Nokea
What is the significance of timing in intrauterine insemination (IUI)?
- A. IUI is effective regardless of ovulation timing.
- B. IUI must be timed closely with ovulation for optimal success.
- C. IUI should only be done after the implantation window opens.
- D. Timing is irrelevant as long as sperm quality is high.
Correct Answer: B
Rationale: The correct answer is B because timing is crucial in IUI to increase the chance of fertilization. Intrauterine insemination must be done close to ovulation to ensure that the sperm meets the egg for successful conception. Timing is essential to maximize the chances of successful fertilization.
Choice A is incorrect because timing is indeed important for the success of IUI. Choice C is incorrect because the implantation window is not related to the timing of IUI. Choice D is incorrect because high sperm quality alone is not sufficient for successful IUI; timing is a critical factor in achieving pregnancy through IUI.
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A couple has been told that the male partner, who is healthy, is producing no sperm 'because he has cystic fibrosis.' Which of the following explanations is accurate in relation to this statement?
- A. Since the man is healthy
- B. he could not possibly have cystic fibrosis.
- C. Men with cystic fibrosis often have no epididymis.
- D. The expressivity of cystic fibrosis is variable.
Correct Answer: B
Rationale: Men with cystic fibrosis frequently have congenital absence of the vas deferens, leading to azoospermia.
The nurse is reviewing the medical record of a woman in labor and notes that the fetal position is documented as LSA. The nurse interprets this information as indicating which part as the presenting part?
- A. occiput
- B. face
- C. buttocks
- D. shoulder
Correct Answer: C
Rationale: The correct answer is C because in the notation LSA, the S denotes the sacrum or buttocks as the presenting part. The occiput is denoted by O, face by M, and shoulder by A.
During a genetic evaluation, it is discovered that the woman is carrying one autosomal dominant gene for a serious late adult–onset disease, while her partner's history is unremarkable. Based on this information, which of the following family members should be considered high risk and in need of genetic counseling? Select all that apply.
- A. The woman's fetus.
- B. The woman's sisters.
- C. The woman's brothers.
- D. The woman's parents.
Correct Answer: A
Rationale: All first-degree relatives and offspring are at risk for inheriting the gene.
A 36-year-old female patient presents to the reproductive medicine clinic for a follow-up appointment. Initial laboratory results are available and indicate diminished ovarian reserve, and her partner's semen analysis is within normal parameters. Which infertility options may be appropriate for this client?
- A. Donor oocytes
- B. Ovulation induction with clomiphene citrate
- C. Follitropin injections to stimulate ovarian follicles
- D. In-vitro fertilization and embryo transfer
Correct Answer: A
Rationale: Correct Answer: A - Donor oocytes
Rationale:
1. Diminished ovarian reserve suggests poor egg quality or quantity.
2. Using donor oocytes can bypass the issue of diminished ovarian reserve.
3. This option offers a better chance of successful conception compared to other methods due to healthier eggs from the donor.
Summary:
- B: Ovulation induction with clomiphene citrate may not address the underlying issue of diminished ovarian reserve.
- C: Follitropin injections stimulate the patient's own follicles, which may not be optimal in cases of diminished ovarian reserve.
- D: In-vitro fertilization and embryo transfer may not be successful if the patient's eggs are of poor quality or quantity.
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.