Nokea
What is a typical characteristic of polycystic ovarian syndrome (PCOS) affecting fertility?
- A. Regular ovulation.
- B. Increased androgen levels.
- C. Reduced ovarian size.
- D. High levels of estrogen throughout the cycle.
Correct Answer: B
Rationale: The correct answer is B: Increased androgen levels. In PCOS, there is often an imbalance in hormone levels, including increased androgens like testosterone. This can disrupt normal ovulation and affect fertility. Regular ovulation (choice A) is typically not seen in PCOS. Reduced ovarian size (choice C) is not a typical characteristic, as ovaries can actually be enlarged in PCOS due to multiple small cysts. High levels of estrogen throughout the cycle (choice D) is not a defining feature of PCOS, as estrogen levels can vary in affected individuals. Ultimately, the increased androgen levels in PCOS are a key factor contributing to fertility issues in affected individuals.
You may also like to solve these questions
A pregnant woman comes to the labor and birth unit in labor. The woman tells the nurse, Yesterday, I had this burst of energy and cleaned everything in sight, but I don't know why. Which response by the nurse would be most appropriate?
- A. You had a burst of epinephrine, which is common before labor.
- B. You were trying to get everything ready for your baby.
- C. You felt your mind telling you that you were about to go into labor.
- D. You were looking forward to the birth of your baby.
Correct Answer: A
Rationale: The correct answer is A because a sudden increase in energy before labor is common due to an increase in epinephrine release. This burst of energy is unrelated to getting everything ready or looking forward to the birth of the baby. It is a physiological response that occurs before labor onset.
A patient asks about the purpose of progesterone injections after embryo transfer. What should the nurse explain?
- A. They increase the number of eggs released in future cycles.
- B. They support the uterine lining for implantation and pregnancy maintenance.
- C. They prevent ovarian cyst formation during fertility treatment.
- D. They reduce pregnancy symptoms such as nausea.
Correct Answer: B
Rationale: The correct answer is B: Progesterone injections support the uterine lining for implantation and pregnancy maintenance. Progesterone is essential for preparing the uterus for implantation and maintaining a pregnancy. After embryo transfer, progesterone helps thicken the uterine lining, making it more receptive to the embryo for successful implantation. Other choices are incorrect: A is incorrect because progesterone does not affect the number of eggs released in future cycles; C is incorrect because progesterone does not prevent ovarian cyst formation; D is incorrect because while progesterone can help alleviate some pregnancy symptoms, its primary role is in supporting the uterine lining for pregnancy.
When teaching a woman fertility awareness, the nurse should emphasize that the basal body temperature:
- A. Is the average temperature taken each morning.
- B. Should be recorded each morning before any activity.
- C. Has the highest degree of accuracy for predicting ovulation.
- D. Can be taken with any digital thermometer.
Correct Answer: B
Rationale: The basal body temperature should be recorded each morning before any activity to ensure accuracy in predicting ovulation. Taking it at the same time each day, before any activity, will provide consistent and reliable results.
A nurse is explaining the importance of lifestyle changes for women trying to conceive. What should the nurse emphasize?
- A. Focus solely on diet; exercise is not relevant to fertility.
- B. Both a balanced diet and regular moderate exercise support reproductive health.
- C. Weight gain is beneficial regardless of current BMI.
- D. Avoid stress management as it has no effect on fertility.
Correct Answer: B
Rationale: The correct answer is B because both a balanced diet and regular moderate exercise support reproductive health. A balanced diet provides essential nutrients for fertility, while exercise helps regulate hormones and improve overall health, increasing chances of conception. Choice A is incorrect because exercise plays a crucial role in fertility. Choice C is incorrect as weight gain should be based on individual needs, not a general recommendation. Choice D is incorrect as stress management is important for fertility as stress can impact hormone levels and ovulation.
A woman is seeking genetic counseling during her pregnancy. She has a strong family history of diabetes mellitus. She wishes to have an amniocentesis to determine whether she is carrying a baby who will 'develop diabetes.' Which of the following replies would be most appropriate for the nurse to make?
- A. Doctors don't do amniocenteses to detect diabetes.
- B. Diabetes cannot be diagnosed by looking at the genes.
- C. Although diabetes does have a genetic component
- D. diet and exercise also determine whether or not someone is diabetic.
Correct Answer: C
Rationale: Diabetes involves genetic and environmental factors.