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What dietary recommendation should the nurse provide to a patient trying to conceive?
- A. Follow a high-protein diet to support fertility.
- B. Consume a variety of fruits, vegetables, and whole grains.
- C. Eliminate all sources of fat from the diet.
- D. Increase caffeine intake for better energy during ovulation.
Correct Answer: B
Rationale: The correct answer is B: Consume a variety of fruits, vegetables, and whole grains. This recommendation is based on the importance of a balanced and nutritious diet for overall health and fertility. Fruits, vegetables, and whole grains provide essential vitamins, minerals, and antioxidants that support reproductive health. High-protein diets (choice A) may be beneficial but should not be the sole focus. Eliminating all sources of fat (choice C) is not recommended as healthy fats are essential for hormone production. Increasing caffeine intake (choice D) can have negative effects on fertility. In summary, a diet rich in fruits, vegetables, and whole grains provides the necessary nutrients for optimal fertility.
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Large amounts of leukocytes in the seminal fluid suggest a clinical finding of
- A. inadequate fructose.
- B. inflammation of the testes.
- C. an infection of the genital tract.
- D. an obstruction in the vas deferens.
Correct Answer: C
Rationale: Large amounts of leukocytes in seminal fluid indicate an infection of the genital tract. Leukocytes are white blood cells that are typically present in response to an infection. In this context, their presence suggests an ongoing inflammatory response to combat the infection. This finding is consistent with an infection in the genital tract, which could be caused by various pathogens. Therefore, choice C is the correct answer.
Choice A (inadequate fructose) is incorrect because leukocytes are not directly related to fructose levels in the seminal fluid. Choice B (inflammation of the testes) is incorrect as the presence of leukocytes in seminal fluid does not necessarily indicate testicular inflammation. Choice D (obstruction in the vas deferens) is also incorrect as leukocytes are not typically associated with vas deferens obstruction.
A nurse is discussing the benefits of a single embryo transfer (SET) in IVF. What should the nurse emphasize?
- A. SET guarantees a successful pregnancy with one attempt.
- B. SET reduces the risk of multiple pregnancies and associated complications.
- C. SET eliminates the need for ovarian stimulation in future cycles.
- D. SET improves egg quality for future cycles.
Correct Answer: B
Rationale: The correct answer is B: SET reduces the risk of multiple pregnancies and associated complications. This is because transferring a single embryo in IVF lowers the chances of multiple gestations, which can lead to higher risks for both the mother and the babies. This choice emphasizes the importance of safety and health benefits for both the mother and potential offspring.
Choice A is incorrect as there is no guarantee of a successful pregnancy with one attempt. Choice C is incorrect as ovarian stimulation may still be needed in future cycles even with SET. Choice D is incorrect as SET does not directly improve egg quality for future cycles.
A 25-year-old woman, G0 P0000, enters the infertility clinic stating that she has just learned she is positive for the BRCA1 and the BRCA2 genes. She asks the nurse what her options are for getting pregnant and breastfeeding her baby. The nurse should base her reply on which of the following?
- A. Fertility of women who carry the BRCA1 and BRCA2 genes is similar to that of unaffected women.
- B. Women with these genes should be advised not to have children because the children could inherit the defective genes.
- C. Women with these genes should have their ovaries removed as soon as possible to prevent ovarian cancer.
- D. Lactation is contraindicated for women who carry the BRCA1 and BRCA 2 genes.
Correct Answer: A
Rationale: BRCA1/2 status does not directly affect fertility or breastfeeding.
A nurse is teaching a couple about the benefits of IVF. Which statement is accurate?
- A. IVF has a 100% success rate for all couples.
- B. IVF allows for genetic testing of embryos before transfer.
- C. IVF eliminates the need for hormonal injections.
- D. IVF can be performed without any fertility medications.
Correct Answer: B
Rationale: The correct answer is B because IVF allows for genetic testing of embryos before transfer, enabling couples to screen for genetic disorders and select healthy embryos. This statement is accurate as genetic testing is a crucial benefit of IVF. The other choices are incorrect because: A is incorrect as IVF success rates vary and are not 100%; C is incorrect as hormonal injections are often necessary in IVF to stimulate egg production; D is incorrect as fertility medications are commonly used to prepare the body for IVF procedures.
What is the role of a saline sonohysterogram in evaluating infertility?
- A. To visualize the uterine cavity and detect abnormalities.
- B. To measure hormone levels in the bloodstream.
- C. To assess ovarian reserve directly.
- D. To monitor embryo development after IVF.
Correct Answer: A
Rationale: The correct answer is A because a saline sonohysterogram is specifically used to visualize the uterine cavity and detect abnormalities such as polyps, fibroids, or adhesions that may be causing infertility. It helps identify structural issues that may interfere with implantation or pregnancy.
Choice B is incorrect because a saline sonohysterogram does not measure hormone levels in the bloodstream. Choice C is also incorrect as it does not directly assess ovarian reserve, which is typically evaluated through blood tests like AMH and FSH levels. Choice D is incorrect as a saline sonohysterogram is not used to monitor embryo development after IVF, but rather to assess the uterine cavity before the procedure.