Infertility Questions and Answers

Infertility Questions and Answers Related

Review Infertility Questions and Answers related questions and content

Lisa, a 35-year-old practicing attorney and marathon runner, presents to the clinic with a complaint of irregular menses. She tells the nurse, 'My husband and I want to start a family but it hasn't happened yet. We stopped using birth control 6 months ago. Should we be concerned?' What is the nurse's best response?

  • A. Relax and it will happen.
  • B. No, infertility is the failure to conceive after 1 year of unprotected intercourse.
  • C. Aging and extreme exercise regimens may impact fertility. You should address your concerns with your provider during today's visit.
  • D. Decreasing your exercise frequency and intensity will increase your chances of conceiving.
Correct Answer: C

Rationale: The correct answer is C because it acknowledges the potential impact of aging and extreme exercise on fertility, prompting further evaluation by the healthcare provider. Lisa's age and intense exercise regimen are important factors to consider since they can affect her ability to conceive. By addressing her concerns during the visit, the nurse can gather more information, assess potential fertility issues, and provide appropriate guidance or referrals.

Choice A is incorrect because it dismisses Lisa's concerns without addressing potential underlying issues. Choice B is incorrect as it sets a timeline for infertility diagnosis that is generally accepted after 1 year of unprotected intercourse for women under 35 years old, but Lisa's age and lifestyle may warrant earlier evaluation. Choice D is incorrect as it oversimplifies the issue by suggesting only a change in exercise routine as a solution without considering other potential factors impacting fertility.

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What is the purpose of progesterone supplementation after embryo transfer in IVF?

  • A. To induce ovulation for the next cycle.
  • B. To support the uterine lining and enhance implantation success.
  • C. To suppress natural hormone levels for better control.
  • D. To eliminate the risk of multiple pregnancies.
Correct Answer: B

Rationale: The correct answer is B: To support the uterine lining and enhance implantation success. Progesterone supplementation is crucial after embryo transfer in IVF because it helps prepare the uterine lining for implantation and provides hormonal support to maintain a pregnancy. Progesterone is essential for the embryo to implant and for the early stages of pregnancy to progress. Therefore, the purpose of progesterone supplementation is to enhance the chances of successful implantation and support early pregnancy development.

Choices A, C, and D are incorrect:
A: To induce ovulation for the next cycle - Progesterone supplementation is not used to induce ovulation after embryo transfer in IVF. Ovulation should have already occurred before the embryo transfer.
C: To suppress natural hormone levels for better control - Progesterone supplementation is not used to suppress hormone levels but rather to support hormonal balance during the implantation phase.
D: To eliminate the risk of multiple pregnancies - Progesterone

A nurse is explaining the role of intrauterine insemination (IUI). What should the nurse include?

  • A. IUI involves placing washed sperm directly into the uterus.
  • B. IUI is used to treat structural abnormalities in the uterus.
  • C. IUI guarantees fertilization of the egg.
  • D. IUI eliminates the need for ovulation tracking.
Correct Answer: A

Rationale: The correct answer is A because intrauterine insemination (IUI) involves placing washed sperm directly into the uterus, increasing the chances of fertilization. This method bypasses potential obstacles in the reproductive tract, aiding sperm in reaching the egg. Choice B is incorrect because IUI is not primarily used to treat structural abnormalities in the uterus but rather to facilitate fertilization. Choice C is incorrect as IUI does not guarantee fertilization since other factors can still affect the success of conception. Choice D is incorrect because ovulation tracking is still important in IUI to ensure optimal timing for the procedure.

During a consultation, a patient asks about the role of estrogen in the menstrual cycle. What is the nurse's best explanation?

  • A. Estrogen triggers the release of mature eggs from the ovaries.
  • B. Estrogen supports the growth of the uterine lining for implantation.
  • C. Estrogen prevents ovulation during pregnancy.
  • D. Estrogen regulates the production of progesterone.
Correct Answer: B

Rationale: The correct answer is B: Estrogen supports the growth of the uterine lining for implantation. Estrogen plays a key role in the menstrual cycle by stimulating the thickening of the endometrium (uterine lining) to prepare for potential implantation of a fertilized egg. This process occurs during the proliferative phase of the menstrual cycle. Choice A is incorrect because ovulation is primarily triggered by luteinizing hormone (LH) surge, not estrogen. Choice C is incorrect as estrogen levels decrease during pregnancy, allowing ovulation to occur. Choice D is incorrect because while estrogen and progesterone work together in the menstrual cycle, estrogen does not directly regulate progesterone production.

A nurse is educating a male patient about improving sperm quality. What should the nurse suggest?

  • A. Increase exposure to saunas and hot tubs for relaxation.
  • B. Maintain a healthy lifestyle, including balanced nutrition and avoiding smoking.
  • C. Consume high-fat diets to enhance testosterone levels.
  • D. Avoid exercise as it reduces sperm motility.
Correct Answer: B

Rationale: The correct answer is B: Maintain a healthy lifestyle, including balanced nutrition and avoiding smoking. This is because a healthy lifestyle promotes overall well-being and can positively impact sperm quality. Balanced nutrition provides essential nutrients for sperm production while avoiding smoking reduces oxidative stress that can harm sperm.

Choice A is incorrect because increased exposure to saunas and hot tubs can actually raise scrotal temperature, potentially harming sperm quality. Choice C is incorrect as high-fat diets can lead to obesity and negatively impact sperm quality. Choice D is incorrect as exercise is beneficial for overall health, including sperm motility.

A woman calls the health care facility stating that she is in labor. The nurse would urge the client to come to the facility if the client reports which symptom?

  • A. increased energy level with alternating strong and weak contractions
  • B. moderately strong contractions every 4 minutes, lasting about 1 minute
  • C. contractions noted in the front of abdomen that stop when she walks
  • D. pink-tinged vaginal secretions and irregular contractions lasting about 30 seconds
Correct Answer: B

Rationale: Moderately strong regular contractions every 4 minutes lasting about 1 minute indicate that the client is likely in active labor and should come to the facility. This pattern suggests progress in labor and the need for medical assistance.

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