ATI RN
100 Questions and Answers About Infertility Questions
Question 1 of 5
How does lifestyle modification improve fertility in women?
Correct Answer: B
Rationale: The correct answer is B because maintaining a healthy weight and reducing stress can improve hormonal balance and ovulation, leading to increased fertility. Healthy lifestyle choices positively impact reproductive health by regulating menstrual cycles and promoting optimal conditions for conception. Eliminating all carbohydrates (choice C) is not necessary and can be harmful as the body needs a balanced diet. Exercise (choice D) plays a crucial role in supporting fertility by promoting overall health and reducing stress, contrary to the statement that exercise has no role in fertility. Choice A is incorrect as successful conception is not guaranteed within one cycle with lifestyle modifications.
Question 2 of 5
A patient asks about intrauterine insemination (IUI) as a treatment option. What should the nurse explain?
Correct Answer: A
Rationale: The correct answer is A because IUI involves placing washed sperm directly into the uterus, increasing the chances of fertilization. This process bypasses potential issues in the reproductive tract and brings sperm closer to the egg, enhancing the likelihood of conception. Options B, C, and D are incorrect as IUI still requires ovulation tracking, does not eliminate the risk of multiple pregnancies, and does not guarantee fertilization as it depends on various factors.
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 addresses Lisa's concerns about fertility in a comprehensive and logical manner. Firstly, it acknowledges the potential impact of aging and extreme exercise on fertility, which is important considering Lisa's age and marathon running. Secondly, it emphasizes the importance of discussing her concerns with her healthcare provider during the visit, ensuring a thorough evaluation and appropriate guidance. This response shows understanding of the possible factors contributing to her irregular menses and infertility concerns. Now, let's analyze the other choices: A: "Relax and it will happen" is dismissive and lacks medical advice or addressing potential underlying causes of infertility. B: "No, infertility is the failure to conceive after 1 year of unprotected intercourse" provides a definition of infertility but does not offer practical advice or address Lisa's specific situation. D: "Decreasing your exercise frequency and intensity will increase your chances of conceiving" assumes exercise is the sole factor affecting fertility and oversimplifies the issue without considering other potential causes.
Question 4 of 5
The nurse is providing genetic counseling for an expectant couple who just found out that their child has Down syndrome. Which is the best way for the nurse to handle this?
Correct Answer: A
Rationale: The correct answer is A because the nurse should be supportive, answer questions, and clarify information and options to help the couple make informed decisions. This approach shows empathy and respect for the couple's autonomy. Choice B is incorrect as it is not the nurse's role to dictate when the parents should disclose the information. Choice C is not the best option as the nurse should continue to provide support rather than immediately referring the couple for a second opinion. Choice D is incorrect because generalizing outcomes for all parents of children with Down syndrome may not be helpful or accurate for this specific couple.
Question 5 of 5
Of the following karyotype results, which indicates a finding of Turner syndrome?
Correct Answer: D
Rationale: Certainly. The correct answer is D (46 X) for Turner syndrome. Turner syndrome is characterized by a missing or partially missing X chromosome in females. Therefore, a karyotype of 45,X or 46,X would indicate Turner syndrome. Choice A (46 XY) is a normal male karyotype, B (46 YY) is not a valid karyotype, and C (46 XX) is a normal female karyotype.