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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.
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A nurse is educating a patient about frozen embryo transfer (FET). What should be emphasized?
- A. FET requires daily hormone injections for success.
- B. FET involves transferring previously frozen embryos into the uterus.
- C. FET is only performed if natural conception is impossible.
- D. FET guarantees a successful pregnancy outcome.
Correct Answer: B
Rationale: The correct answer is B: FET involves transferring previously frozen embryos into the uterus. This is because FET is a process where frozen embryos from a previous IVF cycle are thawed and transferred into the uterus. The other choices are incorrect: A is false as hormone injections may not be required daily, C is false as FET can be done for various reasons beyond just natural conception issues, and D is false as success is not guaranteed in any fertility treatment.
What is the primary goal of using gonadotropins in fertility treatments?
- A. To suppress ovulation for egg preservation.
- B. To stimulate the ovaries to produce multiple eggs.
- C. To prevent hormonal fluctuations during the menstrual cycle.
- D. To enhance uterine lining growth for implantation.
Correct Answer: B
Rationale: The primary goal of using gonadotropins in fertility treatments is to stimulate the ovaries to produce multiple eggs. This increases the chances of successful fertilization and pregnancy. Gonadotropins mimic the natural hormones that regulate ovulation and stimulate the growth of follicles in the ovaries. By producing multiple eggs, there is a higher likelihood of at least one egg being successfully fertilized.
Choice A is incorrect because gonadotropins actually stimulate ovulation rather than suppress it.
Choice C is incorrect as gonadotropins do not prevent hormonal fluctuations but rather help regulate and induce controlled hormonal changes.
Choice D is incorrect as the primary goal of using gonadotropins is not to enhance uterine lining growth but rather to stimulate egg production in the ovaries.
A nurse is providing care to a woman in labor. After assessment of the fetus, the nurse documents the fetal lie. Which term would the nurse use?
- A. flexion
- B. extension
- C. longitudinal
- D. cephalic
Correct Answer: C
Rationale: The correct answer is C because fetal lie refers to the relationship of the long axis of the fetus to the long axis of the mother. The primary lies are longitudinal, oblique, and transverse. Flexion and extension are terms used to describe fetal attitude, while cephalic is used to describe fetal presentation.
Nurses working in a midwifery office have attended a conference to learn about factors that increase a woman's risk of becoming infertile. To evaluate the nurses' learning, the conference coordinator tested the nurses' knowledge at the conclusion of the seminar. Which of the following problems should the nurses state increase a client's risk of developing infertility problems? Select all that apply.
- A. Women who have menstrual cycles that are up to 30 days long.
- B. Women who experience pain during intercourse.
- C. Women who have had pelvic inflammatory disease.
- D. Women who have excess facial hair.
Correct Answer: B
Rationale: Pain during intercourse, pelvic inflammatory disease, and hirsutism (excess facial hair) are associated with infertility.
A woman asks the nurse, 'My nuchal fold scan results were abnormal. What does that mean?' Which of the following comments is appropriate for the nurse to make at this time?
- A. I am sorry to tell you that your baby will be born with a serious deformity.
- B. The results show that your child will have cri du chat syndrome.
- C. The test is done to see if you are high risk for preterm labor.
- D. An abnormal test indicates that your baby may have Down syndrome.
Correct Answer: D
Rationale: Abnormal nuchal fold scans can indicate chromosomal abnormalities like Down syndrome.