Nokea
Which lifestyle change should the nurse suggest to improve fertility for both partners?
- A. Increase protein intake significantly.
- B. Exercise rigorously every day.
- C. Maintain a balanced diet and healthy weight.
- D. Reduce water consumption to avoid bloating.
Correct Answer: C
Rationale: The correct answer is C: Maintain a balanced diet and healthy weight. This suggestion is crucial for improving fertility as it promotes overall health, hormonal balance, and reproductive function in both partners. A balanced diet provides essential nutrients for reproductive health, while maintaining a healthy weight reduces the risk of infertility related to obesity or underweight. Option A is incorrect as excessive protein intake can negatively impact fertility. Option B is incorrect as excessive rigorous exercise may disrupt hormonal balance and affect fertility. Option D is incorrect as proper hydration is essential for reproductive health and reducing water consumption is not recommended for fertility improvement.
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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.
During an IVF cycle, a patient asks about embryo transfer timing. What is the nurse's best explanation?
- A. Embryos are always transferred on the day of fertilization.
- B. Embryo transfer typically occurs 3 to 5 days after fertilization.
- C. Timing depends on uterine size, not embryo development.
- D. Transfer is done after pregnancy is confirmed.
Correct Answer: B
Rationale: The correct answer is B: Embryo transfer typically occurs 3 to 5 days after fertilization. This timing aligns with the development of embryos to the blastocyst stage, which is crucial for successful implantation in the uterus. By waiting until this stage, the chances of a successful pregnancy are increased. Choice A is incorrect because embryos do not reach the blastocyst stage on the day of fertilization. Choice C is incorrect as embryo development stage is a key factor in determining the timing of transfer. Choice D is incorrect as waiting until pregnancy is confirmed would delay the transfer unnecessarily.
When teaching a woman fertility awareness, the nurse should emphasize that the basal body temperature:
- A. Is the average temperature taken each morning.
- B. Should be recorded each morning before any activity.
- C. Has the highest degree of accuracy for predicting ovulation.
- D. Can be taken with any digital thermometer.
Correct Answer: B
Rationale: The basal body temperature should be recorded each morning before any activity to ensure accuracy in predicting ovulation. Taking it at the same time each day, before any activity, will provide consistent and reliable results.
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 patient and her husband have just been told their unborn child has Down syndrome. The patient's husband becomes upset, stating, 'There is no way this can be possible as we have no one in the family with this problem! You must run the test again because the results cannot be correct.' What does the husband's behavior represent?
- A. Denial
- B. Sorrow
- C. Anger
- D. Bargaining
Correct Answer: A
Rationale: The correct answer is A: Denial. The husband's behavior of refusing to accept the test results and requesting them to be run again indicates denial. Denial is a common defense mechanism where individuals reject reality to avoid facing uncomfortable truths. The husband's disbelief due to lack of family history reflects denial in coping with the unexpected news. Sorrow (B), Anger (C), and Bargaining (D) are not applicable in this context as the husband's reaction does not demonstrate sadness, hostility, or attempts to negotiate a different outcome.