ATI RN
100 Questions and Answers About Infertility Questions
Question 1 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 2 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.
Question 3 of 5
A woman undergoing evaluation of infertility states, "At least when we're through with all of these tests, we will know what is wrong." The nurse's best response is
Correct Answer: C
Rationale: The correct answer is C because it acknowledges the uncertainty in diagnosing infertility, which can remain unexplained in about 20% of couples even after testing. This response is the best because it provides realistic information without giving false hope or making assumptions. Choice A is incorrect because it asserts that the tests will definitely identify the problem, which is not always the case. Choice B is incorrect as it assumes the problem will be resolved after testing, which may not be true. Choice D is incorrect as it jumps to the conclusion of adoption without addressing the uncertainty of infertility testing.
Question 4 of 5
Which diagnostic test is commonly used to evaluate the structure and patency of the uterus and fallopian tubes?
Correct Answer: C
Rationale: The correct answer is C: Hysterosalpingography. This test involves injecting a contrast dye into the uterus and fallopian tubes to evaluate their structure and patency. It helps diagnose issues like blockages or abnormalities. Semen analysis (A) is used to evaluate male fertility, not the uterus or fallopian tubes. Endometrial biopsy (B) is used to evaluate the uterine lining, not the structure of the uterus or fallopian tubes. Testicular biopsy (D) is used to assess male reproductive health, not female reproductive structures. Therefore, C is the correct choice for evaluating the structure and patency of the uterus and fallopian tubes.
Question 5 of 5
A woman in her 40th week of pregnancy calls the nurse at the clinic and says she is not sure whether she is in true or false labor. Which statement by the client would lead the nurse to suspect that the woman is experiencing false labor?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.