Infertility Quiz Questions

Infertility Quiz Questions Related

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Karen, a 28-year-old female patient, has a hysterosalpingogram ordered but not scheduled. What should the nurse tell the patient?

  • A. When your next menses starts, call the office to schedule your procedure.
  • B. You may experience uterine cramping during the procedure.
  • C. Radiation exposure will be avoided through the use of ultrasound imaging.
  • D. The purpose of the test is to evaluate the inside of your uterus and your fallopian tubes.
Correct Answer: A

Rationale: Rationale for Correct Answer (A):
- A is correct because the nurse should instruct the patient to call the office when her next menstrual cycle starts to schedule the hysterosalpingogram. This is essential as the test needs to be performed during a specific phase of the menstrual cycle for accurate results.

Summary of Incorrect Choices:
- B: While uterine cramping may be a possible side effect of the procedure, this information is not the most crucial to communicate to the patient at this time.
- C: While it is important to address concerns about radiation exposure, the use of ultrasound imaging doesn't eliminate the need for the patient to schedule the procedure at the appropriate time in her menstrual cycle.
- D: While this choice provides some information about the purpose of the test, it does not address the immediate action the patient needs to take to schedule the procedure correctly.

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What is the role of hCG in early pregnancy tests?

  • A. hCG stimulates ovulation during the menstrual cycle.
  • B. hCG levels rise after implantation, confirming pregnancy.
  • C. hCG reduces the risk of miscarriage during early pregnancy.
  • D. hCG suppresses the menstrual cycle during pregnancy.
Correct Answer: B

Rationale: The correct answer is B because hCG (human chorionic gonadotropin) levels rise after implantation of the fertilized egg in the uterus, confirming pregnancy. This hormone is produced by the developing placenta and is the key marker used in early pregnancy tests to detect pregnancy.

A is incorrect because hCG does not stimulate ovulation; rather, it is produced after ovulation to support pregnancy.
C is incorrect because while hCG plays a role in supporting pregnancy, it does not directly reduce the risk of miscarriage.
D is incorrect because hCG does not suppress the menstrual cycle; it is actually produced during pregnancy and is essential for maintaining the pregnancy.

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 nurse explains ovulation induction medications to a patient. What should the nurse emphasize?

  • A. Medications ensure the release of multiple eggs per cycle.
  • B. Medications can occasionally lead to mild abdominal discomfort.
  • C. Medications increase the hormonal signals for egg maturation and release.
  • D. Medications eliminate the need for timed intercourse.
Correct Answer: C

Rationale: The correct answer is C because ovulation induction medications work by increasing the hormonal signals that stimulate egg maturation and release. This is crucial for patients struggling with infertility. Choice A is incorrect because the goal is not necessarily to release multiple eggs per cycle, but rather to ensure the release of a healthy egg. Choice B is incorrect as mild abdominal discomfort is not a primary concern with these medications. Choice D is incorrect because timed intercourse is often still recommended to maximize the chances of conception even with the use of ovulation induction medications.

A woman who is undergoing infertility testing states, "My husband won't discuss this with me. I don't think he cares about or wants a baby." The nurse's ideal response is

  • A. "You should confront him about this."
  • B. "He probably doesn't understand your concern."
  • C. "Men are sometimes less eager to have children."
  • D. "It may be harder for him to express his feelings."
Correct Answer: D

Rationale: The correct answer is D because it acknowledges the husband's potential difficulty in expressing his feelings, validating the woman's concerns while also offering empathy. It is important to recognize that discussing infertility can be emotionally challenging for both partners, and the response shows understanding and support.

Choice A is incorrect as it suggests confrontation, which may escalate the situation and lead to further communication breakdown. Choice B implies a lack of understanding on the husband's part, which may not be the case. Choice C is a generalization and may not address the specific dynamics of this couple's situation.

Which statement by a gravid client who is a carrier for Duchenne muscular dystrophy, an X-linked recessive disease, indicates that she understands the implications of her status?

  • A. If I have a girl
  • B. she will be healthy.
  • C. None of my children will be at risk of the disease.
  • D. If I have a boy
Correct Answer: A

Rationale: Girls of carriers have a 50% chance of being carriers but are not affected unless the father also contributes the defective gene.

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