ATI RN
Multiple Choice Questions on Infertility Questions
Question 1 of 5
The nurse is educating a patient about the role of luteal phase support in fertility treatments. What should be emphasized?
Correct Answer: B
Rationale: The correct answer is B because luteal phase support is crucial in fertility treatments to maintain the uterine lining for potential embryo implantation. Progesterone supplementation is necessary to support this phase, as it ensures a hospitable environment for the embryo. Option A is incorrect because luteal phase support primarily focuses on progesterone, not estrogen. Option C is incorrect as hormonal monitoring is still essential during fertility treatments. Option D is incorrect because luteal phase support does not prevent the LH surge, which is necessary for ovulation.
Question 2 of 5
A 44-year-old woman presents with an unexpected pregnancy. She asks the nurse, 'Is my baby going to have a birth defect? My third cousin has Down syndrome.' What is the nurse's best response?
Correct Answer: D
Rationale: Step 1: The correct answer is D because advanced maternal age (AMA), generally defined as 35 years or older, is a well-known risk factor for chromosomal abnormalities, such as Down syndrome. Step 2: Down syndrome is more common in babies born to mothers over the age of 35 due to the increased likelihood of errors in cell division during egg development. Step 3: Given the patient's age of 44, she falls into the category of AMA and is at an increased risk for chromosomal abnormalities in her baby. Step 4: Option A is incorrect as the risk is not solely based on gene mutation but rather on the increased chance of chromosomal abnormalities due to age. Step 5: Option B is incorrect as it focuses on intrauterine growth retardation, which is not directly related to the patient's query about birth defects. Step 6: Option C is incorrect as a referral to high-risk obstetrics may not be necessary solely based on the patient's
Question 3 of 5
A couple who has not achieved a successful pregnancy is scheduled to meet with a fertility specialist. Which simple evaluation is usually the first test to be performed?
Correct Answer: A
Rationale: The correct answer is A: Semen analysis. This is the first test performed because it helps assess male fertility by evaluating sperm count, motility, and morphology. It is a non-invasive and cost-effective test that can provide valuable insights into the couple's fertility issues. Testicular biopsy (B) is an invasive procedure and typically not the initial test. Endometrial biopsy (C) evaluates the uterine lining and is usually performed later in the evaluation process. Hysterosalpingography (D) is a test to assess the fallopian tubes and uterus in females, which is also not typically the first test performed when evaluating infertility in a couple.
Question 4 of 5
Which of the following medical conditions could possibly affect a woman's fertility status?
Correct Answer: B
Rationale: The correct answer is B, recently diagnosed with polycystic ovarian syndrome (PCOS). PCOS is a common hormonal disorder that can affect a woman's fertility by causing irregular ovulation or no ovulation. This can make it difficult to conceive. - Choice A (asthma with inhaler): Asthma does not directly impact fertility. - Choice C (polyps removal): External polyps removal does not typically affect fertility. - Choice D (sinus headaches): Seasonal sinus headaches do not directly impact fertility. In summary, PCOS can affect fertility due to hormonal imbalances affecting ovulation, making it the most relevant medical condition in this context.
Question 5 of 5
Assessment of a woman in labor reveals cervical dilation of 3 cm, cervical effacement of 30%, and contractions occurring every 7 to 8 minutes, lasting about 40 seconds. The nurse determines that this client is in:
Correct Answer: A
Rationale: The client's cervical dilation, effacement, and contraction pattern indicate that she is in the latent phase of the first stage of labor. This phase is characterized by cervical dilation of 0 to 3 cm, effacement of 0% to 40%, and contractions every 5 to 10 minutes lasting 30 to 40 seconds. The active phase of the first stage occurs with cervical dilation of 4 to 7 cm, effacement of 40% to 80%, and contractions every 2 to 5 minutes lasting 45 to 60 seconds. The perineal phase of the second stage and early phase of the third stage have different characteristics, making them incorrect choices.