Infertility Quiz Questions

Infertility Quiz Questions Related

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Karen, a 28-year-old female patient, has a hysterosalpingogram ordered but not scheduled. What should the nurse tell the patient?

  • A. When your next menses starts, call the office to schedule your procedure.
  • B. You may experience uterine cramping during the procedure.
  • C. Radiation exposure will be avoided through the use of ultrasound imaging.
  • D. The purpose of the test is to evaluate the inside of your uterus and your fallopian tubes.
Correct Answer: A

Rationale: Rationale for Correct Answer (A):
- A is correct because the nurse should instruct the patient to call the office when her next menstrual cycle starts to schedule the hysterosalpingogram. This is essential as the test needs to be performed during a specific phase of the menstrual cycle for accurate results.

Summary of Incorrect Choices:
- B: While uterine cramping may be a possible side effect of the procedure, this information is not the most crucial to communicate to the patient at this time.
- C: While it is important to address concerns about radiation exposure, the use of ultrasound imaging doesn't eliminate the need for the patient to schedule the procedure at the appropriate time in her menstrual cycle.
- D: While this choice provides some information about the purpose of the test, it does not address the immediate action the patient needs to take to schedule the procedure correctly.

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A couple that has been attempting to become pregnant for 5 years is seeking assistance from an infertility clinic. The nurse assesses the clients' emotional responses to their infertility. Which of the following responses would the nurse expect to find? Select all that apply.

  • A. Anger at others who have babies.
  • B. Feelings of failure because they can't make a baby.
  • C. Sexual excitement because they want so desperately to conceive a baby.
  • D. Sadness because of the perceived loss of being a parent.
Correct Answer: A

Rationale: Common emotional responses to infertility include anger, feelings of failure, and sadness.

Large amounts of leukocytes in the seminal fluid suggest a clinical finding of

  • A. inadequate fructose.
  • B. inflammation of the testes.
  • C. an infection of the genital tract.
  • D. an obstruction in the vas deferens.
Correct Answer: C

Rationale: Large amounts of leukocytes in seminal fluid indicate an infection of the genital tract. Leukocytes are white blood cells that are typically present in response to an infection. In this context, their presence suggests an ongoing inflammatory response to combat the infection. This finding is consistent with an infection in the genital tract, which could be caused by various pathogens. Therefore, choice C is the correct answer.

Choice A (inadequate fructose) is incorrect because leukocytes are not directly related to fructose levels in the seminal fluid. Choice B (inflammation of the testes) is incorrect as the presence of leukocytes in seminal fluid does not necessarily indicate testicular inflammation. Choice D (obstruction in the vas deferens) is also incorrect as leukocytes are not typically associated with vas deferens obstruction.

A 36-year-old female patient presents to the reproductive medicine clinic for a follow-up appointment. Laboratory results indicate diminished ovarian reserve, and her partner's semen analysis is normal. Which infertility options may be appropriate for this client?

  • A. Donor oocytes
  • B. Ovulation induction with clomiphene citrate
  • C. Follitropin injections to stimulate ovarian follicles
  • D. In-vitro fertilization and embryo transfer
Correct Answer: A

Rationale: The correct answer is A: Donor oocytes. Diminished ovarian reserve implies reduced quantity and quality of eggs, making natural conception challenging. Donor oocytes offer a viable option for achieving pregnancy.

B: Ovulation induction with clomiphene citrate may not be effective if ovarian reserve is significantly diminished.

C: Follitropin injections stimulate the patient's own ovarian follicles, which may not be successful if ovarian reserve is low.

D: In-vitro fertilization and embryo transfer require viable eggs from the patient, which may be limited in cases of diminished ovarian reserve.

At ovulation, the basal body temperature usually:

  • A. Rises abruptly and then falls 1 or 2 days after menstruation starts.
  • B. Falls and remains low for the last half of the cycle.
  • C. Is higher during the first half of the cycle than in the last half.
  • D. Falls just before ovulation and is higher during the last half.
Correct Answer: A

Rationale: Basal body temperature usually rises abruptly at ovulation and then falls 1 or 2 days after menstruation starts. This rise indicates the release of an egg and the shift from the follicular phase to the luteal phase of the menstrual cycle.

A 25-year-old woman, G0 P0000, enters the infertility clinic stating that she has just learned she is positive for the BRCA1 and the BRCA2 genes. She asks the nurse what her options are for getting pregnant and breastfeeding her baby. The nurse should base her reply on which of the following?

  • A. Fertility of women who carry the BRCA1 and BRCA2 genes is similar to that of unaffected women.
  • B. Women with these genes should be advised not to have children because the children could inherit the defective genes.
  • C. Women with these genes should have their ovaries removed as soon as possible to prevent ovarian cancer.
  • D. Lactation is contraindicated for women who carry the BRCA1 and BRCA 2 genes.
Correct Answer: A

Rationale: BRCA1/2 status does not directly affect fertility or breastfeeding.

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