A client who is undergoing ovarian stimulation for infertility calls the infertility nurse and states, “My abdomen feels very bloated, my clothes are very tight, and my urine is very dark.” Which of the following is the appropriate statement for the nurse to make at this time?

Correct Answer: C

Rationale: The correct answer is C) It is important for you to come into the office to be examined today. This response is appropriate because the client's symptoms of bloating, tight clothes, and dark urine could indicate ovarian hyperstimulation syndrome (OHSS), a serious complication of ovarian stimulation treatments for infertility. Prompt evaluation by a healthcare provider is crucial to assess the severity of symptoms and provide appropriate management. Option A is incorrect because an infection is not the most likely cause of the client's symptoms. Option B is incorrect because the symptoms described are not specific to pregnancy and do not definitively indicate pregnancy. Option D is incorrect because while mild bloating is a common side effect of ovarian stimulation medications, severe bloating along with dark urine could indicate a more serious issue like OHSS. In an educational context, this question highlights the importance of recognizing and responding to potential complications of infertility treatments. It emphasizes the need for nurses and healthcare providers to be vigilant in assessing and addressing symptoms that may indicate a more serious condition requiring immediate attention.

Correct Answer: A

Rationale: In creating a pedigree to represent a female in a family history, the nurse should use a circle. This is because traditionally, circles are used to symbolize females in pedigree charts. This standard symbolization helps maintain consistency and clarity when documenting family history information. The other options (square, triangle, diamond) are not commonly used to represent females in pedigrees. Squares are typically used to represent males, triangles may represent pregnancies or unknown gender, and diamonds are often used for individuals of unspecified sex. Educationally, understanding how to accurately construct and interpret pedigrees is crucial in the field of healthcare, particularly in genetics and reproductive health. By using standardized symbols like circles for females, healthcare professionals can effectively communicate and analyze familial relationships, genetic conditions, and inheritance patterns. Mastering pedigree construction is essential for nurses working with clients seeking fertility treatments or genetic counseling, as it provides valuable insights into potential hereditary factors affecting fertility.

Correct Answer: A

Rationale: Rationale: The correct answer is A) We can check to see whether or not you are a carrier for cystic fibrosis. This is the appropriate response because knowing the family history of an autosomal recessive genetic disorder like cystic fibrosis is crucial for genetic counseling. By checking if the woman is a carrier, it can help in understanding the risk of passing the disease on to her child. Option B) It is unnecessary for you to worry since your aunt is not a direct relation is incorrect as cystic fibrosis can still be a concern due to its genetic inheritance pattern. Option C) You should have an amniocentesis to see whether or not your child has the disease is incorrect as this invasive procedure is not typically done based solely on family history without confirmed carrier status. Option D) Please ask your mother whether she has ever had any symptoms of cystic fibrosis is incorrect as it does not address the need for genetic testing to determine carrier status. Educational Context: Understanding genetic inheritance patterns and the importance of genetic counseling in families with a history of genetic disorders is crucial in prenatal care. Educating patients about their genetic risks empowers them to make informed decisions about family planning and healthcare for themselves and their children.

Correct Answer: A

Rationale: Rationale: The correct answer is A) The baby is female with a normal number of chromosomes. Explanation: When the genetic counselor's report states "46, XX," it signifies a normal karyotype for a female, indicating the presence of 46 chromosomes with two X chromosomes. This combination aligns with typical female chromosomal makeup. Why others are wrong: B) The baby is hermaphroditic male with female chromosomes - This is incorrect as the karyotype indicates a female gender, not a hermaphroditic male. C) The baby is male with an undisclosed genetic anomaly - This is incorrect as the karyotype clearly indicates a female gender. D) There is insufficient information to answer this question - This is incorrect as the karyotype information provided is clear and points to a female gender. Educational context: Understanding genetic nomenclature is crucial in healthcare, especially in fields like infertility and prenatal care. Nurses need to interpret genetic reports accurately to provide appropriate care and counseling to patients. Knowing how to decipher karyotype results is essential for making informed decisions and guiding patients through their reproductive health journey.

Correct Answer: B

Rationale: The correct answer is B) Encourage the doctor to send her for genetic counseling. This option is the most appropriate because the family pedigree shows multiple individuals with serious illnesses, indicating a potential genetic predisposition within the family. Genetic counseling can help the client understand the implications of her family history on her pregnancy and future pregnancies. It can also provide information on potential genetic testing options and interventions to mitigate risks. Option A) Advise the woman that she should have an amniocentesis is incorrect because an amniocentesis is typically done to assess chromosomal abnormalities in the fetus, not to address potential genetic predispositions in the family. Option C) Ask the woman if she knew any of the relatives who died is incorrect as it does not address the need for professional genetic counseling to interpret the family pedigree accurately. Option D) Inform the woman that her pedigree appears normal is incorrect as the presence of multiple darkened symbols indicating serious illnesses suggests a potential genetic issue that needs further evaluation. In an educational context, understanding how to interpret family pedigrees and recognizing the importance of genetic counseling in cases of potential genetic risks is crucial for nurses caring for clients with infertility or pregnancy complications. It highlights the importance of a comprehensive assessment and referral to appropriate specialists to provide optimal care and support to clients.