Infertility NCLEX Questions

Infertility NCLEX Questions Related

Review Infertility NCLEX Questions related questions and content

During a preconception consultation, a patient asks about factors affecting egg quality. What should the nurse explain?

  • A. Age is the primary factor influencing egg quality.
  • B. Diet has no impact on egg quality.
  • C. Hormonal treatments guarantee improvement in egg quality.
  • D. Exercise is the only way to enhance egg quality.
Correct Answer: A

Rationale: The correct answer is A: Age is the primary factor influencing egg quality. As a tutor, I will explain this by stating that the quality of a woman's eggs declines with age due to factors like genetic abnormalities and decreased mitochondrial function. This decline can affect fertility and increase the risk of chromosomal abnormalities in offspring.

For the incorrect choices:
B: Diet can impact egg quality by providing essential nutrients, so this choice is incorrect.
C: Hormonal treatments may help with fertility but do not guarantee improvement in egg quality, making this choice incorrect.
D: Exercise can contribute to overall health but is not the only way to enhance egg quality, making this choice incorrect.

In summary, age is a crucial factor affecting egg quality, while diet, hormonal treatments, and exercise play roles but are not primary influencers.

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The nurse discusses the results of a 3-generation pedigree with the proband who has breast cancer. Which of the following information must the nurse consider?

  • A. The proband should have a complete genetic analysis done.
  • B. The proband is the first member of the family to be diagnosed.
  • C. The proband's first degree relatives should be included in the discussion.
  • D. The proband's sisters will likely develop breast cancer during their lives.
Correct Answer: C

Rationale: First-degree relatives are at increased risk and should be involved in discussions.

A provider has ordered several diagnostic procedures for a couple with suspected infertility. Which diagnostic procedure is useful for determining if ovulation has occurred?

  • A. FSH level
  • B. Progesterone level
  • C. Estrogen level
  • D. Vaginal ultrasound
Correct Answer: B

Rationale: The correct answer is B: Progesterone level. Progesterone is the hormone secreted after ovulation, indicating that ovulation has occurred. Monitoring progesterone levels can confirm ovulation. FSH (A) and estrogen (C) levels reflect the ovarian function but do not directly confirm ovulation. Vaginal ultrasound (D) can visualize the ovaries but does not definitively confirm ovulation.

What advice should the nurse give a patient with irregular periods trying to conceive?

  • A. Track ovulation using basal body temperature and ovulation kits.
  • B. Increase carbohydrate intake to regulate cycles.
  • C. Avoid exercise to prevent further irregularity.
  • D. Undergo hormone therapy immediately.
Correct Answer: A

Rationale: The correct answer is A because tracking ovulation using basal body temperature and ovulation kits helps identify the most fertile days for conception. This method allows the patient to time intercourse effectively. Increasing carbohydrate intake (B) does not address the root cause of irregular periods. Avoiding exercise (C) is not recommended as moderate exercise can actually help regulate menstrual cycles. Undergoing hormone therapy immediately (D) is an aggressive approach and should only be considered after other options have been explored.

A genetic counselor's report states, 'The genetic nomenclature for this fetus is 46, XX.' How should the nurse who reads this report interpret the cytogenetic results?

  • A. The baby is female with a normal number of chromosomes.
  • B. The baby is hermaphroditic male with female chromosomes.
  • C. The baby is male with an undisclosed genetic anomaly.
  • D. There is insufficient information to answer this question.
Correct Answer: A

Rationale: 46, XX indicates a genetically normal female.

What is the role of ovarian stimulation in fertility treatments?

  • A. To suppress ovulation and preserve egg quality.
  • B. To encourage the production of multiple eggs for retrieval.
  • C. To eliminate the need for embryo freezing.
  • D. To improve uterine lining thickness for implantation.
Correct Answer: B

Rationale: The correct answer is B. Ovarian stimulation in fertility treatments aims to encourage the production of multiple eggs for retrieval, increasing the chances of successful fertilization and pregnancy. By stimulating the ovaries to produce multiple eggs, fertility specialists can select the healthiest eggs for fertilization. This process is crucial for individuals with infertility issues or those undergoing assisted reproductive technologies like in vitro fertilization (IVF).

Choice A is incorrect because ovarian stimulation does not aim to suppress ovulation but rather to enhance egg production. Choice C is incorrect because ovarian stimulation does not eliminate the need for embryo freezing; embryos may still need to be frozen for future use. Choice D is incorrect because ovarian stimulation does not directly target uterine lining thickness; it primarily focuses on egg production in the ovaries.

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