Infertility NCLEX Questions

Infertility NCLEX Questions Related

Review Infertility NCLEX Questions related questions and content

What is the role of ovarian stimulation in fertility treatments?

  • A. To suppress ovulation and preserve egg quality.
  • B. To encourage the production of multiple eggs for retrieval.
  • C. To eliminate the need for embryo freezing.
  • D. To improve uterine lining thickness for implantation.
Correct Answer: B

Rationale: The correct answer is B. Ovarian stimulation in fertility treatments aims to encourage the production of multiple eggs for retrieval, increasing the chances of successful fertilization and pregnancy. By stimulating the ovaries to produce multiple eggs, fertility specialists can select the healthiest eggs for fertilization. This process is crucial for individuals with infertility issues or those undergoing assisted reproductive technologies like in vitro fertilization (IVF).

Choice A is incorrect because ovarian stimulation does not aim to suppress ovulation but rather to enhance egg production. Choice C is incorrect because ovarian stimulation does not eliminate the need for embryo freezing; embryos may still need to be frozen for future use. Choice D is incorrect because ovarian stimulation does not directly target uterine lining thickness; it primarily focuses on egg production in the ovaries.

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During preconception counseling, a nurse discusses the impact of male age on fertility. What statement requires correction?

  • A. Pregnancy rates are not related to the age of the male partner.
  • B. Sexually active males should be routinely tested for STIs and treated appropriately.
  • C. Maintaining a healthy weight is important for the reproductive health of both female and male partners.
  • D. Certain medications, such as testosterone supplementation and chemotherapy, can impact male fertility.
Correct Answer: A

Rationale: The correct answer is A because male age does impact fertility. Advanced paternal age is associated with decreased fertility and increased risk of genetic abnormalities in offspring. Choice B is correct as STIs can affect fertility. Choice C is relevant as obesity can impact male fertility. Choice D is correct as certain medications can impact male fertility. Overall, choice A is incorrect as male age does play a role in fertility outcomes.

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 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.

A young couple is contemplating starting a family. Which is the best time for genetic counseling?

  • A. Now, before they become pregnant
  • B. As soon as they have a positive pregnancy test
  • C. In the second trimester
  • D. In the third trimester
Correct Answer: A

Rationale: The correct answer is A: Now, before they become pregnant. This is the best time for genetic counseling because it allows the couple to understand their genetic risks, receive information on potential hereditary conditions, and make informed decisions before conception. Genetic counseling before pregnancy enables proactive planning and consideration of options such as genetic testing or alternative reproductive methods if necessary. Choices B, C, and D are incorrect as genetic counseling is most effective and beneficial when done prior to conception to ensure optimal outcomes and informed decision-making.

A nurse is educating a patient about the two-week wait period after an IVF embryo transfer. What should the nurse emphasize?

  • A. Avoid any physical activity during this time.
  • B. Take a pregnancy test immediately after the transfer.
  • C. Focus on stress management and follow any prescribed medications.
  • D. Increase protein intake to improve embryo implantation chances.
Correct Answer: C

Rationale: The correct answer is C: Focus on stress management and follow any prescribed medications. During the two-week wait period after an IVF embryo transfer, it is crucial for the patient to manage stress levels as high stress can negatively impact implantation. Following prescribed medications is important for maintaining optimal conditions for the embryo to implant successfully.

Avoiding physical activity (choice A) is not necessary as moderate physical activity is usually permitted unless advised otherwise by the healthcare provider. Taking a pregnancy test immediately (choice B) is not recommended as it may not accurately reflect the outcome at such an early stage. Increasing protein intake (choice D) may be beneficial for overall health but does not directly impact embryo implantation during the two-week wait period.

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