ATI RN
Infertility Questions Questions
Question 1 of 5
The nurse is analyzing the pedigree shown below. How should the nurse interpret the genotype of the individual in location II-4?
Correct Answer: A
Rationale: In analyzing the pedigree, the nurse can determine that the individual in location II-4 is an affected male. This interpretation is based on the pattern of inheritance observed in the pedigree, likely indicating an X-linked recessive disorder. Males typically exhibit X-linked traits more frequently as they only have one X chromosome. Therefore, the correct answer is A. Option B (Unaffected female) is incorrect as females would need to inherit the affected allele from both parents to express the trait in an X-linked recessive disorder. Option C (Stillborn child) is incorrect as there is no indication in the pedigree to suggest that the individual in location II-4 was a stillborn child. Option D (Child of unknown sex) is incorrect as the individual in location II-4 can be identified as a male based on the pedigree symbols. Understanding how to interpret pedigrees is crucial in the field of genetics and reproductive health. It helps healthcare professionals identify patterns of inheritance, assess risks of genetic conditions, and provide appropriate counseling to individuals and families. By correctly interpreting genotypes in pedigrees, nurses can contribute to effective patient care and informed decision-making regarding reproductive choices.
Question 2 of 5
A nurse is instructing a woman on the use of ovulation predictor kits. What should the nurse tell the client?
Correct Answer: D
Rationale: The correct answer is D because the interval of greatest fertility is indeed on the day of the LH surge and the following 2 days, maximizing chances of conception. Choice A is incorrect as ovulation predictor kits are typically over-the-counter. Choice B is incorrect as the kit measures urinary LH, not serum. Choice C is incorrect as the LH surge usually occurs 24-36 hours before ovulation, not 12.
Question 3 of 5
A nurse is offering preconception counseling in a primary care clinic. Which statement by a patient indicates a need for correction?
Correct Answer: A
Rationale: The correct answer is A. Pregnancy rates are indeed related to the age of the male partner because sperm quality and quantity decline with age. This is crucial information in preconception counseling. Choice B is correct as STI testing for sexually active males is important for reproductive health. Choice C is correct as maintaining a healthy weight is crucial for both partners' fertility. Choice D is correct as certain medications can impact male fertility. In summary, the incorrect choice (A) contradicts established knowledge about male age and fertility, making it the correct answer.
Question 4 of 5
A couple undergoing IVF asks about the role of progesterone injections post-transfer. What is the nurse's best explanation?
Correct Answer: A
Rationale: The correct answer is A: Progesterone supports the uterine lining to help maintain a pregnancy post-transfer. Progesterone is crucial in preparing the uterine lining for embryo implantation and supporting early pregnancy. It helps thicken the endometrium, creating a hospitable environment for the embryo to implant and grow. Choice B is incorrect as progesterone does not directly improve egg quality. Choice C is incorrect as progesterone does not prevent ovarian cyst formation. Choice D is incorrect as progesterone does not reduce the chances of multiple pregnancies; in fact, it may slightly increase the risk of multiples in IVF.
Question 5 of 5
During infertility counseling, the nurse explains the purpose of an HSG (hysterosalpingogram). What is the best explanation?
Correct Answer: B
Rationale: Rationale: The correct answer is B because an HSG is used to visualize the structure and patency of the uterus and fallopian tubes, helping to diagnose causes of infertility such as tubal blockages or abnormalities. A is incorrect because HSG does not assess ovarian function or hormone levels. C is incorrect as HSG does not determine ovulation timing but rather evaluates tubal patency. D is incorrect because HSG is not used to monitor fetal development.