ATI RN
Infertility Questions Questions
Question 1 of 5
A provider has ordered diagnostic procedures for a couple with suspected infertility. Which test is useful for determining if ovulation has occurred?
Correct Answer: B
Rationale: The correct answer is B: Progesterone level. Progesterone is released after ovulation, indicating that ovulation has occurred. Monitoring progesterone levels can confirm ovulation timing. FSH (A) is more related to ovarian reserve. Estrogen (C) levels fluctuate during the menstrual cycle. Vaginal ultrasound (D) can visualize ovarian follicles but does not confirm ovulation.
Question 2 of 5
A nurse is instructing a client on taking her basal body temperature. The nurse understands that this test is used to determine which of the following?
Correct Answer: B
Rationale: The correct answer is B because basal body temperature rises 1 to 5 days after ovulation, indicating that ovulation has occurred. This is important for tracking fertility and planning conception. A is incorrect because basal body temperature is not used to determine estrogen levels in cervical mucus. C is incorrect because basal body temperature is not used to diagnose uterine pathology. D is incorrect because basal body temperature does not assess blockages in the uterine cavity or fallopian tubes.
Question 3 of 5
The nurse in a genetic clinic interviews a couple and develops a pedigree chart. Which inheritance patterns does the pedigree chart portray?
Correct Answer: C
Rationale: The correct answer is C, Autosomal dominant. In an autosomal dominant inheritance pattern, the trait is passed down from generation to generation, affecting both males and females equally. This is indicated by the presence of the trait in every generation of the pedigree chart. In contrast, autosomal recessive traits would skip generations and require both parents to be carriers. X-linked recessive traits mainly affect males and skip generations. X-linked dominant traits would be present in every generation but would affect more females than males.
Question 4 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 5 of 5
The procedure in which ova are removed by laparoscopy, mixed with sperm, and the embryo(s) returned to the woman's uterus is
Correct Answer: A
Rationale: The correct answer is A: in vitro fertilization (IVF). In IVF, ova are retrieved via laparoscopy, fertilized with sperm in a lab dish, and then the resulting embryo(s) are transferred back to the woman's uterus. This process allows for fertilization to occur outside the body. Incorrect choices: B: Tubal embryo transfer (TET) involves transferring embryos directly into the fallopian tubes, not the uterus. C: Therapeutic insemination (IUI) is the process of injecting sperm directly into the uterus, not involving the removal and fertilization of ova. D: Gamete intrafallopian transfer (GIFT) involves transferring both eggs and sperm into the fallopian tubes for fertilization to occur internally, not in a lab dish.