The nurse is educating a client on lifestyle changes to support fertility. Which recommendation is appropriate?

Correct Answer: B

Rationale: The correct answer is B because moderate exercise and a balanced diet are essential for overall health, including fertility. Exercise can help regulate hormones and improve circulation to reproductive organs. A balanced diet provides necessary nutrients for optimal reproductive function. Choice A is incorrect as complete avoidance of caffeine and alcohol is not necessary for fertility. Choice C is incorrect as excessive protein intake can negatively impact fertility. Choice D is incorrect as herbal supplements can have unknown effects on fertility and should be avoided without consulting a healthcare provider.

Correct Answer: A

Rationale: The correct answer is A: Folic acid helps prevent neural tube defects in the developing fetus. The rationale is that folic acid is essential for the development of the neural tube in early pregnancy, which is crucial for the baby's brain and spinal cord formation. By emphasizing this benefit, the nurse educates about the importance of folic acid before conception to reduce the risk of neural tube defects. Choices B, C, and D are incorrect because folic acid does not improve chances of multiple pregnancies, is needed before conception and throughout pregnancy (not just in the third trimester), and is a supplement that complements prenatal vitamins rather than replacing them.

Correct Answer: B

Rationale: The correct answer is B: Ovulation predictor kits work by detecting the luteinizing hormone (LH) surge in urine. LH surge triggers ovulation within 24-48 hours. This surge can be detected in urine, indicating that ovulation is about to occur. Estrogen levels (A) fluctuate throughout the menstrual cycle but are not directly related to ovulation. Pregnancy confirmation (C) occurs after ovulation and fertilization. Basal body temperature (D) monitoring helps track ovulation patterns but does not predict ovulation directly.

Correct Answer: B

Rationale: The correct answer is B because younger age is generally associated with higher success rates in fertility treatments due to factors like better egg quality and ovarian reserve. Older women may have lower success rates due to decreased egg quality and quantity. Choice A is incorrect as success rates do vary with age. Choice C is incorrect because male age can impact fertility treatment outcomes. Choice D is incorrect as age can impact fertility treatment outcomes for women younger than 50 as well.

Correct Answer: B

Rationale: The correct answer is B because lifestyle modifications such as reducing stress, maintaining a healthy weight, avoiding harmful substances, and exercising can improve male fertility by optimizing overall reproductive health. Stress reduction can positively impact hormone levels and sperm production. Choices A, C, and D are incorrect because lifestyle modifications do not directly guarantee successful fertilization, eliminate the need for medical treatments, or directly improve sperm motility and morphology.