Nokea
The nurse is reviewing the monitoring strip of a woman in labor who is experiencing a contraction. The nurse notes the time the contraction takes from its onset to reach its highest intensity. The nurse interprets this time as which phase?
- A. increment
- B. acme
- C. peak
- D. decrement
Correct Answer: A
Rationale: The correct answer is A because the time from the onset of a contraction to its highest intensity corresponds to the increment phase, which is the buildup of the contraction. The acme is the peak intensity, and the decrement is the relaxation phase.
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What is the purpose of embryo freezing in fertility treatments?
- A. To eliminate the need for future egg retrieval cycles.
- B. To store embryos for future use, preserving fertility options.
- C. To improve the genetic quality of embryos before transfer.
- D. To avoid the use of hormonal treatments during IVF.
Correct Answer: B
Rationale: The correct answer is B. Embryo freezing in fertility treatments allows for the storage of embryos for future use, preserving fertility options. This is important in case the initial IVF cycle is unsuccessful or if the individual wants to have more children later on. Freezing embryos also enables individuals to avoid repeated egg retrieval cycles, saving time, cost, and potential risks associated with the procedure. Additionally, it allows for the preservation of younger and healthier embryos, optimizing the chances of successful pregnancy in the future. The other choices are incorrect because they do not align with the primary purpose of embryo freezing in fertility treatments, which is to provide individuals with the option to use stored embryos in the future.
A nurse working with an infertile couple has made the following nursing diagnosis: Sexual dysfunction related to decreased libido. Which of the following assessments is the likely reason for this diagnosis?
- A. The couple has established a set schedule for their sexual encounters.
- B. The couple has been married for more than eight years.
- C. The couple lives with one set of parents.
- D. The couple has close friends who gave birth to a baby within the past year.
Correct Answer: A
Rationale: A rigid schedule for sexual activity can contribute to decreased libido and sexual dysfunction.
A 36-year-old female patient presents to the reproductive medicine clinic for a follow-up appointment. Laboratory results indicate diminished ovarian reserve, and her partner's semen analysis is normal. Which infertility options may be appropriate for this client?
- A. Donor oocytes
- B. Ovulation induction with clomiphene citrate
- C. Follitropin injections to stimulate ovarian follicles
- D. In-vitro fertilization and embryo transfer
Correct Answer: A
Rationale: The correct answer is A: Donor oocytes. Diminished ovarian reserve implies reduced quantity and quality of eggs, making natural conception challenging. Donor oocytes offer a viable option for achieving pregnancy.
B: Ovulation induction with clomiphene citrate may not be effective if ovarian reserve is significantly diminished.
C: Follitropin injections stimulate the patient's own ovarian follicles, which may not be successful if ovarian reserve is low.
D: In-vitro fertilization and embryo transfer require viable eggs from the patient, which may be limited in cases of diminished ovarian reserve.
At ovulation, the basal body temperature usually:
- A. Rises abruptly and then falls 1 or 2 days after menstruation starts.
- B. Falls and remains low for the last half of the cycle.
- C. Is higher during the first half of the cycle than in the last half.
- D. Falls just before ovulation and is higher during the last half.
Correct Answer: A
Rationale: Basal body temperature usually rises abruptly at ovulation and then falls 1 or 2 days after menstruation starts. This rise indicates the release of an egg and the shift from the follicular phase to the luteal phase of the menstrual cycle.
A female client seeks care at an infertility clinic. Which of the following tests may the client undergo to determine what, if any, infertility problem she may have? Select all that apply.
- A. Chorionic villus sampling.
- B. Endometrial biopsy.
- C. Hysterosalpingogram.
- D. Serum progesterone assay.
Correct Answer: B
Rationale: Tests like endometrial biopsy, hysterosalpingogram, and serum progesterone assay help diagnose infertility causes.