Nokea
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.
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The parents have just received news that their infant has sickle cell disease. They ask the nurse if this could happen to future children. Because this is an example of an autosomal-recessive inheritance, what should the nurse tell Tim and Katie?
- A. Because this child has sickle cell, there is a decreased chance none of your other children will have sickle cell disease.
- B. Each time you get pregnant, there will be a 50/50 chance that your child will have sickle cell disease.
- C. Each time you get pregnant, there will be a 25% chance that your child will inherit the gene from each parent and will have sickle cell disease.
- D. Your next child will have a 50% chance of being a carrier for sickle cell disease.
Correct Answer: C
Rationale: The correct answer is C: Each time you get pregnant, there will be a 25% chance that your child will inherit the gene from each parent and will have sickle cell disease. This is because sickle cell disease follows an autosomal-recessive inheritance pattern, meaning both parents must pass on the sickle cell gene for a child to have the disease. With each pregnancy, there is a 25% chance that the child will inherit one sickle cell gene from each parent, resulting in the disease. Choices A and D are incorrect because they do not accurately reflect the inheritance pattern of sickle cell disease. Choice B is incorrect because it suggests a 50/50 chance, which is not the case with autosomal-recessive inheritance.
A couple who has sought fertility counseling has been told that the man's sperm count is very low. The nurse advises the couple that spermatogenesis is impaired when which of the following occurs?
- A. The testes are overheated.
- B. The vas deferens is ligated.
- C. The prostate gland is enlarged.
- D. The flagella are segmented.
Correct Answer: A
Rationale: Overheating of the testes impairs spermatogenesis, as sperm production requires a cooler environment.
Which lifestyle change should the nurse suggest to improve fertility for both partners?
- A. Increase protein intake significantly.
- B. Exercise rigorously every day.
- C. Maintain a balanced diet and healthy weight.
- D. Reduce water consumption to avoid bloating.
Correct Answer: C
Rationale: The correct answer is C: Maintain a balanced diet and healthy weight. This suggestion is crucial for improving fertility as it promotes overall health, hormonal balance, and reproductive function in both partners. A balanced diet provides essential nutrients for reproductive health, while maintaining a healthy weight reduces the risk of infertility related to obesity or underweight. Option A is incorrect as excessive protein intake can negatively impact fertility. Option B is incorrect as excessive rigorous exercise may disrupt hormonal balance and affect fertility. Option D is incorrect as proper hydration is essential for reproductive health and reducing water consumption is not recommended for fertility improvement.
Which of the following client responses indicates that the nurse's teaching about care following chorionic villus sampling (CVS) has been successful?
- A. If the baby stops moving
- B. the woman should immediately go to the hospital.
- C. The woman should take oral terbutaline every 2 hours for the next day.
- D. If the woman starts to bleed or to contract
Correct Answer: C
Rationale: Bleeding or contractions after CVS warrant medical attention.
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.