ATI RN
Infertility NCLEX Questions Questions
Question 1 of 5
During preconception counseling, a nurse discusses the impact of male age on fertility. What statement requires correction?
Correct Answer: A
Rationale: The correct answer is A because male age does impact fertility. Advanced paternal age is associated with decreased fertility and increased risk of genetic abnormalities in offspring. Choice B is correct as STIs can affect fertility. Choice C is relevant as obesity can impact male fertility. Choice D is correct as certain medications can impact male fertility. Overall, choice A is incorrect as male age does play a role in fertility outcomes.
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. She mentions experiencing abdominal bloating, nausea, and weight gain of 5 pounds over the past 12 hours. What condition do these symptoms indicate?
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 of abdominal bloating, nausea, and rapid weight gain indicate fluid accumulation in the abdominal cavity, a hallmark of OHSS. This occurs due to enlarged ovaries releasing excessive fluid into the abdomen. It is important to monitor patients like Lori closely for signs of OHSS to prevent severe complications. Incorrect choices: A: Ovulation - Symptoms described are not typical of normal ovulation. B: Premenstrual syndrome - Symptoms are not consistent with typical PMS symptoms. D: Failed ovulation induction - Symptoms of weight gain and bloating are not indicative of failed ovulation induction but rather a complication of the treatment.
Question 3 of 5
A young couple is contemplating starting a family. Which is the best time for genetic counseling?
Correct Answer: A
Rationale: The correct answer is A: Now, before they become pregnant. This is the best time for genetic counseling because it allows the couple to understand their genetic risks, receive information on potential hereditary conditions, and make informed decisions before conception. Genetic counseling before pregnancy enables proactive planning and consideration of options such as genetic testing or alternative reproductive methods if necessary. Choices B, C, and D are incorrect as genetic counseling is most effective and beneficial when done prior to conception to ensure optimal outcomes and informed decision-making.
Question 4 of 5
A nurse provides teaching for a patient scheduled for genetic testing. What should the nurse do to help the patient understand what is being taught?
Correct Answer: D
Rationale: The correct answer is D because asking the patient to verbalize what was learned promotes active learning and helps assess the patient's understanding. It allows the nurse to clarify any misconceptions and reinforce important information. Choice A may be helpful but not sufficient. Choice B is important but may not fully address comprehension. Choice C focuses on communication style rather than assessing understanding.
Question 5 of 5
A newly married woman states, "My friend told me I would never have a baby because I had pelvic inflammatory disease when I was younger. I don't understand how that can affect whether or not I get pregnant." The nurse's most appropriate response is
Correct Answer: D
Rationale: The correct answer is D because pelvic inflammatory disease (PID) can lead to scarring and obstruction of the fallopian tubes. This can prevent the fertilized egg from traveling to the uterus for implantation, thus affecting fertility. Choice A is incorrect as it makes a definitive statement without considering individual variations in the impact of PID. Choice B is incorrect because while PID can lead to ovarian damage, it primarily affects the fallopian tubes. Choice C is incorrect as fallopian tube damage can result from various infections, not just gonorrhea. Thus, the most appropriate response is D, as it directly addresses how PID can impact fertility through fallopian tube obstruction.