100 Questions and Answers About Infertility

100 Questions and Answers About Infertility Related

Review 100 Questions and Answers About Infertility related questions and content

Cindy, a 36-year-old, has been prescribed Follistim AQ, a follitropin. What information should the nurse include in Cindy's education?

  • A. Eggs or oocytes develop within ovarian follicles. The purpose of the medication is to stimulate development of ovarian follicles.
  • B. Follistim is a manufactured form of FSH, a hormone released from the pituitary gland during the menstrual cycle.
  • C. Rapid weight gain is typical during ovulation induction.
  • D. Typical side effects include breast tenderness, changes in mood, and depression.
Correct Answer: A

Rationale: The correct answer is A. Cindy is prescribed Follistim AQ to stimulate the development of ovarian follicles, where eggs or oocytes develop. This medication helps in ovulation induction. The nurse should educate Cindy on the medication's purpose, how it works, and the importance of follicle development in the ovulation process.

Choice B is incorrect as Follistim is not a manufactured form of FSH but a specific form of follitropin.

Choice C is incorrect as rapid weight gain is not a typical side effect of ovulation induction with Follistim.

Choice D is incorrect as the typical side effects of Follistim include ovarian hyperstimulation syndrome, abdominal pain, and bloating, not breast tenderness, changes in mood, or depression.

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How does lifestyle modification improve male fertility?

  • A. By directly increasing sperm motility and morphology.
  • B. By reducing stress and improving overall reproductive health.
  • C. By guaranteeing successful fertilization.
  • D. By eliminating the need for medical treatments.
Correct Answer: B

Rationale: The correct answer is B because lifestyle modifications such as reducing stress, maintaining a healthy weight, avoiding harmful substances, and exercising can improve male fertility by optimizing overall reproductive health. Stress reduction can positively impact hormone levels and sperm production. Choices A, C, and D are incorrect because lifestyle modifications do not directly guarantee successful fertilization, eliminate the need for medical treatments, or directly improve sperm motility and morphology.

A 3-month-old baby has been diagnosed with cystic fibrosis (CF). The mother says, 'How could this happen? I had an amniocentesis during my pregnancy and everything was supposed to be normal!' What must the nurse understand about this situation?

  • A. Cystic fibrosis cannot be diagnosed by amniocentesis.
  • B. The baby may have an uncommon genetic variant of the disease.
  • C. It is possible that the laboratory technician made an error.
  • D. Instead of obtaining fetal cells the doctor probably harvested maternal cells.
Correct Answer: B

Rationale: Uncommon genetic variants of CF may not be detected by standard testing.

A client's basal body temperature (BBT) chart for one full month is shown below. Based on the temperatures shown, what can the nurse conclude?

  • A. It is likely that she has not ovulated.
  • B. The client's fertile period is between 12 and 18 days.
  • C. The client's period is abnormally long.
  • D. It is likely that her progesterone levels rose on day 15.
Correct Answer: D

Rationale: A biphasic BBT pattern indicates ovulation, with rising temperatures reflecting progesterone elevation.

A couple undergoing fertility treatments asks about the impact of age on success rates. What should the nurse explain?

  • A. Success rates remain constant regardless of age.
  • B. Younger age is associated with higher success rates for most treatments.
  • C. Male age does not impact fertility treatment outcomes.
  • D. Age only matters if the woman is over 50.
Correct Answer: B

Rationale: The correct answer is B because younger age is generally associated with higher success rates in fertility treatments due to factors like better egg quality and ovarian reserve. Older women may have lower success rates due to decreased egg quality and quantity. Choice A is incorrect as success rates do vary with age. Choice C is incorrect because male age can impact fertility treatment outcomes. Choice D is incorrect as age can impact fertility treatment outcomes for women younger than 50 as well.

A woman telephones the prenatal clinic and reports that her water just broke. Which suggestion by the nurse would be most appropriate?

  • A. Call us back when you start having contractions.
  • B. Come to the clinic or emergency department for an evaluation.
  • C. Drink 3 to 4 glasses of water and lie down.
  • D. Come in as soon as you feel the urge to push.
Correct Answer: B

Rationale: When a woman's water breaks, there is an increased risk of infection and cord prolapse, making it important for the woman to seek evaluation at the clinic or emergency department. Waiting for contractions to start, drinking water and lying down, and waiting to come in only when feeling the urge to push are not appropriate responses in this situation.

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