ATI RN
Multiple Choice Questions on Infertility Questions
Question 1 of 5
The nurse is instructing a client on taking her basal body temperature. What is the primary purpose of this test?
Correct Answer: B
Rationale: Rationale: The correct answer is B because basal body temperature rises 1 to 5 days after midcycle, indicating ovulation. This helps determine the client's most fertile period for conception. Choice A is incorrect as basal body temperature does not assess cervical mucus. Choice C is incorrect as it does not evaluate uterine pathology. Choice D is incorrect as basal body temperature does not assess blockage of uterine cavity or fallopian tubes.
Question 2 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 3 of 5
The nurse is providing education to a pregnant woman whose genetic testing confirms her fetus has Down syndrome. The nurse understands that Down syndrome is an example of which abnormality?
Correct Answer: B
Rationale: The correct answer is B: Abnormality of chromosomal number. Down syndrome is caused by an extra copy of chromosome 21, leading to trisomy 21. This results in characteristic physical features and intellectual disability. Chromosomal translocation (A) involves the swapping of genetic material between chromosomes. Multifactorial monosomy inheritance (C) refers to a combination of genetic and environmental factors leading to the loss of a chromosome. Autosomal-recessive inheritance (D) requires two copies of a mutated gene to be present for the disorder to manifest, which is not the case in Down syndrome.
Question 4 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 5 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.