A nurse is evaluating the effectiveness of preconception education. Which statement by the client indicates that additional education is needed?

Correct Answer: C

Rationale: The correct answer is C because the statement about the husband buying a small desk for his laptop computer is irrelevant to preconception education. The focus of preconception education is on optimizing health before pregnancy, such as quitting smoking, taking prenatal vitamins, and avoiding harmful chemicals. The other choices (A, B, and D) all demonstrate an understanding of preconception health needs. Choice A shows awareness of the risks of smoking in pregnancy and a plan to quit. Choice B indicates the initiation of prenatal vitamin intake, particularly folic acid, which is crucial for preventing birth defects. Choice D highlights a proactive approach to environmental health by planning to avoid harmful chemicals in the garden.

Correct Answer: C

Rationale: The correct answer is C because genetic counseling is crucial for couples with a history of genetic disorders to assess risks and make informed decisions. It helps in understanding inheritance patterns, potential risks to offspring, and available testing options. Choice A is incorrect as genetic testing is not limited to known hereditary conditions. Choice B is incorrect as preimplantation genetic testing is done before embryo transfer. Choice D is incorrect as genetic testing can indeed assess the risk of inherited infertility through various genetic tests.

Correct Answer: B

Rationale: The correct answer is B because clomiphene citrate works by stimulating the pituitary gland to release hormones necessary for ovulation. This helps in the treatment of infertility by inducing ovulation in women who do not ovulate regularly. Option A is incorrect because clomiphene citrate is not an injectable medication. Option C is incorrect because clomiphene citrate does not suppress ovulation, but rather stimulates it. Option D is incorrect because clomiphene citrate is used for ovulation induction, not just for treating PCOS symptoms.

Correct Answer: B

Rationale: Step 1: PCOS is a complex hormonal disorder affecting women's reproductive systems. Step 2: It can lead to irregular ovulation, making it difficult to conceive. Step 3: Hormonal imbalances in PCOS can affect fertility by disrupting the menstrual cycle. Step 4: Therefore, the nurse should include that PCOS can cause irregular ovulation and hormonal imbalances in the explanation. Summary: Option B is correct as it highlights the key features of PCOS impacting fertility. Options A, C, and D are incorrect because PCOS affects more than just the menstrual cycle, it is related to weight and lifestyle factors, and it can impact fertility treatment outcomes.

Correct Answer: A

Rationale: The correct answer is A because a semen analysis assesses important parameters such as sperm count, morphology (shape), and motility (movement), which are crucial factors in male fertility. Sperm count indicates the quantity of sperm available for fertilization. Morphology assesses the structural integrity of sperm, while motility determines their ability to reach and fertilize an egg. These parameters directly impact fertility potential. Choice B is incorrect because a semen analysis does not specifically check for genetic conditions affecting sperm. Choice C is incorrect as hormone levels are not directly evaluated in a semen analysis. Choice D is incorrect because while infections can affect fertility, they are not the primary focus of a standard semen analysis.