A client is receiving Pergonal (menotropins) intramuscularly for ovarian stimulation. Which of the following is a common side effect of this therapy?

Correct Answer: B

Rationale: In the context of infertility treatment, the use of Pergonal (menotropins) for ovarian stimulation is common. The correct answer to the question, "Which of the following is a common side effect of this therapy?" is B) Mood swings. Menotropins can affect hormone levels in the body, leading to mood swings as a common side effect. Option A) Piercing rectal pain is not a common side effect of menotropin therapy. Option C) Visual disturbances are not typically associated with this medication. Option D) Jerky tremors are also not a common side effect of menotropins. Educationally, it is important for healthcare providers to be aware of the potential side effects of medications used in infertility treatment to effectively monitor and support their clients. Understanding the common side effects associated with specific therapies helps in providing comprehensive care and addressing client concerns. In this case, recognizing mood swings as a possible side effect of menotropin therapy enables healthcare providers to educate clients proactively and offer appropriate support.

Correct Answer: A

Rationale: The correct answer is A) 23. After oogenesis is complete, the resultant gamete cell, which is the ovum (or egg) in females, contains 23 chromosomes. This is because during oogenesis, the process of meiosis occurs, which involves two rounds of cell division resulting in the production of haploid cells with half the number of chromosomes as the parent cell. Option B) 46 is incorrect because 46 chromosomes are found in somatic cells, not in gametes. Somatic cells are diploid, containing two sets of chromosomes, one set from each parent. Option C) 47 is incorrect as it is an abnormal chromosome count and not a standard genetic configuration in humans. Option D) 92 is also incorrect because it represents a tetraploid condition, which is not a normal genetic makeup in humans. Understanding the chromosome number in gametes is crucial in the context of infertility as chromosomal abnormalities can lead to fertility issues. Having a clear grasp of the chromosomal composition of gametes is essential for understanding the genetic basis of infertility and the implications for reproductive health.

Correct Answer: C

Rationale: Educational Rationale: The correct answer is C) Chromosomal translocations are common and rarely problematic. This option is correct because robertsonian translocations involve a rearrangement of genetic material between two acrocentric chromosomes, typically chromosomes 13, 14, 15, 21, or 22. In most cases, individuals with balanced robertsonian translocations do not exhibit any physical abnormalities or health issues. It is important for the woman to understand that this specific chromosomal rearrangement is a common occurrence and does not necessarily indicate serious genetic defects. Option A) The baby will have a number of serious genetic defects is incorrect because robertsonian translocations do not always result in genetic defects. Option B) It is likely that the baby will be unable to have children when she grows up is incorrect because the ability to have children is not necessarily impacted by a robertsonian translocation. Option D) An abortion will probably be the best decision under the circumstances is incorrect as it is not appropriate to recommend termination solely based on the presence of a robertsonian translocation, especially when it is not associated with severe genetic abnormalities. In an educational context, it is crucial for healthcare professionals to provide accurate information and support to individuals facing genetic testing results. Understanding the implications of specific chromosomal abnormalities can help individuals make informed decisions about their reproductive health and family planning. In this case, reassuring the woman about the common nature of robertsonian translocations can alleviate unnecessary anxiety and help her make well-informed choices moving forward.

Correct Answer: B

Rationale: In this scenario, option B is the best response for the nurse to provide to the woman asking about cord blood banking. This is because it accurately explains the purpose of cord blood banking, which is to store the cord blood in case the baby develops a serious illness in the future that may require stem cell treatment. Option A is incorrect because it deflects the question and does not provide any useful information to the woman. Option C is incorrect as it provides inaccurate information about the use of cord blood for transfusions in accidents. Option D is also incorrect as it presents a biased opinion about the cost and utilization of cord blood banking, which may mislead the woman. Educationally, this question serves to test the nurse's knowledge on cord blood banking and their ability to provide accurate and helpful information to patients. It highlights the importance of clear communication in healthcare settings and the significance of understanding medical procedures for effective patient education and support.

Correct Answer: A

Rationale: In analyzing the provided pedigree, the correct inheritance pattern depicted is autosomal dominant (Option A). This conclusion can be drawn because the trait appears in every generation, affecting both males and females, which is characteristic of autosomal dominant inheritance. Autosomal dominant traits are expressed in individuals who have inherited a single copy of the mutated gene from an affected parent. This pattern does not skip generations and affects males and females equally. Mitochondrial inheritance (Option B) is not applicable in this pedigree as mitochondrial DNA is passed exclusively from the mother to all her offspring, resulting in a different pattern of inheritance compared to what is observed in the pedigree. X-linked recessive (Option C) inheritance would typically skip generations of males, as seen in the pedigree. Since the trait is present in every generation and affects males and females equally, X-linked recessive inheritance is not the correct pattern. Y-linked traits (Option D) are passed from fathers to all their sons. Since the pedigree shows both males and females being affected, this rules out Y-linked inheritance. Understanding inheritance patterns is crucial in medical genetics as it helps in predicting the likelihood of a genetic condition being passed on to offspring. Recognizing and interpreting pedigrees aids in genetic counseling and decision-making regarding family planning and reproductive options.