Nokea
The nurse works in an infertility clinic and is interviewing a male patient whose partner has been unable to conceive. Which finding obtained during a health history will cause the nurse greatest concern?
- A. The patient is a passionate gardener.
- B. The patient had a vasectomy reversed.
- C. The patient rides a bicycle daily to work.
- D. The patient is concerned about infertility.
Correct Answer: B
Rationale: A vasectomy reversal can lead to the development of antibodies that reduce sperm motility, impacting fertility.
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The nurse caring for a pregnant patient knows that her health teaching regarding fetal circulation has been effective when the patient reports that she has been sleeping:
- A. In a side-lying position.
- B. On her back with a pillow under her knees.
- C. With the head of the bed elevated.
- D. On her abdomen.
Correct Answer: A
Rationale: Optimal circulation is achieved when the woman is lying at rest on her side.
What condition would the nurse suspect when a patient calls to report feeling very bloated after egg retrieval 3 days ago?
- A. ovarian hyperstimulation syndrome
- B. ectopic pregnancy
- C. ovarian hemorrhage
- D. hydrosalpinx
Correct Answer: A
Rationale: Ovarian hyperstimulation syndrome (OHSS) is a potential complication of egg retrieval, causing bloating and abdominal discomfort.
What hormone stimulates ovulation?
- A. None
- B. Luteinizing hormone (LH).
- C. None
- D. None
Correct Answer: B
Rationale: LH surge triggers ovulation.
At approximately ___ weeks of gestation, lecithin is forming on the alveolar surfaces, the eyelids open, and the fetus measures approximately 27 cm crown to rump and weighs approximately 1110 g.
- A. 20
- B. 24
- C. 28
- D. 30
Correct Answer: C
Rationale: These milestones of human development occur at approximately 28 weeks.
The nurse is reviewing the hormonal blood work from a patient who is tracking their cycle to try to conceive this month. The patient’s estradiol and progesterone levels are low. What statement would the nurse include in the patient teaching?
- A. “You have already ovulated this month. Let us know if you are not pregnant, and we will try again next month.”
- B. “You should have intercourse tonight and tomorrow. This is the best time to try to conceive.”
- C. “You are at the very beginning of your cycle and will be getting your period very soon.”
- D. “We can’t tell where you are in your cycle from this blood work. You may need to repeat it next week.”
Correct Answer: C
Rationale: Low estradiol and progesterone levels suggest the patient is in the early follicular phase, just before menstruation.