Nokea
Assessment of a pregnant woman reveals that the presenting part of the fetus is at the level of the maternal ischial spines. The nurse documents this as which station?
- A. -2
- B. -1
- D. 1
Correct Answer: C
Rationale: Zero (0) station is designated when the presenting part is at the level of the maternal ischial spines. Minus stations are used when the presenting part is above the ischial spines, and plus stations are used when the presenting part is below the ischial spines.
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A nurse is educating a patient about the two-week wait period after an IVF embryo transfer. What should the nurse emphasize?
- A. Avoid any physical activity during this time.
- B. Take a pregnancy test immediately after the transfer.
- C. Focus on stress management and follow any prescribed medications.
- D. Increase protein intake to improve embryo implantation chances.
Correct Answer: C
Rationale: The correct answer is C: Focus on stress management and follow any prescribed medications. During the two-week wait period after an IVF embryo transfer, it is crucial for the patient to manage stress levels as high stress can negatively impact implantation. Following prescribed medications is important for maintaining optimal conditions for the embryo to implant successfully.
Avoiding physical activity (choice A) is not necessary as moderate physical activity is usually permitted unless advised otherwise by the healthcare provider. Taking a pregnancy test immediately (choice B) is not recommended as it may not accurately reflect the outcome at such an early stage. Increasing protein intake (choice D) may be beneficial for overall health but does not directly impact embryo implantation during the two-week wait period.
A couple is seeking advice regarding actions that they can take to increase their potential of becoming pregnant. Which of the following recommendations should the nurse give to the couple?
- A. The couple should use vaginal lubricants during intercourse.
- B. The couple should delay having intercourse until the day of ovulation.
- C. The woman should refrain from douching.
- D. The man should be on top during intercourse.
Correct Answer: C
Rationale: Douching can alter the vaginal pH and reduce sperm motility, thus reducing fertility.
The nurse is counseling a couple about ovulation predictor kits. What is the most important advice?
- A. They require a prescription.
- B. They detect the LH surge, signaling ovulation within the next 24 to 36 hours.
- C. They are most effective when used randomly during the cycle.
- D. They confirm pregnancy rather than ovulation.
Correct Answer: B
Rationale: The correct answer is B because ovulation predictor kits detect the LH surge, which occurs approximately 24 to 36 hours before ovulation. This information is crucial for timing intercourse to maximize the chances of conception. Choice A is incorrect because ovulation predictor kits are typically available over the counter and do not require a prescription. Choice C is incorrect because these kits should be used strategically around the expected time of ovulation for accurate results. Choice D is incorrect because ovulation predictor kits do not confirm pregnancy; they only indicate the LH surge and impending ovulation.
A patient undergoing IVF asks about the risks of transferring multiple embryos. What should the nurse discuss?
- A. Increased chances of multiple pregnancies, which can pose risks to both mother and babies.
- B. Reduced implantation rates due to overcrowding in the uterus.
- C. Improved success rates with no associated risks.
- D. Increased likelihood of genetic abnormalities.
Correct Answer: A
Rationale: The correct answer is A because transferring multiple embryos during IVF increases the likelihood of multiple pregnancies, which can lead to complications for both the mother and babies, such as preterm birth and low birth weight. This is a well-documented risk in IVF procedures.
Choice B is incorrect because overcrowding in the uterus does not reduce implantation rates; rather, it can increase the chances of successful implantation of the embryos.
Choice C is incorrect as transferring multiple embryos does not guarantee improved success rates and can actually increase the risks associated with multiple pregnancies.
Choice D is incorrect because while there is a slightly increased risk of genetic abnormalities in pregnancies resulting from IVF, the primary concern related to transferring multiple embryos is the increased risk of multiple pregnancies.
A couple asks about the role of hormone testing in infertility evaluation. What should the nurse explain?
- A. Hormone testing is only necessary after conception.
- B. It identifies hormonal imbalances affecting ovulation and fertility.
- C. Hormone testing predicts the gender of future embryos.
- D. It measures physical factors like uterine health.
Correct Answer: B
Rationale: The correct answer is B because hormone testing is essential in identifying hormonal imbalances that can affect ovulation and fertility. By measuring hormone levels such as estrogen, progesterone, and follicle-stimulating hormone, healthcare providers can pinpoint issues that may be inhibiting conception. Hormone testing helps determine the timing of ovulation and the overall health of the reproductive system.
Choice A is incorrect because hormone testing is not solely for post-conception purposes; it is crucial in diagnosing infertility issues. Choice C is inaccurate as hormone testing does not predict the gender of embryos but rather focuses on hormonal balance. Choice D is also incorrect as hormone testing primarily assesses hormone levels, not physical factors like uterine health.