ATI RN
Infertility Quiz Questions Questions
Question 1 of 5
A nurse is providing care to a client in labor. A pelvic exam reveals a vertex presentation with the presenting part tilted toward the left side of the mother's pelvis and directed toward the anterior portion of the pelvis. When developing this client's plan of care, which intervention would the nurse include?
Correct Answer: A
Rationale: The fetal presentation and position is left occiput anterior position or LOA, which is the most common and most favorable fetal position for birth. LOA along with right occiput anterior position are optimal positions for vaginal birth. Therefore the nurse should implement measures for a vaginal birth. This fetal presentation is not an indication for cesarean birth. Nor is there need for artificially rupturing the membranes. Continuous internal fetal monitoring would be warranted if the woman or fetus was considered to be high risk.
Question 2 of 5
A nurse working with an infertile couple has made the following nursing diagnosis: Sexual dysfunction related to decreased libido. Which of the following assessments is the likely reason for this diagnosis?
Correct Answer: A
Rationale: The correct answer is option A) The couple has established a set schedule for their sexual encounters. This is the likely reason for the nursing diagnosis of sexual dysfunction related to decreased libido. Having a set schedule for sexual encounters can make intimacy feel forced, mechanical, and less spontaneous, leading to decreased libido and sexual dysfunction in the context of infertility. Option B) The couple has been married for more than eight years is incorrect because the duration of marriage alone does not necessarily cause sexual dysfunction related to decreased libido. Option C) The couple lives with one set of parents is incorrect as living arrangements do not directly correlate with decreased libido. Option D) The couple has close friends who gave birth to a baby within the past year is incorrect because the fertility of friends does not directly impact the couple's sexual dysfunction related to decreased libido. In an educational context, understanding the impact of infertility on intimate relationships is crucial for nurses working with infertile couples. Recognizing factors that can contribute to sexual dysfunction allows nurses to provide targeted interventions and support to help couples navigate challenges and improve their overall well-being during the infertility journey.
Question 3 of 5
A couple that has been attempting to become pregnant for 5 years is seeking assistance from an infertility clinic. The nurse assesses the clients' emotional responses to their infertility. Which of the following responses would the nurse expect to find? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A) Anger at others who have babies. When a couple is experiencing infertility and seeking assistance, it is common for them to feel a range of emotions, including anger. This response can stem from feelings of unfairness or jealousy towards others who have easily achieved pregnancy or parenthood. This emotion is often a manifestation of the deep emotional pain and frustration associated with infertility. Option B) Feelings of failure because they can't make a baby is incorrect because while individuals may indeed feel this way, it is not a universal response. Many people experiencing infertility do not view their situation as a personal failure but rather as a medical challenge. Option C) Sexual excitement because they want so desperately to conceive a baby is incorrect as infertility can often lead to decreased sexual desire and increased performance pressure, which can counteract feelings of excitement. Option D) Sadness because of the perceived loss of being a parent is also incorrect as sadness is a common emotion experienced with infertility, but it may not always manifest as a perceived loss of parenthood. Infertility can evoke a myriad of emotions beyond just sadness. Educationally, understanding the emotional responses of individuals experiencing infertility is crucial for healthcare providers to provide empathetic and holistic care. By recognizing and addressing these emotions, nurses can better support their patients through the emotional challenges of infertility treatment.
Question 4 of 5
A female client seeks care at an infertility clinic. Which of the following tests may the client undergo to determine what, if any, infertility problem she may have? Select all that apply.
Correct Answer: B
Rationale: In the context of infertility evaluation, the correct answer is option B) Endometrial biopsy. This test can provide valuable information about the uterine lining, which is crucial for implantation and successful pregnancy. An endometrial biopsy can reveal abnormalities such as inadequate endometrial thickness or irregularities that may be contributing to infertility. Option A) Chorionic villus sampling is not a test for infertility but is used for prenatal genetic testing. This procedure involves sampling placental tissue to detect genetic disorders in the fetus. Option C) Hysterosalpingogram is a test to evaluate the patency of the fallopian tubes and the uterine cavity. While it can identify blockages or abnormalities that may cause infertility, it does not provide information about the endometrium itself. Option D) Serum progesterone assay is a blood test used to assess ovulation and luteal phase defects but does not directly evaluate the endometrium's receptivity for implantation. Educationally, understanding the purpose of each test is essential for healthcare providers working with clients experiencing infertility. By knowing the specific indications and limitations of diagnostic tests, providers can make informed decisions about the most appropriate assessments to help identify and address the underlying causes of infertility in their patients.
Question 5 of 5
A pregnant woman and her husband are both heterozygous for achondroplastic dwarfism, an autosomal dominant disease. The nurse advises the couple that their unborn child has which of the following probabilities of being of normal stature?
Correct Answer: C
Rationale: In this scenario, the correct answer is C) 75% probability of the child being of normal stature. This is because both parents are heterozygous for achondroplastic dwarfism, an autosomal dominant trait. Being heterozygous means they have one dominant allele (normal stature) and one recessive allele (dwarfism). When both parents are heterozygous, there is a 25% chance of the child inheriting two recessive alleles (dwarfism), a 50% chance of inheriting one dominant and one recessive allele (normal stature but carrier of the dwarfism gene), and a 25% chance of inheriting two dominant alleles (normal stature). Therefore, there is a 75% probability of the child being of normal stature (50% chance of being a carrier and 25% chance of having two dominant alleles). Educationally, this question highlights the principles of Mendelian genetics and the probability of inheritance patterns in autosomal dominant traits. Understanding these concepts is crucial for healthcare professionals to provide accurate genetic counseling and support to individuals and families facing genetic conditions like achondroplastic dwarfism.