ATI RN
100 Questions and Answers About Infertility Questions
Question 1 of 5
A woman telephones the prenatal clinic and reports that her water just broke. Which suggestion by the nurse would be most appropriate?
Correct Answer: B
Rationale: When a woman's water breaks, there is an increased risk of infection and cord prolapse, making it important for the woman to seek evaluation at the clinic or emergency department. Waiting for contractions to start, drinking water and lying down, and waiting to come in only when feeling the urge to push are not appropriate responses in this situation.
Question 2 of 5
The nurse is providing counseling to a group of sexually active single women. Most of the women have expressed a desire to have children in the future, but not within the next few years. Which of the following actions should the nurse suggest the women take to protect their fertility for the future? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B) Refrain from smoking cigarettes. Smoking has been linked to decreased fertility in both men and women. In women, smoking can accelerate egg loss and decrease the chances of conception. For men, smoking can impair sperm production and quality. Therefore, advising sexually active single women who want to protect their fertility for the future to refrain from smoking is crucial. Option A) Use condoms during intercourse is important for preventing sexually transmitted infections (STIs) but does not directly impact fertility. Option C) Maintain an appropriate weight for height is important for overall health and can impact fertility, but it is not as directly linked to fertility preservation as smoking cessation. Option D) Exercise in moderation is beneficial for overall health but does not have a direct impact on fertility preservation compared to avoiding smoking. In an educational context, it is important for nurses to provide evidence-based advice to individuals regarding fertility preservation. Understanding the impact of lifestyle factors such as smoking on fertility can empower individuals to make informed choices to protect their reproductive health in the future.
Question 3 of 5
A client is to receive Pergonal (menotropins) injections for infertility prior to in vitro fertilization. Which of the following is the expected action of this medication?
Correct Answer: B
Rationale: The correct answer is B) Stimulation of ovulation. Pergonal (menotropins) is a medication used to stimulate ovulation in women who are experiencing infertility. Menotropins contain follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which help stimulate the ovaries to produce eggs. This is crucial in the process of in vitro fertilization (IVF) as it increases the chances of successful fertilization. Option A) Prolongation of the luteal phase is incorrect as Pergonal does not affect the luteal phase but rather focuses on stimulating ovulation. Option C) Suppression of menstruation is incorrect as Pergonal does not suppress menstruation but rather helps in the development and release of eggs. Option D) Promotion of cervical mucus production is incorrect as the primary action of Pergonal is to stimulate ovulation, not affect cervical mucus production. In an educational context, understanding the expected actions of medications used in infertility treatments is essential for healthcare providers working with clients undergoing fertility interventions. Proper knowledge ensures safe and effective administration of these medications to optimize the chances of successful conception for individuals experiencing infertility.
Question 4 of 5
A client asks the nurse about the gamete intrafallopian transfer (GIFT) procedure. Which of the following responses would be appropriate for the nurse to make?
Correct Answer: A
Rationale: Rationale: The correct response is option A) Fertilization takes place in the woman's body. In the gamete intrafallopian transfer (GIFT) procedure, the woman's eggs and the partner's sperm are collected and immediately placed in the fallopian tubes, where fertilization occurs naturally inside the woman's body. This distinguishes GIFT from in vitro fertilization (IVF), where fertilization occurs outside the body in a laboratory setting. Option B) Zygotes are placed in the fallopian tubes is incorrect because in GIFT, it is the gametes (eggs and sperm) that are transferred to the fallopian tubes, not zygotes (fertilized eggs). Option C) Donor sperm are placed in a medium with donor eggs describes the process of artificial insemination using donor gametes, not GIFT which involves the couple's own gametes. Option D) A surrogate carries the infertile woman's fetus is unrelated to GIFT, as GIFT involves the woman's own pregnancy within her own body, not utilizing a surrogate. Educationally, understanding the specifics of fertility treatments like GIFT is crucial for healthcare providers working in reproductive health. Providing accurate information to clients helps in empowering them to make informed decisions about their fertility treatments.
Question 5 of 5
A client's basal body temperature (BBT) chart for one full month is shown below. Based on the temperatures shown, what can the nurse conclude?
Correct Answer: D
Rationale: In interpreting a basal body temperature (BBT) chart, it is essential to understand the hormonal changes that occur during the menstrual cycle. The correct answer, D, states that it is likely that the client's progesterone levels rose on day 15. This is because after ovulation, progesterone levels increase, leading to a rise in BBT. This can be seen in the chart where there is a noticeable temperature shift around day 15, indicating ovulation. Option A, stating that the client has not ovulated, is incorrect because the chart clearly shows a temperature shift, which is indicative of ovulation. Option B, suggesting the fertile period is between 12 and 18 days, is incorrect as the fertile window typically occurs before ovulation, not after. Option C, claiming the client's period is abnormally long, is also incorrect as BBT charts do not provide information about the length of the menstrual cycle. Educationally, understanding how to interpret BBT charts is crucial for individuals trying to conceive or understand their menstrual cycle. It helps in identifying ovulation, determining the fertile window, and assessing hormonal balance. By recognizing the patterns in BBT charts, individuals can better understand their reproductive health and make informed decisions regarding family planning.