Lori, who is 32 years old, is taking clomiphene citrate to induce ovulation and presents to the office for a vaginal ultrasound. As the nurse is walking Lori to ultrasound, Lori mentions that over the past 12 hours she has experienced abdominal bloating, nausea, and weight gain of 5 pounds. The nurse recognizes these signs and symptoms to be associated with what condition?

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 Lori is experiencing (abdominal bloating, nausea, and weight gain) are classic signs of moderate OHSS. The mechanism involves excessive response to the ovulation induction medication leading to enlarged ovaries and fluid accumulation in the abdomen. It is crucial to monitor patients on ovulation induction therapy for signs of OHSS to prevent severe complications. Choice A: Ovulation - This is incorrect because the symptoms described are not typical of ovulation itself. Choice B: Premenstrual syndrome - This is incorrect because the symptoms are not specific to premenstrual syndrome and are more indicative of a complication related to medication. Choice D: Failed ovulation induction - This is incorrect because the symptoms suggest a response to the medication rather than a failure of ovulation.

Correct Answer: A

Rationale: The primary purpose of a semen analysis in an infertility evaluation is to assess sperm count, motility, and morphology. This is crucial as these factors directly impact male fertility. Sperm count indicates the quantity of sperm present, motility relates to their ability to move effectively towards the egg, and morphology assesses the shape and structure of sperm, which can affect their ability to fertilize an egg. Evaluating these parameters helps identify potential issues causing infertility. Other choices are incorrect as semen analysis primarily focuses on assessing sperm quality, not infections, hormone levels, or genetic anomalies in sperm.

Correct Answer: B

Rationale: The correct answer is B because multiple pregnancies and ovarian hyperstimulation syndrome are indeed possible risks associated with IVF. Multiple pregnancies can lead to complications for both the mother and babies, while ovarian hyperstimulation syndrome can cause abdominal pain, bloating, and in severe cases, fluid buildup in the abdomen and chest. Choice A is incorrect as all medical procedures, including IVF, carry risks. Choice C is incorrect as IVF does not guarantee pregnancy in one cycle, success rates vary. Choice D is incorrect as studies have shown that IVF can have implications on future pregnancies such as increased risk of preterm birth and low birth weight.

Correct Answer: B

Rationale: The correct answer is B: BBT is used to confirm ovulation after it occurs. BBT tracking helps confirm ovulation by observing a slight increase in temperature after ovulation. It does not predict ovulation accurately. Choice A is incorrect because BBT is not the most accurate method for predicting ovulation. Choice C is incorrect as BBT tracking can be effective in women of all ages. Choice D is incorrect as BBT tracking is just one method and may not replace other fertility tests.

Correct Answer: B

Rationale: The correct answer is B: Reduce stress levels through relaxation techniques. Stress can negatively impact fertility by disrupting hormone levels and ovulation. Relaxation techniques can help manage stress, promoting better reproductive health. A: Avoiding moderate alcohol consumption is important for fertility, but stress reduction has a more direct impact. C: While protein is essential for overall health, there is no direct evidence linking increased protein intake to improved egg quality. D: Using over-the-counter fertility supplements may not be necessary if stress reduction can improve fertility outcomes without additional interventions.