Nokea
A woman calls the health care facility stating that she is in labor. The nurse would urge the client to come to the facility if the client reports which symptom?
- A. increased energy level with alternating strong and weak contractions
- B. moderately strong contractions every 4 minutes, lasting about 1 minute
- C. contractions noted in the front of abdomen that stop when she walks
- D. pink-tinged vaginal secretions and irregular contractions lasting about 30 seconds
Correct Answer: B
Rationale: Moderately strong regular contractions every 4 minutes lasting about 1 minute indicate that the client is likely in active labor and should come to the facility. This pattern suggests progress in labor and the need for medical assistance.
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A patient asks about the effects of environmental toxins on fertility. What should the nurse explain?
- A. Environmental toxins have no impact on fertility outcomes.
- B. Exposure to toxins can harm egg and sperm quality, reducing fertility.
- C. Toxins only affect fertility in individuals over 40.
- D. Avoiding toxins guarantees immediate conception.
Correct Answer: B
Rationale: The correct answer is B because exposure to environmental toxins can indeed harm egg and sperm quality, leading to reduced fertility. Toxins can disrupt hormone balance, affect reproductive organs, and damage genetic material in eggs and sperm. This can result in difficulty conceiving or increased risk of miscarriage. Choices A, C, and D are incorrect. A is inaccurate as environmental toxins can impact fertility outcomes. C is incorrect as toxins can affect fertility at any age. D is misleading as avoiding toxins does not guarantee immediate conception, as fertility is influenced by various factors.
A nurse is explaining genetic testing options before conception. What should be included?
- A. Genetic testing guarantees a successful pregnancy.
- B. It identifies potential genetic conditions that could affect the baby.
- C. It eliminates the need for other prenatal tests.
- D. Genetic testing is only available during pregnancy.
Correct Answer: B
Rationale: The correct answer is B because genetic testing before conception can identify potential genetic conditions that could affect the baby, enabling parents to make informed decisions. This information helps in understanding the risk of passing on genetic disorders and allows for options like genetic counseling or assisted reproductive technologies. Choice A is incorrect because genetic testing does not guarantee a successful pregnancy. Choice C is incorrect as other prenatal tests may still be necessary. Choice D is incorrect as genetic testing can be done before conception as well.
A patient asks why vitamin D is important for reproductive health. What is the nurse's response?
- A. Vitamin D is only necessary during the third trimester of pregnancy.
- B. It supports hormonal balance and may improve egg quality and implantation rates.
- C. It prevents neural tube defects in early pregnancy.
- D. Vitamin D eliminates the need for other prenatal vitamins.
Correct Answer: B
Rationale: The correct answer is B: It supports hormonal balance and may improve egg quality and implantation rates. Vitamin D plays a crucial role in reproductive health by supporting hormonal balance, which is essential for the regulation of menstrual cycles and overall reproductive function. Additionally, adequate levels of vitamin D have been associated with improved egg quality and increased success rates of implantation during conception.
Incorrect choices:
A: Vitamin D is necessary throughout pregnancy, not just during the third trimester.
C: Prevention of neural tube defects is mainly linked to folic acid intake, not vitamin D.
D: Vitamin D is important for overall health, but it does not eliminate the need for other essential prenatal vitamins that provide a variety of nutrients necessary for a healthy pregnancy.
During a genetic evaluation, it is discovered that the woman is carrying one autosomal dominant gene for a serious late adult–onset disease, while her partner's history is unremarkable. Based on this information, which of the following family members should be considered high risk and in need of genetic counseling? Select all that apply.
- A. The woman's fetus.
- B. The woman's sisters.
- C. The woman's brothers.
- D. The woman's parents.
Correct Answer: A
Rationale: All first-degree relatives and offspring are at risk for inheriting the gene.
A patient undergoing IUI asks how the procedure increases the chances of conception. What should the nurse explain?
- A. IUI bypasses the cervix, placing sperm directly in the uterus.
- B. IUI enhances egg quality before fertilization.
- C. IUI eliminates the need for ovulation tracking.
- D. IUI combines egg and sperm outside the body before transfer.
Correct Answer: A
Rationale: The correct answer is A because IUI (Intrauterine Insemination) bypasses the cervix and places sperm directly in the uterus, increasing the chances of sperm reaching the fallopian tubes to fertilize the egg. This method improves the sperm's proximity to the egg, optimizing the chances of conception. The other choices are incorrect because B (enhancing egg quality) is not achieved through IUI, C (eliminating ovulation tracking) is not true as tracking is still necessary for timing the procedure, and D (combining egg and sperm outside the body) describes in vitro fertilization (IVF), not IUI.