ATI RN
Conception and Fetal Development NCLEX Questions Questions
Question 1 of 5
The nurse works in a urologist’s office. A male patient is scheduled for routine fertility testing. For which test does the nurse refrain from making preparation?
Correct Answer: C
Rationale: The correct answer is C: Sexual functioning. The nurse should refrain from making preparation for sexual functioning testing because this is not typically part of routine fertility testing. The focus of routine fertility testing for a male patient in a urologist's office would be on assessing sperm health and quality, which includes tests like semen analysis (choice D). STI screening (choice A) may be necessary to rule out any infections that could affect fertility, and hormonal levels (choice B) are important to assess the endocrine system's role in fertility. However, sexual functioning testing is not directly related to assessing fertility issues in this context.
Question 2 of 5
What condition would the nurse suspect in a patient with irregular menstrual cycles, obesity, and abnormal hair growth on the face?
Correct Answer: C
Rationale: The correct answer is C: polycystic ovary syndrome (PCOS). Irregular menstrual cycles, obesity, and abnormal hair growth are common symptoms of PCOS. PCOS is a hormonal disorder that affects women of reproductive age. Irregular menstrual cycles occur due to anovulation. Obesity is often associated with insulin resistance, a common feature of PCOS. Abnormal hair growth, known as hirsutism, is a result of elevated levels of male hormones (androgens). Endometriosis (A) is characterized by the presence of endometrial tissue outside the uterus, causing pelvic pain and infertility. Hyperprolactinemia (B) is an excess of prolactin hormone, leading to irregular menstrual cycles and milk production. Hydrosalpinx (D) is the accumulation of fluid in a fallopian tube, causing infertility but not the symptoms described.
Question 3 of 5
What patient may need laparoscopic surgery?
Correct Answer: D
Rationale: The correct answer is D because laparoscopic surgery is commonly used to diagnose and treat endometriosis due to its ability to visualize and remove endometrial implants. Patients with suspected endometriosis often have symptoms like pelvic pain and infertility, making laparoscopy a suitable option for both diagnosis and treatment. Choices A, B, and C are incorrect as they do not typically require laparoscopic surgery. Low antral follicle count and elevated prolactin levels are more related to infertility evaluations, while patent fallopian tubes on hysterosalpingogram indicate normal tubal patency and do not necessarily warrant laparoscopic intervention.
Question 4 of 5
The nurse is counseling a female patient who has unsuccessfully attempted to become pregnant through a variety of methods and treatments for infertility. Which psychosocial manifestation is the nurse most likely to recognize?
Correct Answer: C
Rationale: The correct answer is C: Difficulty accepting pregnancy if it does occur. A patient who has struggled with infertility may have developed emotional barriers or fears related to pregnancy due to past disappointments. This psychosocial manifestation is common in individuals who have faced challenges with fertility. It is important for the nurse to recognize and address this potential issue during counseling. A: Close connections with extended family is not the most likely psychosocial manifestation in this scenario. While extended family support can be beneficial, it may not be the primary concern for a patient struggling with infertility. B: Strong intimate relationship with her partner is important for coping with infertility, but it is not the most likely manifestation for the nurse to recognize in this scenario. D: Greater focus on career and job opportunities is not the most likely psychosocial manifestation for a patient struggling with infertility. While some individuals may prioritize their career, the primary concern in this case is related to emotional challenges with pregnancy acceptance.
Question 5 of 5
A male patient is diagnosed with low sperm count as the cause of infertility. Which interventions will the nurse recommend to improve the patient’s sperm count? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Yoga or relaxation techniques. Stress can negatively impact sperm count, so relaxation techniques like yoga can help reduce stress levels and improve sperm count. Surgical repair of an inguinal hernia (Choice B) is unrelated to sperm count. Switching to cotton underwear (Choice C) may help with ventilation, but it does not directly impact sperm count. Avoiding hot showers (Choice D) can prevent overheating of the testicles, but it is not as effective as stress reduction techniques in improving sperm count.