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
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 2 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 3 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.
Question 4 of 5
A woman presents at the ED with sharp, colicky pain in her right abdomen that radiates to her right shoulder. She tells the nurse that she has been spotting lightly for the past few days. The patient is subsequently diagnosed with an ectopic pregnancy. What major nursing diagnosis most likely relates to this patients needs?
Correct Answer: A
Rationale: A diagnosis of ectopic pregnancy is likely to cause significant anxiety due to treatment uncertainties and health risks. Chronic sorrow, chronic pain, and impaired tissue integrity (keloid scarring) are less applicable to the acute presentation of ectopic pregnancy.
Question 5 of 5
The nurse is assessing a patient who believes that she has recently begun menopause. What principle should inform the nurses interactions with this patient?
Correct Answer: C
Rationale: Women have widely varying views on menopause, and the nurse must assess the patient's feelings and beliefs to provide individualized care. Presuming a positive or negative view, or assuring future health improvements, risks misaligning with the patient's perspective.