Nokea
What is the significance of progesterone in confirming ovulation?
- A. Low progesterone levels indicate successful ovulation.
- B. Elevated progesterone levels confirm that ovulation has occurred.
- C. Progesterone levels do not fluctuate during the cycle.
- D. Progesterone testing is only relevant during pregnancy.
Correct Answer: B
Rationale: The correct answer is B: Elevated progesterone levels confirm that ovulation has occurred. Progesterone is produced by the corpus luteum after ovulation, supporting the uterine lining for potential implantation. Elevated progesterone levels indicate a functional corpus luteum, which only occurs after ovulation. Low progesterone levels do not indicate successful ovulation as they may suggest anovulation or inadequate luteal phase support. Progesterone levels fluctuate during the menstrual cycle, peaking post-ovulation. Progesterone testing is not only relevant during pregnancy but also in assessing ovulation and menstrual cycle health.
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A 35-year-old client is being seen for her yearly gynecological examination. She states that she and her partner have been trying to become pregnant for a little over 6 months, and that a friend had recently advised her partner to take ginseng to improve the potency of his sperm. The woman states that they have decided to take their friend's advice. On which of the following information should the nurse base his or her reply?
- A. Based on their history
- B. the client and her partner have made the appropriate decision regarding their fertility.
- C. Ginseng can cause permanent chromosomal mutations and should be stopped immediately.
- D. It is unnecessary to become concerned about this woman's fertility because she has tried to become pregnant for only a few months.
Correct Answer: D
Rationale: While ginseng may have some benefits, fertility counseling is advisable given the duration of attempts.
A nurse provides teaching for a patient scheduled for genetic testing. What should the nurse do to help the patient understand what is being taught?
- A. Use simple vocabulary.
- B. Avoid the use of jargon.
- C. Speak slowly and clearly.
- D. Ask the patient to verbalize what was learned.
Correct Answer: D
Rationale: The correct answer is D because asking the patient to verbalize what was learned promotes active learning and helps assess the patient's understanding. It allows the nurse to clarify any misconceptions and reinforce important information. Choice A may be helpful but not sufficient. Choice B is important but may not fully address comprehension. Choice C focuses on communication style rather than assessing understanding.
At her first prenatal visit, a woman relates that her maternal aunt has cystic fibrosis (CF), an autosomal recessive illness. Which of the following comments is appropriate for the nurse to make at this time?
- A. We can check to see whether or not you are a carrier for cystic fibrosis.
- B. It is unnecessary for you to worry since your aunt is not a direct relation.
- C. You should have an amniocentesis to see whether or not your child has the disease.
- D. Please ask your mother whether she has ever had any symptoms of cystic fibrosis.
Correct Answer: A
Rationale: Carrier testing can determine if the woman carries the CF gene.
Which type of breech presentation is identified when the buttocks present first, with both legs extended up toward the face?
- B. A. frank
- C. B. full
- D. C. complete
Correct Answer: A
Rationale: In a frank breech presentation, the buttocks present first, with both legs extended up toward the face. This is a common breech presentation that requires careful monitoring during labor and birth to ensure a safe delivery. In a full or complete breech, the fetus sits cross-legged above the cervix, while in a footling breech, one or both legs are presenting. Understanding the different types of breech presentations is crucial for providing appropriate care and support during labor and birth.
A couple asks about the role of hormone testing in infertility evaluation. What should the nurse explain?
- A. Hormone testing is only necessary after conception.
- B. It identifies hormonal imbalances affecting ovulation and fertility.
- C. Hormone testing predicts the gender of future embryos.
- D. It measures physical factors like uterine health.
Correct Answer: B
Rationale: The correct answer is B because hormone testing is essential in identifying hormonal imbalances that can affect ovulation and fertility. By measuring hormone levels such as estrogen, progesterone, and follicle-stimulating hormone, healthcare providers can pinpoint issues that may be inhibiting conception. Hormone testing helps determine the timing of ovulation and the overall health of the reproductive system.
Choice A is incorrect because hormone testing is not solely for post-conception purposes; it is crucial in diagnosing infertility issues. Choice C is inaccurate as hormone testing does not predict the gender of embryos but rather focuses on hormonal balance. Choice D is also incorrect as hormone testing primarily assesses hormone levels, not physical factors like uterine health.