycles.