The nurse is counseling a couple about ovulation predictor kits. What is the most important advice?

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Infertility NCLEX Questions Questions

Question 1 of 5

The nurse is counseling a couple about ovulation predictor kits. What is the most important advice?

Correct Answer: B

Rationale: The correct answer is B because ovulation predictor kits detect the LH surge, which occurs approximately 24 to 36 hours before ovulation. This information is crucial for timing intercourse to maximize the chances of conception. Choice A is incorrect because ovulation predictor kits are typically available over the counter and do not require a prescription. Choice C is incorrect because these kits should be used strategically around the expected time of ovulation for accurate results. Choice D is incorrect because ovulation predictor kits do not confirm pregnancy; they only indicate the LH surge and impending ovulation.

Question 2 of 5

A young couple is contemplating starting a family. Which is the best time for genetic counseling?

Correct Answer: A

Rationale: The correct answer is A: Now, before they become pregnant. This is the best time for genetic counseling because it allows the couple to understand their genetic risks, receive information on potential hereditary conditions, and make informed decisions before conception. Genetic counseling before pregnancy enables proactive planning and consideration of options such as genetic testing or alternative reproductive methods if necessary. Choices B, C, and D are incorrect as genetic counseling is most effective and beneficial when done prior to conception to ensure optimal outcomes and informed decision-making.

Question 3 of 5

A nurse provides teaching for a patient scheduled for genetic testing. What should the nurse do to help the patient understand what is being taught?

Correct Answer: D

Rationale: The correct answer is D because asking the patient to verbalize what was learned promotes active learning and helps assess the patient's understanding. It allows the nurse to clarify any misconceptions and reinforce important information. Choice A may be helpful but not sufficient. Choice B is important but may not fully address comprehension. Choice C focuses on communication style rather than assessing understanding.

Question 4 of 5

A newly married woman states, "My friend told me I would never have a baby because I had pelvic inflammatory disease when I was younger. I don't understand how that can affect whether or not I get pregnant." The nurse's most appropriate response is

Correct Answer: D

Rationale: The correct answer is D because pelvic inflammatory disease (PID) can lead to scarring and obstruction of the fallopian tubes. This can prevent the fertilized egg from traveling to the uterus for implantation, thus affecting fertility. Choice A is incorrect as it makes a definitive statement without considering individual variations in the impact of PID. Choice B is incorrect because while PID can lead to ovarian damage, it primarily affects the fallopian tubes. Choice C is incorrect as fallopian tube damage can result from various infections, not just gonorrhea. Thus, the most appropriate response is D, as it directly addresses how PID can impact fertility through fallopian tube obstruction.

Question 5 of 5

What is the primary purpose of performing a semen analysis during infertility testing?

Correct Answer: B

Rationale: The primary purpose of performing a semen analysis during infertility testing is to evaluate sperm count, motility, and morphology. This is crucial in assessing male fertility potential. Sperm count indicates the quantity of sperm, motility refers to their ability to move effectively, and morphology assesses the shape and structure of sperm. These factors directly impact the likelihood of successful fertilization. Checking for infections (choice A) is important but not the primary purpose. Hormonal imbalances (choice C) are typically evaluated through blood tests, not semen analysis. Testing for genetic abnormalities in sperm (choice D) is a separate test and not the primary focus of a semen analysis.

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