ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 56 : Assessment and Management of Patients With Female Physiologic Processes Questions
Question 1 of 5
A 27-year-old primipara presents to the ED with vaginal bleeding and suspected contractions. The woman relates that she is 14 weeks pregnant and she thinks she is losing her baby. Diagnostic testing confirms a spontaneous abortion. What nursing action would be a priority at this time?
Correct Answer: D
Rationale: Providing opportunities for the patient to talk and express emotions is a priority, as it supports grieving and informs further care. Assuming the patient prefers solitude, discussing future pregnancies, or moving her off the unit may not address her immediate emotional needs.
Question 2 of 5
A couple has come to the infertility clinic because they have been unable to get pregnant even though they have been trying for over a year. Diagnostic tests are planned for the woman to ascertain if ovulation is regular and whether her endometrium is adequately supported for implantation. What test would the nurse expect to have ordered for this woman?
Correct Answer: A
Rationale: Serum progesterone levels are used to assess ovulation regularity and endometrial support for implantation, key factors in female infertility evaluation. Abdominal CT, oocyte viability tests, and urine testosterone are not standard for this purpose.
Question 3 of 5
The nurse is caring for a couple trying to get pregnant and have not been able to for over a year. The couple asks what kind of problems a man can have that can cause infertility. What should be the nurses response?
Correct Answer: B
Rationale: Varicoceles, which increase testicular temperature, can decrease semen quality and contribute to male infertility. Increased prolactin is less common, genetic factors are not specifically noted, and sperm-egg shape incompatibility is not a recognized cause.
Question 4 of 5
A couple with a diagnosis of ovarian failure discusses their infertility options with their physician. The nurse should recognize which of the following as the treatment of choice for a patient with ovarian failure?
Correct Answer: C
Rationale: Gamete intrafallopian transfer (GIFT), a variation of IVF, is the treatment of choice for ovarian failure, as it addresses the lack of functional ovaries. Intracytoplasmic sperm injection is used for male factor infertility, and artificial insemination and standard IVF are less specific to ovarian failure.
Question 5 of 5
The nurse is working with a couple who is being evaluated for infertility. What nursing intervention would be most appropriate for this couples likely needs?
Correct Answer: D
Rationale: Referring the couple to appropriate resources, such as support groups or specialists, addresses their emotional and informational needs during infertility evaluation. Discussing parenting or child-free living may be insensitive, and choosing reproductive technology is outside the nurse's scope.