Nokea
The nurse is educating a client on lifestyle changes to support fertility. Which recommendation is appropriate?
- A. Avoid caffeine and alcohol entirely.
- B. Engage in moderate exercise and maintain a balanced diet.
- C. Increase daily protein intake to boost fertility.
- D. Use herbal supplements for better ovulation.
Correct Answer: B
Rationale: The correct answer is B because moderate exercise and a balanced diet are essential for overall health, including fertility. Exercise can help regulate hormones and improve circulation to reproductive organs. A balanced diet provides necessary nutrients for optimal reproductive function.
Choice A is incorrect as complete avoidance of caffeine and alcohol is not necessary for fertility. Choice C is incorrect as excessive protein intake can negatively impact fertility. Choice D is incorrect as herbal supplements can have unknown effects on fertility and should be avoided without consulting a healthcare provider.
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A client is to receive Pergonal (menotropins) injections for infertility prior to in vitro fertilization. Which of the following is the expected action of this medication?
- A. Prolongation of the luteal phase.
- B. Stimulation of ovulation.
- C. Suppression of menstruation.
- D. Promotion of cervical mucus production.
Correct Answer: B
Rationale: Pergonal stimulates ovulation by promoting the maturation and release of ova.
A woman who has had multiple miscarriages is advised to go through genetic testing. The client asks the nurse the rationale for this recommendation. The nurse should base his or her response on which of the following?
- A. The woman's pedigree may exhibit a mitochondrial inheritance pattern.
- B. The majority of miscarriages are caused by genetic defects.
- C. A woman's chromosomal pattern determines her fertility.
- D. There is a genetic marker that detects the presence of an incompetent cervix.
Correct Answer: B
Rationale: Genetic defects are a common cause of recurrent miscarriages.
A woman who is taking clomiphene citrate (Clomid) phones the infertility clinic and says that she has some nausea each morning and frequency of urination. She suspects that she may be pregnant. The correct nursing response is to:
- A. Tell her that pregnancy cannot be determined until she misses her next period.
- B. Have her come to the clinic promptly for sensitive pregnancy testing.
- C. Explain that she should have a pregnancy test after she completes this drug cycle.
- D. Reassure her that her symptoms are commonly seen in women who take this drug.
Correct Answer: A
Rationale: The correct nursing response is to tell the woman that pregnancy cannot be determined until she misses her next period. Symptoms like nausea and frequency of urination can be side effects of clomiphene citrate (Clomid) and do not guarantee pregnancy.
The nurse is educating a client about hysterosalpingograms. Which information should the nurse include in her discussion prior to this procedure?
- A. This procedure is always performed under general anesthesia.
- B. This procedure should be performed after ovulation has occurred.
- C. This procedure involves instillation of a radiopaque dye into the uterine cavity.
- D. After the procedure, the client should take Tylenol to decrease cramping.
Correct Answer: C
Rationale: Rationale:
C is correct because hysterosalpingogram involves injecting a radiopaque dye into the uterine cavity to visualize the uterus and fallopian tubes. This helps identify any blockages or abnormalities.
A is incorrect as the procedure is usually done without general anesthesia.
B is incorrect as the procedure is typically scheduled in the early follicular phase.
D is incorrect as Tylenol may not be sufficient for managing post-procedure cramping.
How does lifestyle modification improve male fertility?
- A. By directly increasing sperm motility and morphology.
- B. By reducing stress and improving overall reproductive health.
- C. By guaranteeing successful fertilization.
- D. By eliminating the need for medical treatments.
Correct Answer: B
Rationale: The correct answer is B because lifestyle modifications such as reducing stress, maintaining a healthy weight, avoiding harmful substances, and exercising can improve male fertility by optimizing overall reproductive health. Stress reduction can positively impact hormone levels and sperm production. Choices A, C, and D are incorrect because lifestyle modifications do not directly guarantee successful fertilization, eliminate the need for medical treatments, or directly improve sperm motility and morphology.