ATI RN
Infertility Questions Questions
Question 1 of 5
A patient asks for advice regarding whether to have children in the future after hearing she is a carrier for an autosomal-recessive disorder. What is the nurse's best response?
Correct Answer: D
Rationale: The correct answer is D because it demonstrates empathy, promotes open communication, and supports patient autonomy. By asking the patient to describe her feelings, the nurse can understand her emotional state, values, and beliefs, which are crucial in decision-making. This approach encourages shared decision-making and allows the nurse to provide individualized support. Choice A is incorrect because it is overly deterministic and does not consider individual circumstances. Choice B is incorrect as it simplifies the genetic risk calculation and overlooks the emotional aspect of decision-making. Choice C is incorrect as it may not respect the patient's autonomy and fails to address the emotional and ethical complexities involved in such a decision.
Question 2 of 5
A nurse is counseling a couple on lifestyle modifications to improve fertility. Which recommendation is most appropriate?
Correct Answer: B
Rationale: The correct answer is B: Maintain a healthy weight and avoid smoking. This recommendation is most appropriate because both factors significantly impact fertility. Being at a healthy weight improves hormonal balance and ovulation, while smoking can harm sperm quality and reduce fertility. Explanation for why other choices are incorrect: A: Increasing caffeine intake may negatively affect fertility, as high levels of caffeine have been linked to reduced fertility in both men and women. C: Engaging in intensive daily exercise can actually disrupt menstrual cycles and ovulation, negatively impacting fertility. D: Focusing solely on timing of intercourse overlooks the importance of overall lifestyle factors that can affect fertility, such as diet, weight, and smoking.
Question 3 of 5
When assessing cervical effacement of a client in labor, the nurse assesses which characteristic?
Correct Answer: B
Rationale: In assessing cervical effacement during labor, the nurse should focus on the degree of thinning, which is the correct answer (B). Effacement refers to the thinning and shortening of the cervix in preparation for childbirth. This is a crucial aspect to monitor as it indicates progress in labor and readiness for the baby to descend through the birth canal. Option A, the extent of opening to its widest diameter, refers to cervical dilation, not effacement. Dilation is the measurement of how open the cervix is, while effacement is about the thinning of the cervix. Option C, passage of the mucous plug, is not directly related to cervical effacement. The mucous plug is a barrier that seals the cervix during pregnancy to protect the fetus from infections. Its passage can be a sign that labor is approaching, but it is not a direct indicator of effacement. Option D, fetal presenting part, pertains to the position of the baby's head or body in relation to the mother's pelvis, which is important for labor progress but not specifically related to cervical effacement. Understanding the distinction between cervical effacement, dilation, and other aspects of labor progress is essential for nurses and healthcare providers to effectively monitor and support women during childbirth. By knowing the specific characteristics to assess, they can provide appropriate care and interventions to promote safe and positive birth outcomes.
Question 4 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 5 of 5
A nurse is providing care to a pregnant woman in labor. The woman is in the first stage of labor. When describing this stage to the client, which event would the nurse identify as the major change occurring during this stage?
Correct Answer: B
Rationale: In the first stage of labor, the major change that occurs is cervical dilation. This is the correct answer because during this stage, the cervix begins to efface (thin out) and dilate (open up) to allow the baby to pass through the birth canal. This process is essential for the progression of labor and eventual delivery of the baby. Option A, regular contractions, while important in labor, are not the major change in the first stage. Contractions help to push the baby down the birth canal, but cervical dilation is the primary focus during the first stage. Option C, fetal movement through the birth canal, is incorrect as this typically occurs later in labor, particularly during the second stage when the mother begins actively pushing. Option D, placental separation, is a crucial event that occurs after the baby is born during the third stage of labor when the placenta is delivered. Understanding the stages of labor and the specific changes that occur during each stage is crucial for healthcare providers to provide safe and effective care to pregnant women. This knowledge helps in assessing the progress of labor, identifying any deviations from the norm, and intervening appropriately to ensure a positive outcome for both the mother and the baby.