Nokea
Nurses working in a midwifery office have attended a conference to learn about factors that increase a woman's risk of becoming infertile. To evaluate the nurses' learning, the conference coordinator tested the nurses' knowledge at the conclusion of the seminar. Which of the following problems should the nurses state increase a client's risk of developing infertility problems? Select all that apply.
- A. Women who have menstrual cycles that are up to 30 days long.
- B. Women who experience pain during intercourse.
- C. Women who have had pelvic inflammatory disease.
- D. Women who have excess facial hair.
Correct Answer: B
Rationale: Pain during intercourse, pelvic inflammatory disease, and hirsutism (excess facial hair) are associated with infertility.
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A nurse working in an infertility clinic should include which of the following in her discussions with the couple?
- A. Adoption as an alternative to infertility treatments.
- B. The legal controversy surrounding artificial insemination.
- C. The need to seek marriage counseling before undergoing infertility treatments.
- D. Statistics regarding the number of couples who never learn why they are infertile.
Correct Answer: A
Rationale: Adoption is a practical and compassionate alternative for couples struggling with infertility.
Which instruction by the nurse should be included in the teaching plan for an infertile woman who has been shown to have a 28-day biphasic menstrual cycle?
- A. Douche with a cider vinegar solution immediately before having intercourse.
- B. Schedule intercourse every day from day 8 to day 14 of the menstrual cycle.
- C. Be placed on follicle-stimulating hormone therapy by the fertility specialist.
- D. Assess the basal body temperature pattern for at least 6 more months.
Correct Answer: B
Rationale: Intercourse during the fertile window (days 8–14 in a 28-day cycle) maximizes conception chances.
During IVF, a patient asks about the role of estrogen in preparing for embryo transfer. What should the nurse explain?
- A. Estrogen helps regulate ovarian stimulation protocols.
- B. Estrogen thickens the uterine lining, creating a supportive environment for implantation.
- C. Estrogen prevents premature ovulation during stimulation cycles.
- D. Estrogen eliminates the need for progesterone support post-transfer.
Correct Answer: B
Rationale: The correct answer is B because estrogen plays a crucial role in thickening the uterine lining, creating a supportive environment for embryo implantation during IVF. This is essential for successful pregnancy. Estrogen does not directly regulate ovarian stimulation protocols (choice A), prevent premature ovulation (choice C), or eliminate the need for progesterone support post-transfer (choice D). Estrogen primarily focuses on preparing the uterus for implantation rather than affecting other aspects of the IVF process.
What is the significance of basal body temperature (BBT) tracking in fertility?
- A. BBT predicts the exact time of ovulation.
- B. A rise in BBT confirms that ovulation has occurred.
- C. BBT tracking eliminates the need for ovulation predictor kits.
- D. BBT remains constant throughout the menstrual cycle.
Correct Answer: B
Rationale: Correct Answer: B
Rationale:
1. BBT rise confirms ovulation due to increased progesterone post-ovulation.
2. Progesterone causes a slight increase in BBT, signaling the release of an egg.
3. The shift in BBT helps predict the fertile window for conception.
4. BBT tracking does not predict the exact time of ovulation (A), nor eliminate the need for ovulation predictor kits (C), and BBT does not remain constant throughout the cycle (D).
The nurse is analyzing the three-generation pedigree below. In which generation is the proband?
- A. I.
- B. II.
- C. III.
- D. There is not enough information to answer this question.
Correct Answer: B
Rationale: The proband is typically the individual in the middle generation being evaluated.