Nokea
The nurse is instructing a client on taking her basal body temperature. What is the primary purpose of this test?
- A. To determine if the client's cervical mucus contains enough estrogen to support sperm motility.
- B. To identify if the client's temperature rises 1 to 5 days after midcycle.
- C. To assess whether surgical correction of uterine pathology is needed.
- D. To identify if the client is experiencing blockage of the uterine cavity and fallopian tubes.
Correct Answer: B
Rationale: Rationale: The correct answer is B because basal body temperature rises 1 to 5 days after midcycle, indicating ovulation. This helps determine the client's most fertile period for conception. Choice A is incorrect as basal body temperature does not assess cervical mucus. Choice C is incorrect as it does not evaluate uterine pathology. Choice D is incorrect as basal body temperature does not assess blockage of uterine cavity or fallopian tubes.
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The nurse is educating a patient about the role of luteal phase support in fertility treatments. What should be emphasized?
- A. It involves increasing estrogen levels to support ovulation.
- B. It requires progesterone supplementation to maintain uterine lining integrity.
- C. It eliminates the need for hormonal monitoring during treatments.
- D. It helps prevent the LH surge during ovulation induction.
Correct Answer: B
Rationale: The correct answer is B because luteal phase support is crucial in fertility treatments to maintain the uterine lining for potential embryo implantation. Progesterone supplementation is necessary to support this phase, as it ensures a hospitable environment for the embryo. Option A is incorrect because luteal phase support primarily focuses on progesterone, not estrogen. Option C is incorrect as hormonal monitoring is still essential during fertility treatments. Option D is incorrect because luteal phase support does not prevent the LH surge, which is necessary for ovulation.
A couple undergoing IVF asks about the risks associated with the procedure. Which response by the nurse is appropriate?
- A. There are no risks associated with IVF as it is a routine procedure.
- B. Multiple pregnancies and ovarian hyperstimulation syndrome are possible risks.
- C. IVF guarantees pregnancy within one cycle.
- D. IVF has no impact on the health of future pregnancies.
Correct Answer: B
Rationale: The correct answer is B because multiple pregnancies and ovarian hyperstimulation syndrome are indeed possible risks associated with IVF. Multiple pregnancies can lead to complications for both the mother and babies, while ovarian hyperstimulation syndrome can cause abdominal pain, bloating, and in severe cases, fluid buildup in the abdomen and chest.
Choice A is incorrect as all medical procedures, including IVF, carry risks. Choice C is incorrect as IVF does not guarantee pregnancy in one cycle, success rates vary. Choice D is incorrect as studies have shown that IVF can have implications on future pregnancies such as increased risk of preterm birth and low birth weight.
What is the function of estrogen in preparing the uterine lining during the menstrual cycle?
- A. To prevent ovulation from occurring prematurely.
- B. To thicken and vascularize the endometrium for potential implantation.
- C. To stimulate the release of eggs from the ovaries.
- D. To increase progesterone production directly.
Correct Answer: B
Rationale: The correct answer is B. Estrogen plays a crucial role in thickening and vascularizing the endometrium to prepare for potential implantation of a fertilized egg. Estrogen does not prevent ovulation (choice A), as it actually promotes ovulation. It also does not directly stimulate egg release (choice C), as that is primarily controlled by luteinizing hormone. Estrogen indirectly influences progesterone production by triggering ovulation, but it does not directly increase progesterone production (choice D).
The nurse is educating a client about hysterosalpingograms. Which information should the nurse include prior to this procedure?
- A. This procedure is always performed under general anesthesia.
- B. This procedure should be performed after ovulation has occurred.
- C. This procedure involves instillation of a radiopaque dye into the uterine cavity.
- D. After the procedure, the client should take Tylenol to decrease cramping.
Correct Answer: C
Rationale: Rationale for Correct Answer C:
1. Hysterosalpingogram (HSG) involves instillation of a radiopaque dye into the uterine cavity to visualize the uterus and fallopian tubes.
2. This dye helps to identify any abnormalities or blockages in the reproductive system.
3. The nurse should include this information as it is essential for the client to understand the purpose and process of the procedure.
4. Understanding the use of the dye can help alleviate any anxiety or concerns the client may have.
Summary of Incorrect Choices:
A: This procedure is typically performed without general anesthesia.
B: HSG can be performed at various points in the menstrual cycle, not specifically after ovulation.
D: Tylenol may be recommended for pain relief post-procedure, but it is not a necessary pre-procedure step.
A Roman Catholic couple is infertile. Their health care practitioner advises them that their best chance of getting pregnant is via in vitro fertilization with a mixture of the man's sperm and donor sperm. Which of the following issues, related to this procedure, should the nurse realize may be in conflict with the couple's religious beliefs? Select all that apply.
- A. The man will ejaculate by masturbation into a specially designed condom.
- B. The woman may become pregnant with donor sperm.
- C. Fertilization is occurring in the artificial environment of the laboratory.
- D. More embryos will be created than will be used to inseminate the woman.
Correct Answer: A
Rationale: These aspects of IVF conflict with Roman Catholic teachings on procreation and the sanctity of life.