A couple is seeking advice regarding actions that they can take to increase their potential of becoming pregnant. Which of the following recommendations should the nurse give to the couple?

Correct Answer: C

Rationale: The correct answer is C) The woman should refrain from douching. Rationale: Douching can disrupt the natural pH balance of the vagina, leading to the destruction of beneficial bacteria and making the environment hostile to sperm. This can reduce the chances of fertilization and pregnancy. Educating the couple about avoiding douching is crucial in promoting their fertility. Option A) The couple should use vaginal lubricants during intercourse: Using vaginal lubricants may hinder the movement of sperm and decrease their chances of reaching the egg for fertilization. It is not a recommended practice for couples trying to conceive. Option B) The couple should delay having intercourse until the day of ovulation: Delaying intercourse until the day of ovulation may reduce the window of opportunity for fertilization. Sperm can survive in the female reproductive tract for several days, so having intercourse in the days leading up to ovulation increases the chances of conception. Option D) The man should be on top during intercourse: The position during intercourse does not significantly impact the chances of conception. While certain positions may be more comfortable or enjoyable for the couple, it does not play a significant role in fertility. Educational Context: Understanding the impact of lifestyle factors on fertility is essential for couples trying to conceive. Providing evidence-based recommendations, such as avoiding douching, can improve their chances of achieving pregnancy. Nurses play a crucial role in educating couples on fertility-related topics to support their reproductive health goals.

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: D

Rationale: The correct answer is option D: "You should experience the same sensations you feel when your doctor does your Pap test." Rationale: In a postcoital test for infertility, the procedure involves examining the cervical mucus after intercourse to assess sperm survival and interaction with the mucus. It is important for the client to understand what to expect during the test to ensure their cooperation and comfort. Option D is correct because it prepares the client for the sensation they may experience during the test, which is similar to a Pap test where the cervix is visualized. Option A is incorrect because the timing of the test is not related to the client's menstrual cycle but rather to the timing of intercourse. Option B is incorrect as it describes a hysterosalpingogram (HSG) procedure, not a postcoital test. Option C is incorrect because refraining from intercourse for four days prior to the test would not provide accurate results for assessing sperm-cervical mucus interaction. Educational Context: Providing accurate and clear information to clients undergoing medical procedures is crucial for their understanding and cooperation. In the context of infertility assessments, counseling before a postcoital test helps alleviate anxiety and ensures the client's active participation. Understanding the purpose and expectations of the test can also lead to better outcomes and interpretation of results.

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.