A nurse is discussing fertility preservation options with a patient undergoing cancer treatment. What should the nurse emphasize?

Correct Answer: A

Rationale: The correct answer is A: Cryopreservation of eggs or embryos is an effective option before starting treatment. This is because fertility preservation should ideally be done before cancer treatment to maximize the chances of success. Freezing eggs or embryos before treatment can help preserve fertility potential. B: Fertility preservation after cancer treatment may not be as successful due to the potential damage caused by the treatment. C: Fertility preservation does not guarantee future pregnancy success as it depends on various factors including the patient's age and overall health. D: Sperm banking is not the only available preservation method. Egg or embryo cryopreservation is also an option for female patients.

Correct Answer: B

Rationale: The correct answer is B because progesterone supplementation helps maintain the uterine lining, which is crucial for implantation and early pregnancy success. Progesterone prepares the endometrium for embryo implantation by thickening the uterine lining and promoting blood flow. This ensures a supportive environment for the developing embryo. The other choices are incorrect as progesterone does not directly trigger ovulation (A), reduce hormonal fluctuations in male partners (C), or eliminate the need for ovarian stimulation (D) in fertility treatments.

Correct Answer: A

Rationale: The correct answer is A because a saline sonohysterogram is specifically used to visualize the uterine cavity and detect abnormalities such as polyps, fibroids, or adhesions that may be causing infertility. It helps identify structural issues that may interfere with implantation or pregnancy. Choice B is incorrect because a saline sonohysterogram does not measure hormone levels in the bloodstream. Choice C is also incorrect as it does not directly assess ovarian reserve, which is typically evaluated through blood tests like AMH and FSH levels. Choice D is incorrect as a saline sonohysterogram is not used to monitor embryo development after IVF, but rather to assess the uterine cavity before the procedure.

Correct Answer: C

Rationale: Rationale: 1. Lori is taking clomiphene citrate which can lead to ovarian hyperstimulation syndrome (OHSS). 2. Symptoms like abdominal bloating, weight gain, and nausea are characteristic of OHSS. 3. OHSS typically occurs after ovulation induction medications like clomiphene citrate. 4. Therefore, Lori's symptoms indicate ovarian hyperstimulation syndrome. Summary: A. Ovulation is incorrect as the symptoms suggest a complication of ovulation induction, not ovulation itself. B. Premenstrual syndrome does not explain the acute symptoms and weight gain. D. Failed ovulation induction is incorrect as the symptoms are not indicative of failed ovulation but rather an adverse reaction to the medication.

Correct Answer: A

Rationale: The correct answer is A: Donor oocytes. Diminished ovarian reserve implies reduced quantity and quality of eggs, making natural conception challenging. Donor oocytes offer a viable option for achieving pregnancy. B: Ovulation induction with clomiphene citrate may not be effective if ovarian reserve is significantly diminished. C: Follitropin injections stimulate the patient's own ovarian follicles, which may not be successful if ovarian reserve is low. D: In-vitro fertilization and embryo transfer require viable eggs from the patient, which may be limited in cases of diminished ovarian reserve.