ATI RN
Infertility Quiz Questions Questions
Question 1 of 5
Large amounts of leukocytes in the seminal fluid suggest a clinical finding of
Correct Answer: C
Rationale: Large amounts of leukocytes in seminal fluid indicate an infection of the genital tract. Leukocytes are white blood cells that are typically present in response to an infection. In this context, their presence suggests an ongoing inflammatory response to combat the infection. This finding is consistent with an infection in the genital tract, which could be caused by various pathogens. Therefore, choice C is the correct answer. Choice A (inadequate fructose) is incorrect because leukocytes are not directly related to fructose levels in the seminal fluid. Choice B (inflammation of the testes) is incorrect as the presence of leukocytes in seminal fluid does not necessarily indicate testicular inflammation. Choice D (obstruction in the vas deferens) is also incorrect as leukocytes are not typically associated with vas deferens obstruction.
Question 2 of 5
A woman is in the first stage of labor. The nurse would encourage her to assume which position to facilitate the progress of labor?
Correct Answer: C
Rationale: Research shows that upright positions help reduce the length of labor, improve progress, fetal head descent, reduce pain, and result in a good Apgar score. Recumbent positions can lead to supine hypotension and decrease uterine activity, hindering labor progress. Therefore, encouraging an upright position is the best choice for facilitating labor.
Question 3 of 5
The nurse is reviewing the monitoring strip of a woman in labor who is experiencing a contraction. The nurse notes the time the contraction takes from its onset to reach its highest intensity. The nurse interprets this time as which phase?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) increment. The increment phase of a contraction refers to the time it takes for the contraction to reach its highest intensity from its onset. This phase is crucial in assessing the strength and progress of labor. Option B) acme is incorrect because acme denotes the peak or highest point of something, not the phase leading up to it. Option C) peak is also incorrect as it specifically refers to the highest point of the contraction, not the phase leading up to it. Option D) decrement is incorrect as it refers to a decrease or reduction in intensity, which is not relevant to the phase being described. Educationally, understanding the phases of contractions is essential for healthcare professionals working in labor and delivery settings. Monitoring and interpreting contractions accurately can help in providing optimal care for women in labor and ensuring safe delivery outcomes. By knowing the terminology associated with labor contractions, nurses can effectively communicate with other healthcare team members and provide appropriate interventions based on the progress of labor.
Question 4 of 5
A nurse is providing care to a client in labor. A pelvic exam reveals a vertex presentation with the presenting part tilted toward the left side of the mother's pelvis and directed toward the anterior portion of the pelvis. When developing this client's plan of care, which intervention would the nurse include?
Correct Answer: A
Rationale: The fetal presentation and position is left occiput anterior position or LOA, which is the most common and most favorable fetal position for birth. LOA along with right occiput anterior position are optimal positions for vaginal birth. Therefore the nurse should implement measures for a vaginal birth. This fetal presentation is not an indication for cesarean birth. Nor is there need for artificially rupturing the membranes. Continuous internal fetal monitoring would be warranted if the woman or fetus was considered to be high risk.
Question 5 of 5
An infertile woman has been diagnosed with endometriosis. She asks the nurse why that diagnosis has made her infertile. Which of the following explanations is appropriate for the nurse to make?
Correct Answer: A
Rationale: The correct answer is option A) Scarring surrounds the ends of your tubes. This explanation is appropriate because endometriosis can lead to the formation of scar tissue around the fallopian tubes. This scarring can obstruct or damage the tubes, making it difficult for the egg to travel from the ovary to the uterus for fertilization. Option B) preventing your eggs from being fertilized by your partner's sperm is incorrect because endometriosis does not directly affect the fertilization process; rather, it impacts the transportation of the egg through the fallopian tubes. Option C) You are producing insufficient quantities of follicle-stimulating hormone that is needed to mature an egg every month is incorrect because endometriosis does not typically affect hormone production related to egg maturation. Option D) Inside your uterus is a benign tumor that makes it impossible for the fertilized egg to implant is incorrect as it describes a different condition (uterine fibroids) that can impact fertility, not endometriosis. Educationally, it is important for healthcare providers to understand the physiological effects of endometriosis on fertility to provide accurate information and support to patients struggling with infertility. By explaining the specific impact of endometriosis on the fallopian tubes, nurses can help patients comprehend the reasons behind their fertility challenges and explore appropriate treatment options.