ATI RN
Infertility Questions and Answers Questions
Question 1 of 5
During a genetic evaluation, it is discovered that the woman is carrying one autosomal dominant gene for a serious late adult–onset disease, while her partner's history is unremarkable. Based on this information, which of the following family members should be considered high risk and in need of genetic counseling? Select all that apply.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
When teaching a woman fertility awareness, the nurse should emphasize that the basal body temperature:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
Lisa, a 35-year-old practicing attorney and marathon runner, presents to the clinic with a complaint of irregular menses. She tells the nurse, 'My husband and I want to start a family but it hasn't happened yet. We stopped using birth control 6 months ago. Should we be concerned?' What is the nurse's best response?
Correct Answer: C
Rationale: The correct answer is C because it acknowledges the potential impact of aging and extreme exercise on fertility, prompting further evaluation by the healthcare provider. Lisa's age and intense exercise regimen are important factors to consider since they can affect her ability to conceive. By addressing her concerns during the visit, the nurse can gather more information, assess potential fertility issues, and provide appropriate guidance or referrals. Choice A is incorrect because it dismisses Lisa's concerns without addressing potential underlying issues. Choice B is incorrect as it sets a timeline for infertility diagnosis that is generally accepted after 1 year of unprotected intercourse for women under 35 years old, but Lisa's age and lifestyle may warrant earlier evaluation. Choice D is incorrect as it oversimplifies the issue by suggesting only a change in exercise routine as a solution without considering other potential factors impacting fertility.
Question 4 of 5
A 36-year-old female patient presents to the reproductive medicine clinic for a follow-up appointment. Initial laboratory results are available and indicate diminished ovarian reserve, and her partner's semen analysis is within normal parameters. Which infertility options may be appropriate for this client?
Correct Answer: A
Rationale: Correct Answer: A - Donor oocytes Rationale: 1. Diminished ovarian reserve suggests poor egg quality or quantity. 2. Using donor oocytes can bypass the issue of diminished ovarian reserve. 3. This option offers a better chance of successful conception compared to other methods due to healthier eggs from the donor. Summary: - B: Ovulation induction with clomiphene citrate may not address the underlying issue of diminished ovarian reserve. - C: Follitropin injections stimulate the patient's own follicles, which may not be optimal in cases of diminished ovarian reserve. - D: In-vitro fertilization and embryo transfer may not be successful if the patient's eggs are of poor quality or quantity.
Question 5 of 5
Which lifestyle change should the nurse suggest to improve fertility for both partners?
Correct Answer: C
Rationale: The correct answer is C: Maintain a balanced diet and healthy weight. This suggestion is crucial for improving fertility as it promotes overall health, hormonal balance, and reproductive function in both partners. A balanced diet provides essential nutrients for reproductive health, while maintaining a healthy weight reduces the risk of infertility related to obesity or underweight. Option A is incorrect as excessive protein intake can negatively impact fertility. Option B is incorrect as excessive rigorous exercise may disrupt hormonal balance and affect fertility. Option D is incorrect as proper hydration is essential for reproductive health and reducing water consumption is not recommended for fertility improvement.