Nokea
A patient undergoing fertility treatment asks about egg quality improvement. What should the nurse recommend?
- A. Consuming a diet rich in antioxidants may support better egg quality.
- B. Relying solely on supplements guarantees improved egg quality.
- C. Exercising excessively will enhance egg maturation.
- D. Egg quality is not influenced by external factors.
Correct Answer: A
Rationale: The correct answer is A because antioxidants help reduce oxidative stress, which can improve egg quality. Antioxidants protect eggs from damage caused by free radicals. Consuming a diet rich in antioxidants can support better egg quality.
Choice B is incorrect because relying solely on supplements does not guarantee improved egg quality. Choice C is incorrect because excessive exercise can actually have a negative impact on egg maturation. Choice D is incorrect because egg quality can be influenced by external factors such as diet, lifestyle, and environmental factors.
You may also like to solve these questions
Which type of breech presentation is identified when the buttocks present first, with both legs extended up toward the face?
- B. A. frank
- C. B. full
- D. C. complete
Correct Answer: A
Rationale: In a frank breech presentation, the buttocks present first, with both legs extended up toward the face. This is a common breech presentation that requires careful monitoring during labor and birth to ensure a safe delivery. In a full or complete breech, the fetus sits cross-legged above the cervix, while in a footling breech, one or both legs are presenting. Understanding the different types of breech presentations is crucial for providing appropriate care and support during labor and birth.
A newly married woman states, "My friend told me I would never have a baby because I had pelvic inflammatory disease when I was younger. I don't understand how that can affect whether or not I get pregnant." The nurse's most appropriate response is
- A. "Your friend may be right. The disease may affect your ability to conceive."
- B. "Pelvic inflammatory disease may damage the ovaries and prevent ovulation."
- C. "Your friend has been misinformed. Fallopian tube damage occurs only following gonorrhea."
- D. "Infection may cause scarring and obstruction of the fallopian tubes, which can prevent the fertilized egg from reaching the uterus."
Correct Answer: D
Rationale: The correct answer is D because pelvic inflammatory disease (PID) can lead to scarring and obstruction of the fallopian tubes. This can prevent the fertilized egg from traveling to the uterus for implantation, thus affecting fertility. Choice A is incorrect as it makes a definitive statement without considering individual variations in the impact of PID. Choice B is incorrect because while PID can lead to ovarian damage, it primarily affects the fallopian tubes. Choice C is incorrect as fallopian tube damage can result from various infections, not just gonorrhea. Thus, the most appropriate response is D, as it directly addresses how PID can impact fertility through fallopian tube obstruction.
Assessment of a pregnant woman reveals that the presenting part of the fetus is at the level of the maternal ischial spines. The nurse documents this as which station?
- A. -2
- B. -1
- D. 1
Correct Answer: C
Rationale: Zero (0) station is designated when the presenting part is at the level of the maternal ischial spines. Minus stations are used when the presenting part is above the ischial spines, and plus stations are used when the presenting part is below the ischial spines.
What advice should the nurse give a patient with irregular periods trying to conceive?
- A. Track ovulation using basal body temperature and ovulation kits.
- B. Increase carbohydrate intake to regulate cycles.
- C. Avoid exercise to prevent further irregularity.
- D. Undergo hormone therapy immediately.
Correct Answer: A
Rationale: The correct answer is A because tracking ovulation using basal body temperature and ovulation kits helps identify the most fertile days for conception. This method allows the patient to time intercourse effectively. Increasing carbohydrate intake (B) does not address the root cause of irregular periods. Avoiding exercise (C) is not recommended as moderate exercise can actually help regulate menstrual cycles. Undergoing hormone therapy immediately (D) is an aggressive approach and should only be considered after other options have been explored.
What is the significance of a hysteroscopy in infertility evaluation?
- A. To measure hormone levels in the uterus.
- B. To visualize and treat abnormalities within the uterine cavity.
- C. To monitor egg development during ovulation induction.
- D. To assess ovarian reserve through imaging.
Correct Answer: B
Rationale: The correct answer is B: To visualize and treat abnormalities within the uterine cavity. A hysteroscopy is a minimally invasive procedure that allows direct visualization of the inside of the uterus using a thin, lighted tube. In infertility evaluation, it helps identify and treat issues such as polyps, fibroids, adhesions, or other abnormalities that may be interfering with implantation or causing recurrent miscarriages. It is crucial for improving fertility outcomes.
Choice A is incorrect because a hysteroscopy does not measure hormone levels in the uterus. Choice C is incorrect because monitoring egg development is typically done through ultrasound imaging, not hysteroscopy. Choice D is incorrect because assessing ovarian reserve is usually done through blood tests and ultrasound evaluation of the ovaries, not hysteroscopy.