ATI RN
100 Questions and Answers About Infertility Questions
Question 1 of 5
A patient asks about intrauterine insemination (IUI) as a treatment option. What should the nurse explain?
Correct Answer: A
Rationale: The correct answer is A because IUI involves placing washed sperm directly into the uterus, increasing the chances of fertilization. This process bypasses potential issues in the reproductive tract and brings sperm closer to the egg, enhancing the likelihood of conception. Options B, C, and D are incorrect as IUI still requires ovulation tracking, does not eliminate the risk of multiple pregnancies, and does not guarantee fertilization as it depends on various factors.
Question 2 of 5
The nurse is providing genetic counseling for an expectant couple who just found out that their child has Down syndrome. Which is the best way for the nurse to handle this?
Correct Answer: A
Rationale: The correct answer is A because the nurse should be supportive, answer questions, and clarify information and options to help the couple make informed decisions. This approach shows empathy and respect for the couple's autonomy. Choice B is incorrect as it is not the nurse's role to dictate when the parents should disclose the information. Choice C is not the best option as the nurse should continue to provide support rather than immediately referring the couple for a second opinion. Choice D is incorrect because generalizing outcomes for all parents of children with Down syndrome may not be helpful or accurate for this specific couple.
Question 3 of 5
Of the following karyotype results, which indicates a finding of Turner syndrome?
Correct Answer: D
Rationale: Certainly. The correct answer is D (46 X) for Turner syndrome. Turner syndrome is characterized by a missing or partially missing X chromosome in females. Therefore, a karyotype of 45,X or 46,X would indicate Turner syndrome. Choice A (46 XY) is a normal male karyotype, B (46 YY) is not a valid karyotype, and C (46 XX) is a normal female karyotype.
Question 4 of 5
A woman undergoing evaluation of infertility states, "At least when we're through with all of these tests, we will know what is wrong." The nurse's best response is
Correct Answer: C
Rationale: The correct answer is C because it acknowledges the uncertainty in diagnosing infertility, which can remain unexplained in about 20% of couples even after testing. This response is the best because it provides realistic information without giving false hope or making assumptions. Choice A is incorrect because it asserts that the tests will definitely identify the problem, which is not always the case. Choice B is incorrect as it assumes the problem will be resolved after testing, which may not be true. Choice D is incorrect as it jumps to the conclusion of adoption without addressing the uncertainty of infertility testing.
Question 5 of 5
Which diagnostic test is commonly used to evaluate the structure and patency of the uterus and fallopian tubes?
Correct Answer: C
Rationale: The correct answer is C: Hysterosalpingography. This test involves injecting a contrast dye into the uterus and fallopian tubes to evaluate their structure and patency. It helps diagnose issues like blockages or abnormalities. Semen analysis (A) is used to evaluate male fertility, not the uterus or fallopian tubes. Endometrial biopsy (B) is used to evaluate the uterine lining, not the structure of the uterus or fallopian tubes. Testicular biopsy (D) is used to assess male reproductive health, not female reproductive structures. Therefore, C is the correct choice for evaluating the structure and patency of the uterus and fallopian tubes.