Nokea
A patient asks about the purpose of progesterone injections after embryo transfer. What should the nurse explain?
- A. They increase the number of eggs released in future cycles.
- B. They support the uterine lining for implantation and pregnancy maintenance.
- C. They prevent ovarian cyst formation during fertility treatment.
- D. They reduce pregnancy symptoms such as nausea.
Correct Answer: B
Rationale: The correct answer is B: Progesterone injections support the uterine lining for implantation and pregnancy maintenance. Progesterone is essential for preparing the uterus for implantation and maintaining a pregnancy. After embryo transfer, progesterone helps thicken the uterine lining, making it more receptive to the embryo for successful implantation. Other choices are incorrect: A is incorrect because progesterone does not affect the number of eggs released in future cycles; C is incorrect because progesterone does not prevent ovarian cyst formation; D is incorrect because while progesterone can help alleviate some pregnancy symptoms, its primary role is in supporting the uterine lining for pregnancy.
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During a genetic evaluation, it is discovered that the woman is carrying one autosomal dominant gene for a serious late adult–onset disease, while her partner's history is unremarkable. Based on this information, which of the following family members should be considered high risk and in need of genetic counseling? Select all that apply.
- A. The woman's fetus.
- B. The woman's sisters.
- C. The woman's brothers.
- D. The woman's parents.
Correct Answer: A
Rationale: All first-degree relatives and offspring are at risk for inheriting the gene.
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.
What is the purpose of performing a hysterosalpingogram (HSG) during fertility evaluation?
- A. To determine ovarian reserve and egg quality.
- B. To visualize the fallopian tubes and check for blockages.
- C. To assess hormone levels during the menstrual cycle.
- D. To evaluate the sperm motility in the uterine cavity.
Correct Answer: B
Rationale: Performing a hysterosalpingogram (HSG) during fertility evaluation helps visualize the fallopian tubes and check for blockages. This is crucial as blocked fallopian tubes can prevent eggs from meeting sperm, leading to infertility. By injecting contrast dye into the uterus and taking X-ray images, doctors can assess tubal patency. This procedure is not aimed at determining ovarian reserve or egg quality (option A), assessing hormone levels (option C), or evaluating sperm motility in the uterine cavity (option D), as these factors are assessed through different tests and procedures.
A patient undergoing IUI asks how the procedure increases the chances of conception. What should the nurse explain?
- A. IUI bypasses the cervix, placing sperm directly in the uterus.
- B. IUI enhances egg quality before fertilization.
- C. IUI eliminates the need for ovulation tracking.
- D. IUI combines egg and sperm outside the body before transfer.
Correct Answer: A
Rationale: The correct answer is A because IUI (Intrauterine Insemination) bypasses the cervix and places sperm directly in the uterus, increasing the chances of sperm reaching the fallopian tubes to fertilize the egg. This method improves the sperm's proximity to the egg, optimizing the chances of conception. The other choices are incorrect because B (enhancing egg quality) is not achieved through IUI, C (eliminating ovulation tracking) is not true as tracking is still necessary for timing the procedure, and D (combining egg and sperm outside the body) describes in vitro fertilization (IVF), not IUI.
An Orthodox Jewish couple is seeking infertility counseling. The woman states that her menstrual cycle is 21 days long. After testing, no physical explanation is found for the infertility. Which of the following may explain why the woman has been unable to conceive?
- A. Her kosher diet is lacking the essential nutrients needed for achieving optimal reproductive health.
- B. The positions allowed Orthodox Jewish couples during intercourse hinder the process of fertilization.
- C. Orthodox Jewish couples are known to have a high rate of infertility because of inborn genetic diseases.
- D. Orthodox Jewish couples refrain from intercourse during menses and for seven days after it ends.
Correct Answer: D
Rationale: Orthodox Jewish couples abstain from intercourse during menstruation and the subsequent week, potentially missing the fertile window.