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A patient undergoing ovarian stimulation reports mild bloating and abdominal discomfort. What is the nurse's appropriate response?
- A. These symptoms may indicate ovarian hyperstimulation syndrome and need monitoring.
- B. These symptoms are not related to ovarian stimulation.
- C. Abdominal discomfort guarantees successful ovulation.
- D. These symptoms suggest the treatment is ineffective.
Correct Answer: A
Rationale: The correct answer is A because bloating and abdominal discomfort can be early signs of ovarian hyperstimulation syndrome, a serious condition that requires monitoring. Choice B is incorrect as these symptoms can indeed be related to ovarian stimulation. Choice C is incorrect as abdominal discomfort does not guarantee successful ovulation. Choice D is incorrect as these symptoms do not necessarily suggest treatment ineffectiveness. Monitoring and assessing for signs of ovarian hyperstimulation syndrome are crucial in this scenario.
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What is the significance of a semen analysis in evaluating infertility?
- A. It determines the number, shape, and movement of sperm.
- B. It checks for genetic conditions affecting sperm.
- C. It monitors hormone levels in males.
- D. It identifies infections in the reproductive tract.
Correct Answer: A
Rationale: The correct answer is A because a semen analysis assesses important parameters such as sperm count, morphology (shape), and motility (movement), which are crucial factors in male fertility. Sperm count indicates the quantity of sperm available for fertilization. Morphology assesses the structural integrity of sperm, while motility determines their ability to reach and fertilize an egg. These parameters directly impact fertility potential.
Choice B is incorrect because a semen analysis does not specifically check for genetic conditions affecting sperm. Choice C is incorrect as hormone levels are not directly evaluated in a semen analysis. Choice D is incorrect because while infections can affect fertility, they are not the primary focus of a standard semen analysis.
Once oogenesis is complete, the resultant gamete cell contains how many chromosomes?
- A. 23
- B. 46
- C. 47
- D. 92
Correct Answer: A
Rationale: Oogenesis results in a haploid gamete with 23 chromosomes.
A nurse is explaining the significance of luteal phase support in fertility treatments. What should the nurse emphasize?
- A. It triggers ovulation during the menstrual cycle.
- B. It involves supplementing progesterone to maintain the uterine lining.
- C. It enhances egg quality during ovarian stimulation.
- D. It prevents implantation failure by increasing estrogen levels.
Correct Answer: B
Rationale: The correct answer is B. Luteal phase support involves supplementing progesterone to maintain the uterine lining, crucial for implantation and early pregnancy support. Progesterone prepares the endometrium for implantation and helps sustain early pregnancy. Other choices are incorrect: A is incorrect as ovulation is triggered by the surge in luteinizing hormone, not luteal phase support. C is incorrect as egg quality is primarily influenced during ovarian stimulation, not luteal phase support. D is incorrect as estrogen is not the primary hormone involved in preventing implantation failure, it is progesterone.
A patient asks about the purpose of egg retrieval in IVF. What should the nurse explain?
- A. Egg retrieval removes immature eggs for storage.
- B. It collects mature eggs from the ovaries for fertilization in the lab.
- C. Egg retrieval monitors ovarian reserve.
- D. It is performed after implantation to confirm pregnancy.
Correct Answer: B
Rationale: The correct answer is B: It collects mature eggs from the ovaries for fertilization in the lab.
Rationale:
1. Egg retrieval in IVF involves retrieving mature eggs from the woman's ovaries to be fertilized with sperm in a laboratory setting.
2. These fertilized eggs (embryos) are then transferred back into the uterus for potential implantation.
3. This process is crucial for successful IVF as it allows for controlled fertilization outside the body.
Summary of other choices:
A: Incorrect. Egg retrieval is not for storing immature eggs but for obtaining mature eggs for immediate fertilization.
C: Incorrect. Egg retrieval is not for monitoring ovarian reserve; this is typically done through other tests.
D: Incorrect. Egg retrieval occurs before implantation to collect eggs for fertilization, not after implantation.
A woman asks the obstetrician's nurse about cord blood banking. Which of the following responses by the nurse would be best?
- A. I think it would be best to ask the doctor to tell you about that.
- B. The cord blood is frozen in case your baby develops a serious illness in the future.
- C. The doctors could transfuse anyone who gets into a bad accident with the blood.
- D. Cord blood banking is very expensive and the blood is rarely ever used.
Correct Answer: B
Rationale: Cord blood banking preserves stem cells for potential future medical use.