ATI RN
Multiple Choice Questions on Infertility Questions
Question 1 of 5
A couple undergoing IVF asks about the risk of multiple pregnancies. What should the nurse discuss?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Transferring multiple embryos increases the chance of multiple pregnancies, which can lead to complications such as preterm birth and low birth weight. 2. This is an important consideration for the couple undergoing IVF to understand the potential risks involved. 3. Single embryo transfers reduce the risk of multiples and associated complications. 4. Choices B, C, and D are incorrect as they provide inaccurate information that contradicts the known risks associated with multiple pregnancies.
Question 2 of 5
The nurse is instructing a client on taking her basal body temperature. What is the primary purpose of this test?
Correct Answer: B
Rationale: Rationale: The correct answer is B because basal body temperature rises 1 to 5 days after midcycle, indicating ovulation. This helps determine the client's most fertile period for conception. Choice A is incorrect as basal body temperature does not assess cervical mucus. Choice C is incorrect as it does not evaluate uterine pathology. Choice D is incorrect as basal body temperature does not assess blockage of uterine cavity or fallopian tubes.
Question 3 of 5
The nurse is educating a client about hysterosalpingograms. Which information should the nurse include prior to this procedure?
Correct Answer: C
Rationale: Rationale for Correct Answer C: 1. Hysterosalpingogram (HSG) involves instillation of a radiopaque dye into the uterine cavity to visualize the uterus and fallopian tubes. 2. This dye helps to identify any abnormalities or blockages in the reproductive system. 3. The nurse should include this information as it is essential for the client to understand the purpose and process of the procedure. 4. Understanding the use of the dye can help alleviate any anxiety or concerns the client may have. Summary of Incorrect Choices: A: This procedure is typically performed without general anesthesia. B: HSG can be performed at various points in the menstrual cycle, not specifically after ovulation. D: Tylenol may be recommended for pain relief post-procedure, but it is not a necessary pre-procedure step.
Question 4 of 5
The nurse is educating a patient about the role of luteal phase support in fertility treatments. What should be emphasized?
Correct Answer: B
Rationale: The correct answer is B because luteal phase support is crucial in fertility treatments to maintain the uterine lining for potential embryo implantation. Progesterone supplementation is necessary to support this phase, as it ensures a hospitable environment for the embryo. Option A is incorrect because luteal phase support primarily focuses on progesterone, not estrogen. Option C is incorrect as hormonal monitoring is still essential during fertility treatments. Option D is incorrect because luteal phase support does not prevent the LH surge, which is necessary for ovulation.
Question 5 of 5
The nurse is providing education to a pregnant woman whose genetic testing confirms her fetus has Down syndrome. The nurse understands that Down syndrome is an example of which abnormality?
Correct Answer: B
Rationale: The correct answer is B: Abnormality of chromosomal number. Down syndrome is caused by an extra copy of chromosome 21, leading to trisomy 21. This results in characteristic physical features and intellectual disability. Chromosomal translocation (A) involves the swapping of genetic material between chromosomes. Multifactorial monosomy inheritance (C) refers to a combination of genetic and environmental factors leading to the loss of a chromosome. Autosomal-recessive inheritance (D) requires two copies of a mutated gene to be present for the disorder to manifest, which is not the case in Down syndrome.