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A patient undergoing IUI asks why sperm washing is performed. What is the nurse's explanation?
- A. It concentrates healthy sperm to increase fertilization potential.
- B. It ensures sperm are only viable for IVF procedures.
- C. It reduces the chances of genetic abnormalities in offspring.
- D. It prevents ovulation from occurring too early in the cycle.
Correct Answer: A
Rationale: The correct answer is A because sperm washing in IUI concentrates healthy sperm, removing debris and non-motile sperm, increasing the chance of fertilization. Choice B is incorrect as sperm washing is not specifically for IVF. Choice C is incorrect, as genetic abnormalities are not directly related to sperm washing. Choice D is incorrect, as sperm washing does not affect ovulation timing.
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A female client seeks care at an infertility clinic. Which of the following tests may the client undergo to determine what, if any, infertility problem she may have? Select all that apply.
- A. Chorionic villus sampling.
- B. Endometrial biopsy.
- C. Hysterosalpingogram.
- D. Serum progesterone assay.
Correct Answer: B
Rationale: Tests like endometrial biopsy, hysterosalpingogram, and serum progesterone assay help diagnose infertility causes.
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.
What dietary recommendation should the nurse provide to a patient trying to conceive?
- A. Follow a high-protein diet to support fertility.
- B. Consume a variety of fruits, vegetables, and whole grains.
- C. Eliminate all sources of fat from the diet.
- D. Increase caffeine intake for better energy during ovulation.
Correct Answer: B
Rationale: The correct answer is B: Consume a variety of fruits, vegetables, and whole grains. This recommendation is based on the importance of a balanced and nutritious diet for overall health and fertility. Fruits, vegetables, and whole grains provide essential vitamins, minerals, and antioxidants that support reproductive health. High-protein diets (choice A) may be beneficial but should not be the sole focus. Eliminating all sources of fat (choice C) is not recommended as healthy fats are essential for hormone production. Increasing caffeine intake (choice D) can have negative effects on fertility. In summary, a diet rich in fruits, vegetables, and whole grains provides the necessary nutrients for optimal fertility.
The nurse is reviewing the monitoring strip of a woman in labor who is experiencing a contraction. The nurse notes the time the contraction takes from its onset to reach its highest intensity. The nurse interprets this time as which phase?
- A. increment
- B. acme
- C. peak
- D. decrement
Correct Answer: A
Rationale: The correct answer is A because the time from the onset of a contraction to its highest intensity corresponds to the increment phase, which is the buildup of the contraction. The acme is the peak intensity, and the decrement is the relaxation phase.
A 25-year-old woman, G0 P0000, enters the infertility clinic stating that she has just learned she is positive for the BRCA1 and the BRCA2 genes. She asks the nurse what her options are for getting pregnant and breastfeeding her baby. The nurse should base her reply on which of the following?
- A. Fertility of women who carry the BRCA1 and BRCA2 genes is similar to that of unaffected women.
- B. Women with these genes should be advised not to have children because the children could inherit the defective genes.
- C. Women with these genes should have their ovaries removed as soon as possible to prevent ovarian cancer.
- D. Lactation is contraindicated for women who carry the BRCA1 and BRCA 2 genes.
Correct Answer: A
Rationale: BRCA1/2 status does not directly affect fertility or breastfeeding.