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Cindy, a 36-year-old, has been prescribed Follistim AQ, a follitropin. What information should the nurse include in Cindy's education?
- A. Eggs or oocytes develop within ovarian follicles. The purpose of the medication is to stimulate development of ovarian follicles.
- B. Follistim is a manufactured form of FSH, a hormone released from the pituitary gland during the menstrual cycle.
- C. Rapid weight gain is typical during ovulation induction.
- D. Typical side effects include breast tenderness, changes in mood, and depression.
Correct Answer: A
Rationale: The correct answer is A. Cindy is prescribed Follistim AQ to stimulate the development of ovarian follicles, where eggs or oocytes develop. This medication helps in ovulation induction. The nurse should educate Cindy on the medication's purpose, how it works, and the importance of follicle development in the ovulation process.
Choice B is incorrect as Follistim is not a manufactured form of FSH but a specific form of follitropin.
Choice C is incorrect as rapid weight gain is not a typical side effect of ovulation induction with Follistim.
Choice D is incorrect as the typical side effects of Follistim include ovarian hyperstimulation syndrome, abdominal pain, and bloating, not breast tenderness, changes in mood, or depression.
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A patient asks about the purpose of AMH (Anti-Müllerian Hormone) testing. What should the nurse explain?
- A. AMH testing predicts the exact time of ovulation.
- B. AMH levels indicate ovarian reserve and egg quantity.
- C. AMH is used to confirm pregnancy success after IVF.
- D. AMH determines sperm quality in male partners.
Correct Answer: B
Rationale: The correct answer is B: AMH levels indicate ovarian reserve and egg quantity. This is because Anti-Müllerian Hormone (AMH) is primarily secreted by the ovaries and its levels in the blood reflect the number of remaining follicles in the ovaries, which correlates with ovarian reserve and egg quantity. This information is vital for assessing a woman's fertility potential, especially in the context of fertility treatments such as in vitro fertilization (IVF). Choice A is incorrect as AMH testing does not predict the exact time of ovulation, it assesses ovarian reserve. Choice C is incorrect as AMH testing is not used to confirm pregnancy success after IVF, but rather to determine the likelihood of successful response to ovarian stimulation. Choice D is incorrect as AMH does not determine sperm quality in male partners, as it is a hormone produced by the ovaries and is not related to male reproductive function.
A couple undergoing fertility treatments asks about the impact of age on success rates. What should the nurse explain?
- A. Success rates remain constant regardless of age.
- B. Younger age is associated with higher success rates for most treatments.
- C. Male age does not impact fertility treatment outcomes.
- D. Age only matters if the woman is over 50.
Correct Answer: B
Rationale: The correct answer is B because younger age is generally associated with higher success rates in fertility treatments due to factors like better egg quality and ovarian reserve. Older women may have lower success rates due to decreased egg quality and quantity. Choice A is incorrect as success rates do vary with age. Choice C is incorrect because male age can impact fertility treatment outcomes. Choice D is incorrect as age can impact fertility treatment outcomes for women younger than 50 as well.
A nurse is teaching a group about the benefits of folic acid supplementation before conception. What should the nurse emphasize?
- A. Folic acid helps prevent neural tube defects in the developing fetus.
- B. Folic acid improves the chances of multiple pregnancies.
- C. Folic acid is only needed during the third trimester of pregnancy.
- D. Folic acid reduces the need for prenatal vitamins.
Correct Answer: A
Rationale: The correct answer is A: Folic acid helps prevent neural tube defects in the developing fetus. The rationale is that folic acid is essential for the development of the neural tube in early pregnancy, which is crucial for the baby's brain and spinal cord formation. By emphasizing this benefit, the nurse educates about the importance of folic acid before conception to reduce the risk of neural tube defects. Choices B, C, and D are incorrect because folic acid does not improve chances of multiple pregnancies, is needed before conception and throughout pregnancy (not just in the third trimester), and is a supplement that complements prenatal vitamins rather than replacing them.
A client is to have a hysterosalpingogram. Which of the following information should the nurse provide the client prior to the procedure?
- A. The test will be performed through a small incision next to your belly button.
- B. You will be on bed rest for a full day following the procedure.
- C. An antibiotic fluid will be instilled through a tube in your cervix.
- D. You will be asked to move from side to side so that x-ray pictures can be taken.
Correct Answer: C
Rationale: Contrast dye is instilled through the cervix during a hysterosalpingogram.
How does weight management affect fertility in both men and women?
- A. It has no impact on fertility outcomes.
- B. Maintaining a healthy weight improves hormonal balance and sperm quality.
- C. Weight loss is only beneficial for women trying to conceive.
- D. Being underweight enhances fertility in men.
Correct Answer: B
Rationale: The correct answer is B because maintaining a healthy weight positively affects hormonal balance and sperm quality in both men and women, leading to improved fertility outcomes. This is supported by research showing the link between obesity and infertility. Choice A is incorrect as weight management does impact fertility. Choice C is incorrect as weight loss can benefit fertility in both genders. Choice D is incorrect as being underweight can actually negatively impact fertility in men.