ATI RN
Fetal Development Questions Questions
Question 1 of 5
A female patient is concerned about an inability to become pregnant after trying for 1 year. Which information collected during a health history causes the nurse the greatest amount of concern about possible infertility?
Correct Answer: C
Rationale: The correct answer is C because hot flashes and mood swings can indicate hormonal imbalances, which are common causes of infertility. This symptom suggests potential issues with ovulation or other reproductive system functions. Choice A is irrelevant to infertility. Choice B, age alone does not indicate infertility. Choice D, a history of pelvic inflammatory disease can cause infertility, but symptoms indicating current hormonal imbalances are of more immediate concern.
Question 2 of 5
What is an example of a statement by the patient that indicates effective teaching by the nurse about methods to improve fertility?
Correct Answer: D
Rationale: The correct answer is D because it accurately reflects the nurse's teaching on fertility. Smoking is known to have negative effects on fertility and can increase the risk of miscarriage. This statement shows that the patient has understood the information provided by the nurse regarding factors that could impact fertility. A is incorrect because caffeine can actually affect fertility. B is incorrect because while taking prenatal vitamins is beneficial, it does not directly address fertility improvement. C is incorrect as exercise is generally beneficial for fertility and does not necessarily harm sperm.
Question 3 of 5
The nurse would anticipate that a patient with elevated levels of which hormone would require radiologic imaging of the brain?
Correct Answer: B
Rationale: The correct answer is B: prolactin. Elevated prolactin levels can indicate a pituitary tumor, which may require brain imaging. TSH, progesterone, and FSH are not typically associated with the need for brain imaging. TSH is related to thyroid function, progesterone to the menstrual cycle, and FSH to reproductive health. Prolactin is the hormone primarily associated with lactation and can be elevated due to various reasons, including pituitary tumors. Therefore, in a patient with elevated prolactin levels, brain imaging is necessary to assess for the presence of a pituitary tumor.
Question 4 of 5
After counseling with an obstetrician about infertility, a couple is advised to undergo testicular sperm aspiration. The nurse is aware that the procedure may be recommended for which infertility?
Correct Answer: B
Rationale: Step 1: Testicular sperm aspiration is a procedure to retrieve sperm directly from the testicles. Step 2: If a vasectomy reversal was unsuccessful, it means there is no sperm in the ejaculate due to the blocked vas deferens. Step 3: Testicular sperm aspiration can be recommended in such cases to retrieve sperm for assisted reproductive techniques. Summary: A: Blocked fallopian tubes do not involve male infertility; they affect female fertility. C: Poor cervical mucus production is a female factor, not male. D: Diminished sperm motility may require other treatments, not testicular sperm aspiration.
Question 5 of 5
A female patient with a history of infertility is scheduled to have a hysterosalpingogram. Which findings can be detected with this procedure? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Tubal occlusions. Hysterosalpingogram is a diagnostic imaging procedure used to evaluate the uterus and fallopian tubes. It can detect tubal occlusions by visualizing the flow of contrast dye through the fallopian tubes. Choice B, uterine fibroids, is incorrect as hysterosalpingogram does not specifically assess uterine fibroids. Choice C, cervical irritation, is also incorrect as this procedure focuses on the uterus and fallopian tubes, not the cervix. Choice D, bicornuate uterus, is incorrect as hysterosalpingogram primarily evaluates tubal patency and uterine cavity shape, not specific uterine anomalies like a bicornuate uterus.