ATI RN
Multiple Choice Questions on Infertility Questions
Question 1 of 5
Analyze the pedigree below. Which of the following inheritance patterns does the pedigree depict?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
Lori, who is 32 years old, is taking clomiphene citrate to induce ovulation and presents to the office for a vaginal ultrasound. As the nurse is walking Lori to ultrasound, Lori mentions that over the past 12 hours she has experienced abdominal bloating, nausea, and weight gain of 5 pounds. The nurse recognizes these signs and symptoms to be associated with what condition?
Correct Answer: C
Rationale: The correct answer is C: Ovarian hyperstimulation syndrome (OHSS). OHSS is a potential complication of ovulation induction with medications like clomiphene citrate. The symptoms Lori is experiencing (abdominal bloating, nausea, and weight gain) are classic signs of moderate OHSS. The mechanism involves excessive response to the ovulation induction medication leading to enlarged ovaries and fluid accumulation in the abdomen. It is crucial to monitor patients on ovulation induction therapy for signs of OHSS to prevent severe complications. Choice A: Ovulation - This is incorrect because the symptoms described are not typical of ovulation itself. Choice B: Premenstrual syndrome - This is incorrect because the symptoms are not specific to premenstrual syndrome and are more indicative of a complication related to medication. Choice D: Failed ovulation induction - This is incorrect because the symptoms suggest a response to the medication rather than a failure of ovulation.
Question 3 of 5
The nurse is counseling a couple about infertility. Which piece of assessment data may affect the woman's ability to become pregnant?
Correct Answer: C
Rationale: The correct answer is C. Having a sauna in the backyard may affect the woman's ability to become pregnant due to the potential negative impact of excessive heat on sperm production and ovulation. Saunas can raise body temperature, which can be harmful to sperm and reduce fertility. Explanation of other choices: A: Regular exercise is generally beneficial for fertility and overall health, so this is unlikely to significantly impact the woman's ability to become pregnant. B: Consuming a glass of wine each night in moderation is not likely to have a significant impact on fertility unless it leads to excessive alcohol consumption. D: Working on heavy machinery may pose risks to male fertility due to potential exposure to harmful chemicals or radiation, but this choice doesn't directly impact the woman's ability to become pregnant.
Question 4 of 5
What is the primary purpose of a semen analysis in an infertility evaluation?
Correct Answer: A
Rationale: The primary purpose of a semen analysis in an infertility evaluation is to assess sperm count, motility, and morphology. This is crucial as these factors directly impact male fertility. Sperm count indicates the quantity of sperm present, motility relates to their ability to move effectively towards the egg, and morphology assesses the shape and structure of sperm, which can affect their ability to fertilize an egg. Evaluating these parameters helps identify potential issues causing infertility. Other choices are incorrect as semen analysis primarily focuses on assessing sperm quality, not infections, hormone levels, or genetic anomalies in sperm.
Question 5 of 5
A couple undergoing IVF asks about the risks associated with the procedure. Which response by the nurse is appropriate?
Correct Answer: B
Rationale: The correct answer is B because multiple pregnancies and ovarian hyperstimulation syndrome are indeed possible risks associated with IVF. Multiple pregnancies can lead to complications for both the mother and babies, while ovarian hyperstimulation syndrome can cause abdominal pain, bloating, and in severe cases, fluid buildup in the abdomen and chest. Choice A is incorrect as all medical procedures, including IVF, carry risks. Choice C is incorrect as IVF does not guarantee pregnancy in one cycle, success rates vary. Choice D is incorrect as studies have shown that IVF can have implications on future pregnancies such as increased risk of preterm birth and low birth weight.