ATI RN
Infertility Questions and Answers Questions
Question 1 of 5
A patient and her husband have just been told their unborn child has Down syndrome. The patient's husband becomes upset, stating, 'There is no way this can be possible as we have no one in the family with this problem! You must run the test again because the results cannot be correct.' What does the husband's behavior represent?
Correct Answer: A
Rationale: The correct answer is A: Denial. The husband's behavior of refusing to accept the test results and requesting them to be run again indicates denial. Denial is a common defense mechanism where individuals reject reality to avoid facing uncomfortable truths. The husband's disbelief due to lack of family history reflects denial in coping with the unexpected news. Sorrow (B), Anger (C), and Bargaining (D) are not applicable in this context as the husband's reaction does not demonstrate sadness, hostility, or attempts to negotiate a different outcome.
Question 2 of 5
What is a typical characteristic of polycystic ovarian syndrome (PCOS) affecting fertility?
Correct Answer: B
Rationale: The correct answer is B: Increased androgen levels. In PCOS, there is often an imbalance in hormone levels, including increased androgens like testosterone. This can disrupt normal ovulation and affect fertility. Regular ovulation (choice A) is typically not seen in PCOS. Reduced ovarian size (choice C) is not a typical characteristic, as ovaries can actually be enlarged in PCOS due to multiple small cysts. High levels of estrogen throughout the cycle (choice D) is not a defining feature of PCOS, as estrogen levels can vary in affected individuals. Ultimately, the increased androgen levels in PCOS are a key factor contributing to fertility issues in affected individuals.
Question 3 of 5
A woman calls the health care facility stating that she is in labor. The nurse would urge the client to come to the facility if the client reports which symptom?
Correct Answer: B
Rationale: In this scenario, option B is the correct answer because moderately strong contractions occurring every 4 minutes, lasting about 1 minute, are indicative of active labor. This pattern of contractions signifies that the woman is progressing towards delivering her baby. Option A is incorrect because alternating strong and weak contractions do not follow a consistent pattern typical of active labor. Option C is incorrect as contractions that stop when the woman walks are usually indicative of false labor or Braxton Hicks contractions. Option D is incorrect because irregular contractions lasting only 30 seconds are not characteristic of active labor. Educationally, understanding the signs of active labor is crucial for healthcare providers to provide appropriate guidance to women during childbirth. Recognizing the pattern and intensity of contractions helps in determining the stage of labor and deciding when to seek medical assistance. This knowledge is essential for nurses and other healthcare professionals working with pregnant women to ensure safe and timely delivery outcomes.
Question 4 of 5
The nurse is reviewing the medical record of a woman in labor and notes that the fetal position is documented as LSA. The nurse interprets this information as indicating which part as the presenting part?
Correct Answer: C
Rationale: Infertility is a complex medical issue that affects many individuals and couples worldwide. Understanding the various aspects of infertility, including causes, treatments, and emotional implications, is crucial for healthcare providers to effectively support and care for their patients. In this specific question regarding fetal positioning during labor, the correct answer is C) buttocks. LSA stands for Left Sacrum Anterior, which indicates that the baby's buttocks are positioned to come out first during delivery. This position is known as the breech position, specifically the Frank Breech presentation in this case. Option A) occiput refers to the baby's head, which would be the presenting part in a cephalic presentation. Option B) face is not a common presenting part during labor. Option D) shoulder is not a typical presenting part and would indicate a shoulder presentation, which is associated with complications during delivery. Educationally, understanding fetal positioning during labor is vital for healthcare providers to anticipate and address potential delivery complications. This knowledge ensures appropriate monitoring and intervention to promote positive birth outcomes for both the mother and baby.
Question 5 of 5
A pregnant woman comes to the labor and birth unit in labor. The woman tells the nurse, Yesterday, I had this burst of energy and cleaned everything in sight, but I don't know why. Which response by the nurse would be most appropriate?
Correct Answer: A
Rationale: The most appropriate response by the nurse in this scenario would be option A) "You had a burst of epinephrine, which is common before labor." This response is correct because the sudden burst of energy or nesting instinct experienced by some pregnant women prior to labor is attributed to the release of epinephrine, a stress hormone that can increase energy levels. Option B) "You were trying to get everything ready for your baby" is incorrect because it does not address the physiological aspect of the burst of energy experienced by the pregnant woman. While preparing for the baby's arrival is a common behavior during pregnancy, it does not explain the specific surge of energy before labor. Option C) "You felt your mind telling you that you were about to go into labor" is incorrect as it attributes the burst of energy to a mental prediction rather than the physiological response of the body releasing epinephrine. Option D) "You were looking forward to the birth of your baby" is incorrect as it focuses on the emotional aspect of the situation rather than the biological explanation related to epinephrine release. In an educational context, understanding the physiological changes that occur during pregnancy and labor is crucial for healthcare providers to provide appropriate care and support to pregnant women. By recognizing the signs and symptoms associated with impending labor, nurses can better assist and reassure expectant mothers during this critical time.