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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.
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A couple has just seen a genetic specialist regarding genetic anomalies of their infant. The specialist has ordered a karyotype to be performed. What should the nurse inform the couple about karyotyping?
- A. Karyotyping will reveal if your infant's head is growing appropriately.
- B. Karyotyping will reveal if your baby will develop normally.
- C. Karyotyping will provide information about the number and structure of the chromosomes.
- D. Karyotyping will detect any present or future physical deformities your infant has or may have.
Correct Answer: C
Rationale: Rationale:
1. Karyotyping involves analyzing an individual's chromosomes to identify any abnormalities.
2. It provides information about the number and structure of chromosomes, which can indicate genetic disorders.
3. This information is crucial for diagnosing genetic conditions and predicting possible health outcomes.
4. Options A, B, and D are incorrect as karyotyping does not assess growth, development, or physical deformities directly.
What is the purpose of progesterone supplementation after embryo transfer in IVF?
- A. To induce ovulation for the next cycle.
- B. To support the uterine lining and enhance implantation success.
- C. To suppress natural hormone levels for better control.
- D. To eliminate the risk of multiple pregnancies.
Correct Answer: B
Rationale: The correct answer is B: To support the uterine lining and enhance implantation success. Progesterone supplementation is crucial after embryo transfer in IVF because it helps prepare the uterine lining for implantation and provides hormonal support to maintain a pregnancy. Progesterone is essential for the embryo to implant and for the early stages of pregnancy to progress. Therefore, the purpose of progesterone supplementation is to enhance the chances of successful implantation and support early pregnancy development.
Choices A, C, and D are incorrect:
A: To induce ovulation for the next cycle - Progesterone supplementation is not used to induce ovulation after embryo transfer in IVF. Ovulation should have already occurred before the embryo transfer.
C: To suppress natural hormone levels for better control - Progesterone supplementation is not used to suppress hormone levels but rather to support hormonal balance during the implantation phase.
D: To eliminate the risk of multiple pregnancies - Progesterone
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.
A 10-week gravid states that her sister's son has been diagnosed with an X-linked recessive disease, Duchenne muscular dystrophy. She questions the nurse about the disease. Which of the following responses is appropriate for the nurse to make?
- A. Because Duchenne muscular dystrophy is inherited through the woman
- B. it is advisable for you to see a genetic counselor.
- C. Duchenne muscular dystrophy usually occurs as a spontaneous mutation. It is very unlikely that your fetus is affected.
- D. Your child could acquire Duchenne muscular dystrophy only if both you and your husband carried the gene. You need to check your husband's family history.
Correct Answer: A
Rationale: Duchenne muscular dystrophy is X-linked recessive, meaning the mother must be a carrier for the child to be affected.
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.