ATI RN
Infertility Quiz Questions Questions
Question 1 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 2 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: In this scenario, the correct answer is A) increment. The increment phase of a contraction refers to the time it takes for the contraction to reach its highest intensity from its onset. This phase is crucial in assessing the strength and progress of labor. Option B) acme is incorrect because acme denotes the peak or highest point of something, not the phase leading up to it. Option C) peak is also incorrect as it specifically refers to the highest point of the contraction, not the phase leading up to it. Option D) decrement is incorrect as it refers to a decrease or reduction in intensity, which is not relevant to the phase being described. Educationally, understanding the phases of contractions is essential for healthcare professionals working in labor and delivery settings. Monitoring and interpreting contractions accurately can help in providing optimal care for women in labor and ensuring safe delivery outcomes. By knowing the terminology associated with labor contractions, nurses can effectively communicate with other healthcare team members and provide appropriate interventions based on the progress of labor.
Question 3 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.
Question 4 of 5
An infertile woman has been diagnosed with endometriosis. She asks the nurse why that diagnosis has made her infertile. Which of the following explanations is appropriate for the nurse to make?
Correct Answer: A
Rationale: The correct answer is option A) Scarring surrounds the ends of your tubes. This explanation is appropriate because endometriosis can lead to the formation of scar tissue around the fallopian tubes. This scarring can obstruct or damage the tubes, making it difficult for the egg to travel from the ovary to the uterus for fertilization. Option B) preventing your eggs from being fertilized by your partner's sperm is incorrect because endometriosis does not directly affect the fertilization process; rather, it impacts the transportation of the egg through the fallopian tubes. Option C) You are producing insufficient quantities of follicle-stimulating hormone that is needed to mature an egg every month is incorrect because endometriosis does not typically affect hormone production related to egg maturation. Option D) Inside your uterus is a benign tumor that makes it impossible for the fertilized egg to implant is incorrect as it describes a different condition (uterine fibroids) that can impact fertility, not endometriosis. Educationally, it is important for healthcare providers to understand the physiological effects of endometriosis on fertility to provide accurate information and support to patients struggling with infertility. By explaining the specific impact of endometriosis on the fallopian tubes, nurses can help patients comprehend the reasons behind their fertility challenges and explore appropriate treatment options.
Question 5 of 5
A nurse working with an infertile couple has made the following nursing diagnosis: Sexual dysfunction related to decreased libido. Which of the following assessments is the likely reason for this diagnosis?
Correct Answer: A
Rationale: The correct answer is option A) The couple has established a set schedule for their sexual encounters. This is the likely reason for the nursing diagnosis of sexual dysfunction related to decreased libido. Having a set schedule for sexual encounters can make intimacy feel forced, mechanical, and less spontaneous, leading to decreased libido and sexual dysfunction in the context of infertility. Option B) The couple has been married for more than eight years is incorrect because the duration of marriage alone does not necessarily cause sexual dysfunction related to decreased libido. Option C) The couple lives with one set of parents is incorrect as living arrangements do not directly correlate with decreased libido. Option D) The couple has close friends who gave birth to a baby within the past year is incorrect because the fertility of friends does not directly impact the couple's sexual dysfunction related to decreased libido. In an educational context, understanding the impact of infertility on intimate relationships is crucial for nurses working with infertile couples. Recognizing factors that can contribute to sexual dysfunction allows nurses to provide targeted interventions and support to help couples navigate challenges and improve their overall well-being during the infertility journey.