Cindy, a 36-year-old, has been prescribed Follistim AQ, a follitropin. What information should the nurse include in Cindy's education?

Correct Answer: A

Rationale: The correct answer is A. Cindy is prescribed Follistim AQ to stimulate the development of ovarian follicles, where eggs or oocytes develop. This medication helps in ovulation induction. The nurse should educate Cindy on the medication's purpose, how it works, and the importance of follicle development in the ovulation process. Choice B is incorrect as Follistim is not a manufactured form of FSH but a specific form of follitropin. Choice C is incorrect as rapid weight gain is not a typical side effect of ovulation induction with Follistim. Choice D is incorrect as the typical side effects of Follistim include ovarian hyperstimulation syndrome, abdominal pain, and bloating, not breast tenderness, changes in mood, or depression.

Correct Answer: B

Rationale: The correct answer is B because moderate exercise and a balanced diet are essential for overall health, including fertility. Exercise can help regulate hormones and improve circulation to reproductive organs. A balanced diet provides necessary nutrients for optimal reproductive function. Choice A is incorrect as complete avoidance of caffeine and alcohol is not necessary for fertility. Choice C is incorrect as excessive protein intake can negatively impact fertility. Choice D is incorrect as herbal supplements can have unknown effects on fertility and should be avoided without consulting a healthcare provider.

Correct Answer: B

Rationale: The correct answer is B: To maintain the uterine lining for implantation and pregnancy. Progesterone is crucial in early pregnancy as it helps in thickening and maintaining the uterine lining to support implantation of the fertilized egg and sustain the pregnancy. It also plays a role in suppressing the immune response to prevent rejection of the embryo. A: To stimulate fetal development - Incorrect. Progesterone primarily focuses on preparing the uterus for pregnancy rather than directly stimulating fetal development. C: To trigger ovulation and release of the egg - Incorrect. Progesterone is involved in the second half of the menstrual cycle after ovulation has occurred and is not responsible for triggering ovulation. D: To increase the production of amniotic fluid - Incorrect. Progesterone does not directly impact the production of amniotic fluid, which is mainly regulated by the fetal kidneys and placenta.

Correct Answer: A

Rationale: The correct answer is A: Folic acid helps prevent neural tube defects in the developing fetus. The rationale is that folic acid is essential for the development of the neural tube in early pregnancy, which is crucial for the baby's brain and spinal cord formation. By emphasizing this benefit, the nurse educates about the importance of folic acid before conception to reduce the risk of neural tube defects. Choices B, C, and D are incorrect because folic acid does not improve chances of multiple pregnancies, is needed before conception and throughout pregnancy (not just in the third trimester), and is a supplement that complements prenatal vitamins rather than replacing them.

Correct Answer: B

Rationale: The correct answer is B: Ovulation predictor kits work by detecting the luteinizing hormone (LH) surge in urine. LH surge triggers ovulation within 24-48 hours. This surge can be detected in urine, indicating that ovulation is about to occur. Estrogen levels (A) fluctuate throughout the menstrual cycle but are not directly related to ovulation. Pregnancy confirmation (C) occurs after ovulation and fertilization. Basal body temperature (D) monitoring helps track ovulation patterns but does not predict ovulation directly.