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Choose the correct instructions for a man who must provide a semen sample.
- A. After collecting the sample in a condom, refrigerate it until it is transported to the laboratory.
- B. Masturbation is the only way a good sample can be obtained.
- C. Keep the sample near the body, and transport it to the laboratory within 1 hour.
- D. Do not take any regularly scheduled drugs for 3 days before obtaining the sample.
Correct Answer: C
Rationale: The correct instructions for a man providing a semen sample is to keep the sample near the body and transport it to the laboratory within 1 hour. This ensures the sample remains viable for accurate testing.
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A patient asks about the benefits of Preimplantation Genetic Testing (PGT) during IVF. What should the nurse explain?
- A. PGT is used to improve uterine health.
- B. It helps identify genetic abnormalities in embryos before transfer.
- C. PGT eliminates the need for regular fertility testing.
- D. It guarantees a healthy pregnancy.
Correct Answer: B
Rationale: The correct answer is B: It helps identify genetic abnormalities in embryos before transfer. PGT is used during IVF to screen embryos for genetic conditions, allowing for the selection of healthy embryos for transfer, reducing the risk of passing genetic disorders to offspring. This is a crucial benefit of PGT as it helps in making informed decisions about embryo selection. Choices A, C, and D are incorrect because PGT focuses on genetic screening of embryos, not on improving uterine health, eliminating the need for fertility testing, or guaranteeing a healthy pregnancy.
The nurse educator is conducting a class for student nurses on X-linked recessive disorders. Which responses from a student nurse indicate that further education is needed?
- A. The male can't be a carrier if he doesn't have an X-linked disorder.
- B. If the male doesn't have an X-linked disorder, then his children won't either.
- C. If the female is a carrier, her daughter could be one too.
- D. If the female is a carrier, her sons may have an X-linked recessive disorder.
Correct Answer: B
Rationale: The correct answer is B because it is incorrect to assume that if a male doesn't have an X-linked disorder, then his children won't either. This statement overlooks the fact that the male could carry the recessive gene and pass it on to his daughters, who could then become carriers. This demonstrates a lack of understanding of how X-linked recessive disorders are inherited.
A: This statement is correct as males cannot be carriers of X-linked recessive disorders.
C: This statement is correct as females who are carriers have a 50% chance of passing on the recessive gene to their daughters.
D: This statement is correct as sons of carrier females have a 50% chance of inheriting the X-linked recessive disorder.
The nurse is instructing a client on taking her basal body temperature. The nurse understands that this test is used to determine which of the following?
- A. If the client's cervical mucus contains enough estrogen to support sperm motility
- B. If the client's temperature rises 1 to 5 days after the midcycle
- C. If surgical correction of uterine pathology is needed
- D. If the client is experiencing blockage of the uterine cavity and the fallopian tubes
Correct Answer: B
Rationale: The correct answer is B: If the client's temperature rises 1 to 5 days after the midcycle. Basal body temperature is used to detect ovulation, which occurs when there is a rise in temperature after the midcycle. This rise indicates that ovulation has occurred. Monitoring basal body temperature is a natural family planning method.
A: Checking cervical mucus for estrogen levels is typically done to assess fertility but not related to basal body temperature.
C: Basal body temperature does not provide information on the need for surgical correction of uterine pathology.
D: Basal body temperature does not assess blockages in the uterine cavity or fallopian tubes.
A patient undergoing ovarian stimulation is concerned about side effects. What should the nurse include in patient education?
- A. Side effects are rare and do not require monitoring.
- B. Mild bloating and mood changes are common during stimulation.
- C. The risk of ovarian hyperstimulation syndrome (OHSS) is negligible.
- D. Stimulation guarantees the production of high-quality eggs.
Correct Answer: B
Rationale: Rationale:
Bloating and mood changes are common side effects of ovarian stimulation due to hormonal changes. Educating the patient about this prepares them for possible discomfort. Incorrect choices: A is incorrect as side effects are common and may require monitoring. C is incorrect as OHSS is a potential serious complication. D is incorrect as stimulation does not guarantee egg quality.
A nurse is evaluating the effectiveness of preconception education. Which statement by the client indicates additional education is needed?
- A. I know smoking is harmful in pregnancy, so I plan to quit soon. My husband has agreed to avoid smoking in my presence.
- B. I have started taking a daily prenatal vitamin with folic acid.
- C. My husband bought a small desk for his laptop computer.
- D. We plan to avoid the use of chemicals in our garden this year.
Correct Answer: C
Rationale: The correct answer is C because buying a small desk for a laptop computer is unrelated to preconception education. This statement does not demonstrate any understanding or action related to preparing for a healthy pregnancy. Choices A, B, and D all show a proactive approach towards preconception health by addressing smoking cessation, prenatal vitamin intake with folic acid, and avoiding harmful chemicals, respectively.