ATI RN
Infertility Questions Questions
Question 1 of 5
A nurse is providing care to a woman in labor. After assessment of the fetus, the nurse documents the fetal lie. Which term would the nurse use?
Correct Answer: C
Rationale: The correct answer is C because fetal lie refers to the relationship of the long axis of the fetus to the long axis of the mother. The primary lies are longitudinal, oblique, and transverse. Flexion and extension are terms used to describe fetal attitude, while cephalic is used to describe fetal presentation.
Question 2 of 5
A nurse working in an infertility clinic should include which of the following in her discussions with the couple?
Correct Answer: A
Rationale: In the context of infertility, option A, which is discussing adoption as an alternative to infertility treatments, is the most appropriate choice for the nurse to include in her discussions with the couple. This is because infertility can be a complex and emotionally challenging issue for couples, and adoption can be a viable option for building a family. By discussing adoption, the nurse is providing valuable information that may offer hope and a positive way forward for the couple. Option B, which focuses on the legal controversy surrounding artificial insemination, is not as relevant for the nurse to discuss with the couple in an initial conversation. While legal aspects are important, the primary concern for the couple at this stage is understanding their options for family-building rather than legal controversies. Option C, suggesting the need for marriage counseling before undergoing infertility treatments, may not be necessary for all couples. While counseling can be beneficial for some, it should not be a blanket recommendation for all couples struggling with infertility. Option D, providing statistics about the number of couples who never learn why they are infertile, is not as helpful or relevant as discussing practical options or alternatives like adoption. Statistics alone do not provide actionable steps or emotional support for the couple in their journey towards building a family. In an educational context, it is essential for healthcare professionals, including nurses, to approach discussions about infertility with sensitivity, empathy, and a focus on providing relevant and practical information to support the emotional well-being of the individuals or couples involved. By understanding the emotional and psychological impact of infertility, healthcare providers can offer more holistic care and support to those navigating this challenging experience.
Question 3 of 5
A couple is seeking infertility counseling. The practitioner has identified the factors listed below in the woman's health history. Which of these findings may be contributing to the couple's infertility?
Correct Answer: A
Rationale: In this scenario, option A is the correct answer. The woman being 36 years old is a significant factor that may contribute to the couple's infertility. As women age, their fertility declines due to a decrease in the number and quality of eggs. Advanced maternal age, particularly after 35, is associated with a higher risk of infertility. Option B, the age at which menstruation started, is not directly linked to infertility. Early or late onset of menstruation may indicate hormonal imbalances but does not necessarily cause infertility. Option C, working as a dental hygienist, and option D, jogging daily, are unlikely to be primary factors contributing to infertility unless they lead to extreme physical or environmental conditions that affect reproductive health, which is not mentioned in the question. Educationally, understanding the impact of age on fertility is crucial for couples seeking to conceive. It emphasizes the importance of timely fertility assessments and interventions, especially for women approaching their late 30s and beyond. This knowledge can guide individuals in making informed decisions about family planning and seeking appropriate medical help if needed.
Question 4 of 5
Nurses working in a midwifery office have attended a conference to learn about factors that increase a woman's risk of becoming infertile. To evaluate the nurses' learning, the conference coordinator tested the nurses' knowledge at the conclusion of the seminar. Which of the following problems should the nurses state increase a client's risk of developing infertility problems? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B) Women who experience pain during intercourse. This is because pain during intercourse, also known as dyspareunia, can be a symptom of underlying conditions such as endometriosis, pelvic inflammatory disease, or fibroids, which can lead to infertility. Identifying and addressing the root cause of pain during intercourse is crucial in managing infertility risks. Option A) Women who have menstrual cycles that are up to 30 days long is incorrect because the length of menstrual cycles alone does not necessarily indicate infertility risk. Regular menstrual cycles within a normal range can still occur even in the presence of infertility issues. Option C) Women who have had pelvic inflammatory disease is correct, but it is not the best answer in this context. Pelvic inflammatory disease can lead to scarring of the fallopian tubes, which can increase the risk of infertility. However, experiencing pain during intercourse is a more direct symptom that highlights potential underlying issues affecting fertility. Option D) Women who have excess facial hair is incorrect as excess facial hair, known as hirsutism, is typically associated with conditions like polycystic ovary syndrome (PCOS) but does not directly correlate with infertility risk. It can be a sign of hormonal imbalances that may impact fertility, but it is not as direct as pain during intercourse in this scenario. In an educational context, it is essential for nurses in a midwifery office to understand the various factors that can impact a woman's fertility. Recognizing symptoms like pain during intercourse as potential indicators of underlying fertility issues can help nurses provide better care and support to their clients seeking to conceive. Understanding the connection between symptoms and potential causes of infertility is crucial in guiding appropriate interventions and referrals for further evaluation and treatment.
Question 5 of 5
Which instruction by the nurse should be included in the teaching plan for an infertile woman who has been shown to have a 28-day biphasic menstrual cycle?
Correct Answer: B
Rationale: The correct answer is B) Schedule intercourse every day from day 8 to day 14 of the menstrual cycle. This instruction aligns with the woman's 28-day biphasic menstrual cycle, indicating ovulation around day 14. Having intercourse during this fertile window maximizes the chances of conception. Option A is incorrect because douching with a cider vinegar solution can disrupt the vaginal pH balance and negatively impact sperm viability, reducing fertility chances. Option C is incorrect as follicle-stimulating hormone therapy is typically used in specific cases of infertility, not as a general instruction for all women with a biphasic menstrual cycle. Option D is incorrect because assessing basal body temperature patterns for six more months would delay proactive measures to optimize conception during the woman's fertile window. In an educational context, it's crucial to teach evidence-based practices for maximizing fertility based on the menstrual cycle. Understanding the timing of ovulation and providing appropriate guidance on when to have intercourse can significantly increase the likelihood of successful conception for women with infertility.