A nurse is instructing a couple on timed intercourse to optimize fertility. What advice should the nurse give?

Correct Answer: B

Rationale: The correct answer is B because focusing on the fertile window around ovulation maximizes the chances of conception. Ovulation is the most fertile time, so timing intercourse during this period increases the likelihood of pregnancy. Having intercourse daily throughout the menstrual cycle (A) may not be necessary and could lead to fatigue. Avoiding intercourse for a week before ovulation (C) decreases the chances of conception as sperm can survive up to 5 days in the female reproductive tract. Only having intercourse after confirming ovulation (D) may miss the optimal window for conception.

Correct Answer: B

Rationale: The correct answer is B: The most common risk is ovarian hyperstimulation syndrome (OHSS). This is because during ovulation induction, there is a risk of overstimulating the ovaries, leading to OHSS. This condition can cause abdominal pain, bloating, and in severe cases, fluid accumulation in the abdomen and chest. Other choices are incorrect: A is false as there are risks associated with ovulation induction. C is incorrect because ovulation induction actually increases the chances of conception. D is incorrect as risks can also occur with oral medications, not just injectables.

Correct Answer: B

Rationale: The correct answer is B because hCG (human chorionic gonadotropin) levels rise after implantation of the fertilized egg in the uterus, confirming pregnancy. This hormone is produced by the developing placenta and is the key marker used in early pregnancy tests to detect pregnancy. A is incorrect because hCG does not stimulate ovulation; rather, it is produced after ovulation to support pregnancy. C is incorrect because while hCG plays a role in supporting pregnancy, it does not directly reduce the risk of miscarriage. D is incorrect because hCG does not suppress the menstrual cycle; it is actually produced during pregnancy and is essential for maintaining the pregnancy.

Correct Answer: B

Rationale: The correct answer is B: To assess the receptivity of the uterine lining for implantation. Endometrial biopsy is performed to evaluate the quality of the uterine lining and its ability to support embryo implantation. By examining the endometrial tissue, doctors can assess factors such as thickness, pattern, and receptivity, crucial for successful implantation and pregnancy. Incorrect choices: A: To determine ovarian reserve and egg quality - Endometrial biopsy does not provide information on ovarian reserve or egg quality. C: To measure hormone levels in the bloodstream - Endometrial biopsy does not measure hormone levels in the bloodstream; instead, it focuses on the uterine lining. D: To monitor embryo development after IVF - Endometrial biopsy is not used to monitor embryo development; it is primarily for assessing uterine receptivity.

Correct Answer: B

Rationale: The correct answer is B: SET reduces the risk of multiple pregnancies and associated complications. This is because transferring a single embryo in IVF lowers the chances of multiple gestations, which can lead to higher risks for both the mother and the babies. This choice emphasizes the importance of safety and health benefits for both the mother and potential offspring. Choice A is incorrect as there is no guarantee of a successful pregnancy with one attempt. Choice C is incorrect as ovarian stimulation may still be needed in future cycles even with SET. Choice D is incorrect as SET does not directly improve egg quality for future cycles.