Nokea
Lori, who is 32 years old, is taking clomiphene citrate to induce ovulation and presents to the office for a vaginal ultrasound. Lori mentions experiencing abdominal bloating, nausea, and weight gain of 5 pounds over the past 12 hours. What condition do these symptoms indicate?
- A. Ovulation
- B. Premenstrual syndrome
- C. Ovarian hyperstimulation syndrome
- D. Failed ovulation induction
Correct Answer: C
Rationale: Rationale:
1. Lori is taking clomiphene citrate which can lead to ovarian hyperstimulation syndrome (OHSS).
2. Symptoms like abdominal bloating, weight gain, and nausea are characteristic of OHSS.
3. OHSS typically occurs after ovulation induction medications like clomiphene citrate.
4. Therefore, Lori's symptoms indicate ovarian hyperstimulation syndrome.
Summary:
A. Ovulation is incorrect as the symptoms suggest a complication of ovulation induction, not ovulation itself.
B. Premenstrual syndrome does not explain the acute symptoms and weight gain.
D. Failed ovulation induction is incorrect as the symptoms are not indicative of failed ovulation but rather an adverse reaction to the medication.
You may also like to solve these questions
What is the significance of progesterone supplementation in fertility treatments?
- A. It triggers ovulation during the treatment cycle.
- B. It maintains the uterine lining to support implantation and early pregnancy.
- C. It reduces hormonal fluctuations in male partners.
- D. It eliminates the need for ovarian stimulation.
Correct Answer: B
Rationale: The correct answer is B because progesterone supplementation helps maintain the uterine lining, which is crucial for implantation and early pregnancy success. Progesterone prepares the endometrium for embryo implantation by thickening the uterine lining and promoting blood flow. This ensures a supportive environment for the developing embryo. The other choices are incorrect as progesterone does not directly trigger ovulation (A), reduce hormonal fluctuations in male partners (C), or eliminate the need for ovarian stimulation (D) in fertility treatments.
A nurse is instructing a couple on timed intercourse to optimize fertility. What advice should the nurse give?
- A. Have intercourse daily throughout the menstrual cycle.
- B. Focus on the fertile window around ovulation.
- C. Avoid intercourse for a week before ovulation.
- D. Only have intercourse after confirming ovulation.
Correct Answer: B
Rationale: The correct answer is B because focusing on the fertile window around ovulation maximizes the chances of conception. Ovulation is the most fertile time, so timing intercourse during this period increases the likelihood of pregnancy. Having intercourse daily throughout the menstrual cycle (A) may not be necessary and could lead to fatigue. Avoiding intercourse for a week before ovulation (C) decreases the chances of conception as sperm can survive up to 5 days in the female reproductive tract. Only having intercourse after confirming ovulation (D) may miss the optimal window for conception.
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.
What dietary recommendation should the nurse provide to a patient trying to conceive?
- A. Follow a high-protein diet to support fertility.
- B. Consume a variety of fruits, vegetables, and whole grains.
- C. Eliminate all sources of fat from the diet.
- D. Increase caffeine intake for better energy during ovulation.
Correct Answer: B
Rationale: The correct answer is B: Consume a variety of fruits, vegetables, and whole grains. This recommendation is based on the importance of a balanced and nutritious diet for overall health and fertility. Fruits, vegetables, and whole grains provide essential vitamins, minerals, and antioxidants that support reproductive health. High-protein diets (choice A) may be beneficial but should not be the sole focus. Eliminating all sources of fat (choice C) is not recommended as healthy fats are essential for hormone production. Increasing caffeine intake (choice D) can have negative effects on fertility. In summary, a diet rich in fruits, vegetables, and whole grains provides the necessary nutrients for optimal fertility.
A nurse is discussing the benefits of a single embryo transfer (SET) in IVF. What should the nurse emphasize?
- A. SET guarantees a successful pregnancy with one attempt.
- B. SET reduces the risk of multiple pregnancies and associated complications.
- C. SET eliminates the need for ovarian stimulation in future cycles.
- D. SET improves egg quality for future cycles.
Correct Answer: B
Rationale: The correct answer is B: SET reduces the risk of multiple pregnancies and associated complications. This is because transferring a single embryo in IVF lowers the chances of multiple gestations, which can lead to higher risks for both the mother and the babies. This choice emphasizes the importance of safety and health benefits for both the mother and potential offspring.
Choice A is incorrect as there is no guarantee of a successful pregnancy with one attempt. Choice C is incorrect as ovarian stimulation may still be needed in future cycles even with SET. Choice D is incorrect as SET does not directly improve egg quality for future cycles.