Nokea
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.
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Which statement by a gravid client who is a carrier for Duchenne muscular dystrophy, an X-linked recessive disease, indicates that she understands the implications of her status?
- A. If I have a girl
- B. she will be healthy.
- C. None of my children will be at risk of the disease.
- D. If I have a boy
Correct Answer: A
Rationale: Girls of carriers have a 50% chance of being carriers but are not affected unless the father also contributes the defective gene.
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.
A nurse is teaching a couple about the benefits of IVF. Which statement is accurate?
- A. IVF has a 100% success rate for all couples.
- B. IVF allows for genetic testing of embryos before transfer.
- C. IVF eliminates the need for hormonal injections.
- D. IVF can be performed without any fertility medications.
Correct Answer: B
Rationale: The correct answer is B because IVF allows for genetic testing of embryos before transfer, enabling couples to screen for genetic disorders and select healthy embryos. This statement is accurate as genetic testing is a crucial benefit of IVF. The other choices are incorrect because: A is incorrect as IVF success rates vary and are not 100%; C is incorrect as hormonal injections are often necessary in IVF to stimulate egg production; D is incorrect as fertility medications are commonly used to prepare the body for IVF procedures.
Lori, who is 32 years old, is taking clomiphene citrate to induce ovulation and presents to the office for a vaginal ultrasound. Lori mentions experiencing abdominal bloating, nausea, and weight gain of 5 pounds over the past 12 hours. What condition do these symptoms indicate?
- A. Ovulation
- B. Premenstrual syndrome
- C. Ovarian hyperstimulation syndrome
- D. Failed ovulation induction
Correct Answer: C
Rationale: Rationale:
1. Lori is taking clomiphene citrate which can lead to ovarian hyperstimulation syndrome (OHSS).
2. Symptoms like abdominal bloating, weight gain, and nausea are characteristic of OHSS.
3. OHSS typically occurs after ovulation induction medications like clomiphene citrate.
4. Therefore, Lori's symptoms indicate ovarian hyperstimulation syndrome.
Summary:
A. Ovulation is incorrect as the symptoms suggest a complication of ovulation induction, not ovulation itself.
B. Premenstrual syndrome does not explain the acute symptoms and weight gain.
D. Failed ovulation induction is incorrect as the symptoms are not indicative of failed ovulation but rather an adverse reaction to the medication.
A couple that has been attempting to become pregnant for 5 years is seeking assistance from an infertility clinic. The nurse assesses the clients' emotional responses to their infertility. Which of the following responses would the nurse expect to find? Select all that apply.
- A. Anger at others who have babies.
- B. Feelings of failure because they can't make a baby.
- C. Sexual excitement because they want so desperately to conceive a baby.
- D. Sadness because of the perceived loss of being a parent.
Correct Answer: A
Rationale: Common emotional responses to infertility include anger, feelings of failure, and sadness.