Multiple Choice Questions on Infertility

Multiple Choice Questions on Infertility Related

Review Multiple Choice Questions on Infertility related questions and content

The nurse is counseling a couple about infertility. Which piece of assessment data may affect the woman's ability to become pregnant?

  • A. The woman exercises three times a week for 1 hour.
  • B. The couple each consumes a glass of wine each night.
  • C. The couple has a sauna in their backyard.
  • D. The male partner works on heavy machinery.
Correct Answer: C

Rationale: The correct answer is C. Having a sauna in the backyard may affect the woman's ability to become pregnant due to the potential negative impact of excessive heat on sperm production and ovulation. Saunas can raise body temperature, which can be harmful to sperm and reduce fertility.

Explanation of other choices:
A: Regular exercise is generally beneficial for fertility and overall health, so this is unlikely to significantly impact the woman's ability to become pregnant.
B: Consuming a glass of wine each night in moderation is not likely to have a significant impact on fertility unless it leads to excessive alcohol consumption.
D: Working on heavy machinery may pose risks to male fertility due to potential exposure to harmful chemicals or radiation, but this choice doesn't directly impact the woman's ability to become pregnant.

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A client is hospitalized in the acute phase of severe ovarian hyperstimulation syndrome. The following nursing diagnosis has been identified: Fluid volume excess (extravascular) related to third spacing. Which of the following nursing goals is highest priority in relation to this diagnosis?

  • A. Client's weight will be within normal limits by date of discharge.
  • B. Client's skin will show no evidence of breakdown throughout hospitalization.
  • C. Client's electrolyte levels will be within normal limits within one day.
  • D. Client's lung fields will remain clear throughout hospitalization.
Correct Answer: D

Rationale: Respiratory compromise is a critical concern in severe ovarian hyperstimulation syndrome.

A man has inherited the gene for familial adenomatous polyposis (FAP), an autosomal dominant disease. He and his wife wish to have a baby. Which of the following would provide the couple with the highest probability of conceiving a healthy child?

  • A. Amniocentesis.
  • B. Chorionic villus sampling.
  • C. Pre-implantation genetic diagnosis.
  • D. Gamete intrafallopian transfer.
Correct Answer: C

Rationale: Pre-implantation genetic diagnosis allows screening of embryos before implantation.

A patient undergoing ovarian stimulation asks about the purpose of frequent ultrasounds. What should the nurse explain?

  • A. Ultrasounds monitor embryo development after transfer.
  • B. They assess the growth and development of ovarian follicles.
  • C. They confirm ovulation has occurred naturally.
  • D. Ultrasounds are used to visualize uterine contractions.
Correct Answer: B

Rationale: The correct answer is B because frequent ultrasounds are used to monitor the growth and development of ovarian follicles during ovarian stimulation. This is essential to ensure proper timing for ovulation induction or egg retrieval. Ultrasounds do not monitor embryo development after transfer (choice A), confirm natural ovulation (choice C), or visualize uterine contractions (choice D) in this context.

What is the significance of luteal phase deficiency in infertility?

  • A. It results from inadequate estrogen levels during ovulation.
  • B. It is caused by insufficient progesterone to maintain the uterine lining.
  • C. It occurs only in women with polycystic ovary syndrome (PCOS).
  • D. It leads to the release of immature eggs.
Correct Answer: B

Rationale: The correct answer is B because luteal phase deficiency is caused by insufficient progesterone to maintain the uterine lining, which is crucial for implantation of a fertilized egg. This deficiency can lead to difficulty in sustaining a pregnancy.
A is incorrect because estrogen levels are more related to follicular phase than luteal phase.
C is incorrect because luteal phase deficiency can occur in women without PCOS.
D is incorrect because immature eggs are more related to ovulation issues rather than luteal phase deficiency.

A couple undergoing IVF asks about the risk of multiple pregnancies. What should the nurse discuss?

  • A. Transferring multiple embryos increases the risk of multiples, which can lead to complications.
  • B. Single embryo transfers always result in twins or higher multiples.
  • C. Multiple pregnancies have no impact on maternal or fetal health.
  • D. The number of embryos transferred does not affect pregnancy outcomes.
Correct Answer: A

Rationale: Correct Answer: A

Rationale:
1. Transferring multiple embryos increases the chance of multiple pregnancies, which can lead to complications such as preterm birth and low birth weight.
2. This is an important consideration for the couple undergoing IVF to understand the potential risks involved.
3. Single embryo transfers reduce the risk of multiples and associated complications.
4. Choices B, C, and D are incorrect as they provide inaccurate information that contradicts the known risks associated with multiple pregnancies.

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