Nokea
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.
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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.
A 3-month-old baby has been diagnosed with cystic fibrosis (CF). The mother says, 'How could this happen? I had an amniocentesis during my pregnancy and everything was supposed to be normal!' What must the nurse understand about this situation?
- A. Cystic fibrosis cannot be diagnosed by amniocentesis.
- B. The baby may have an uncommon genetic variant of the disease.
- C. It is possible that the laboratory technician made an error.
- D. Instead of obtaining fetal cells the doctor probably harvested maternal cells.
Correct Answer: B
Rationale: Uncommon genetic variants of CF may not be detected by standard testing.
A client is to receive Pergonal (menotropins) injections for infertility prior to in vitro fertilization. Which of the following is the expected action of this medication?
- A. Prolongation of the luteal phase.
- B. Stimulation of ovulation.
- C. Suppression of menstruation.
- D. Promotion of cervical mucus production.
Correct Answer: B
Rationale: Pergonal stimulates ovulation by promoting the maturation and release of ova.
A woman telephones the prenatal clinic and reports that her water just broke. Which suggestion by the nurse would be most appropriate?
- A. Call us back when you start having contractions.
- B. Come to the clinic or emergency department for an evaluation.
- C. Drink 3 to 4 glasses of water and lie down.
- D. Come in as soon as you feel the urge to push.
Correct Answer: B
Rationale: When a woman's water breaks, there is an increased risk of infection and cord prolapse, making it important for the woman to seek evaluation at the clinic or emergency department. Waiting for contractions to start, drinking water and lying down, and waiting to come in only when feeling the urge to push are not appropriate responses in this situation.
The nurse is providing counseling to a group of sexually active single women. Most of the women have expressed a desire to have children in the future, but not within the next few years. Which of the following actions should the nurse suggest the women take to protect their fertility for the future? Select all that apply.
- A. Use condoms during intercourse.
- B. Refrain from smoking cigarettes.
- C. Maintain an appropriate weight for height.
- D. Exercise in moderation.
Correct Answer: B
Rationale: Smoking, unhealthy weight, and lack of exercise can negatively impact fertility. Condoms do not directly protect fertility but prevent STIs which might affect it.