ATI RN
Infertility Quiz Questions Questions
Question 1 of 5
A patient is being interviewed by the nurse. During the family history assessment, the patient reports having had relatives with cancer. Which is the nurse's best response?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Completing a pedigree allows for a visual representation of the family's health history. 2. Noting the types of cancer and affected relatives helps identify patterns and potential genetic risks. 3. This response demonstrates a proactive approach to understanding the patient's genetic predispositions. Summary of other choices: B: Asking about the gender of affected relatives does not provide as much detailed information about the types of cancer or specific family members affected. C: Determining relevance to personal history is important, but a pedigree provides a broader picture for risk assessment. D: Referring to a genetic counselor may be necessary but completing a pedigree first helps gather essential information for a more informed consultation.
Question 2 of 5
A woman who is undergoing infertility testing states, "My husband won't discuss this with me. I don't think he cares about or wants a baby." The nurse's ideal response is
Correct Answer: D
Rationale: The correct answer is D because it acknowledges the husband's potential difficulty in expressing his feelings, validating the woman's concerns while also offering empathy. It is important to recognize that discussing infertility can be emotionally challenging for both partners, and the response shows understanding and support. Choice A is incorrect as it suggests confrontation, which may escalate the situation and lead to further communication breakdown. Choice B implies a lack of understanding on the husband's part, which may not be the case. Choice C is a generalization and may not address the specific dynamics of this couple's situation.
Question 3 of 5
A woman is in the first stage of labor. The nurse would encourage her to assume which position to facilitate the progress of labor?
Correct Answer: C
Rationale: Research shows that upright positions help reduce the length of labor, improve progress, fetal head descent, reduce pain, and result in a good Apgar score. Recumbent positions can lead to supine hypotension and decrease uterine activity, hindering labor progress. Therefore, encouraging an upright position is the best choice for facilitating labor.
Question 4 of 5
The nurse is reviewing the monitoring strip of a woman in labor who is experiencing a contraction. The nurse notes the time the contraction takes from its onset to reach its highest intensity. The nurse interprets this time as which phase?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 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.