Nokea
What is the role of antral follicle count (AFC) in assessing fertility?
- A. It measures uterine health and implantation readiness.
- B. It estimates ovarian reserve by counting developing follicles.
- C. It identifies hormonal imbalances affecting fertility.
- D. It predicts the likelihood of male infertility.
Correct Answer: B
Rationale: The correct answer is B because antral follicle count (AFC) is a direct indicator of ovarian reserve, reflecting the number of small developing follicles in the ovaries. A higher AFC indicates a larger pool of potential eggs, suggesting better fertility potential. Other choices are incorrect as AFC specifically relates to ovarian health and not uterine health (A), hormonal imbalances (C), or male fertility (D).
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At her first prenatal visit, a woman relates that her maternal aunt has cystic fibrosis (CF), an autosomal recessive illness. Which of the following comments is appropriate for the nurse to make at this time?
- A. We can check to see whether or not you are a carrier for cystic fibrosis.
- B. It is unnecessary for you to worry since your aunt is not a direct relation.
- C. You should have an amniocentesis to see whether or not your child has the disease.
- D. Please ask your mother whether she has ever had any symptoms of cystic fibrosis.
Correct Answer: A
Rationale: Carrier testing can determine if the woman carries the CF gene.
A patient undergoing fertility treatment asks about egg quality improvement. What should the nurse recommend?
- A. Consuming a diet rich in antioxidants may support better egg quality.
- B. Relying solely on supplements guarantees improved egg quality.
- C. Exercising excessively will enhance egg maturation.
- D. Egg quality is not influenced by external factors.
Correct Answer: A
Rationale: The correct answer is A because antioxidants help reduce oxidative stress, which can improve egg quality. Antioxidants protect eggs from damage caused by free radicals. Consuming a diet rich in antioxidants can support better egg quality.
Choice B is incorrect because relying solely on supplements does not guarantee improved egg quality. Choice C is incorrect because excessive exercise can actually have a negative impact on egg maturation. Choice D is incorrect because egg quality can be influenced by external factors such as diet, lifestyle, and environmental factors.
A provider has ordered several diagnostic procedures for a couple with suspected infertility. Which diagnostic procedure is useful for determining if ovulation has occurred?
- A. FSH level
- B. Progesterone level
- C. Estrogen level
- D. Vaginal ultrasound
Correct Answer: B
Rationale: The correct answer is B: Progesterone level. Progesterone is the hormone secreted after ovulation, indicating that ovulation has occurred. Monitoring progesterone levels can confirm ovulation. FSH (A) and estrogen (C) levels reflect the ovarian function but do not directly confirm ovulation. Vaginal ultrasound (D) can visualize the ovaries but does not definitively confirm ovulation.
The nurse is counseling a couple about ovulation predictor kits. What is the most important advice?
- A. They require a prescription.
- B. They detect the LH surge, signaling ovulation within the next 24 to 36 hours.
- C. They are most effective when used randomly during the cycle.
- D. They confirm pregnancy rather than ovulation.
Correct Answer: B
Rationale: The correct answer is B because ovulation predictor kits detect the LH surge, which occurs approximately 24 to 36 hours before ovulation. This information is crucial for timing intercourse to maximize the chances of conception. Choice A is incorrect because ovulation predictor kits are typically available over the counter and do not require a prescription. Choice C is incorrect because these kits should be used strategically around the expected time of ovulation for accurate results. Choice D is incorrect because ovulation predictor kits do not confirm pregnancy; they only indicate the LH surge and impending ovulation.
A nurse has just taken a family history on a 10-week gravid client and created the family pedigree shown below. Each of the darkened symbols represents a person with a serious illness. Which of the following actions should the nurse take at this time?
- A. Advise the woman that she should have an amniocentesis.
- B. Encourage the doctor to send her for genetic counseling.
- C. Ask the woman if she knew any of the relatives who died.
- D. Inform the woman that her pedigree appears normal.
Correct Answer: B
Rationale: Genetic counseling is warranted when a family history suggests inherited disorders.