Cervical mucus at ovulation should be:
- A. Thin and slippery, and should stretch to at least 6 cm.
- B. Cloudy with a mild odor and should stretch to at least 6 cm.
- C. Thick, clear, and of a large amount.
- D. Thin and tinged with a small amount of blood.
Correct Answer: A
Rationale: Cervical mucus at ovulation should be thin and slippery, and should stretch to at least 6 cm. This type of mucus indicates the fertile window and the best time for conception.
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A nurse is educating a couple about lifestyle factors that impact fertility. What recommendation should the nurse give?
- A. Avoid moderate alcohol consumption.
- B. Reduce stress levels through relaxation techniques.
- C. Increase protein intake for better egg quality.
- D. Use over-the-counter fertility supplements.
Correct Answer: B
Rationale: The correct answer is B: Reduce stress levels through relaxation techniques. Stress can negatively impact fertility by disrupting hormone levels and ovulation. Relaxation techniques can help manage stress, promoting better reproductive health.
A: Avoiding moderate alcohol consumption is important for fertility, but stress reduction has a more direct impact.
C: While protein is essential for overall health, there is no direct evidence linking increased protein intake to improved egg quality.
D: Using over-the-counter fertility supplements may not be necessary if stress reduction can improve fertility outcomes without additional interventions.
A couple undergoing fertility treatments asks about male factor infertility. What should the nurse discuss?
- A. Male infertility is always caused by low testosterone levels.
- B. Sperm count, motility, and morphology are critical factors in male fertility.
- C. Male infertility does not affect the success of fertility treatments.
- D. Male factor infertility cannot be diagnosed with a semen analysis.
Correct Answer: B
Rationale: The correct answer is B because sperm count, motility, and morphology are indeed critical factors in male fertility. Sperm count refers to the number of sperm present, motility is the ability of sperm to move effectively, and morphology relates to the shape and structure of sperm. These factors directly impact a man's fertility potential.
Choice A is incorrect because male infertility can have various causes, not solely low testosterone levels. Choice C is incorrect as male infertility can impact the success of fertility treatments. Choice D is incorrect because semen analysis is a key diagnostic tool for identifying male factor infertility.
During an infertility consultation, the nurse explains the impact of endometriosis on fertility. What should the nurse emphasize?
- A. Endometriosis improves the chances of conception naturally.
- B. Endometriosis can cause scarring and reduce ovarian function.
- C. Endometriosis is unrelated to infertility.
- D. Endometriosis eliminates the need for fertility treatments.
Correct Answer: B
Rationale: The correct answer is B because endometriosis can lead to scarring in the reproductive organs and reduce ovarian function, affecting fertility. Scarring can block the fallopian tubes, impairing egg and sperm transport. Reduced ovarian function can affect egg quality and quantity. Choices A, C, and D are incorrect. Endometriosis does not improve natural conception chances; it is a leading cause of infertility. It is related to infertility due to its impact on reproductive organs. Endometriosis often necessitates fertility treatments due to its effects on fertility.
The nurse is counseling a couple about infertility. Which piece of assessment data may affect the woman's ability to become pregnant?
- A. The woman exercises three times a week for 1 hour.
- B. The couple each consumes a glass of wine each night.
- C. The couple has a sauna in their backyard.
- D. The male partner works on heavy machinery.
Correct Answer: C
Rationale: The correct answer is C. Having a sauna in the backyard may affect the woman's ability to become pregnant due to the potential negative impact of excessive heat on sperm production and ovulation. Saunas can raise body temperature, which can be harmful to sperm and reduce fertility.
Explanation of other choices:
A: Regular exercise is generally beneficial for fertility and overall health, so this is unlikely to significantly impact the woman's ability to become pregnant.
B: Consuming a glass of wine each night in moderation is not likely to have a significant impact on fertility unless it leads to excessive alcohol consumption.
D: Working on heavy machinery may pose risks to male fertility due to potential exposure to harmful chemicals or radiation, but this choice doesn't directly impact the woman's ability to become pregnant.
The nurse is instructing a client on taking her basal body temperature. What is the primary purpose of this test?
- A. To determine if the client's cervical mucus contains enough estrogen to support sperm motility.
- B. To identify if the client's temperature rises 1 to 5 days after midcycle.
- C. To assess whether surgical correction of uterine pathology is needed.
- D. To identify if the client is experiencing blockage of the uterine cavity and fallopian tubes.
Correct Answer: B
Rationale: Rationale: The correct answer is B because basal body temperature rises 1 to 5 days after midcycle, indicating ovulation. This helps determine the client's most fertile period for conception. Choice A is incorrect as basal body temperature does not assess cervical mucus. Choice C is incorrect as it does not evaluate uterine pathology. Choice D is incorrect as basal body temperature does not assess blockage of uterine cavity or fallopian tubes.