ATI RN
Infertility Questions Questions
Question 1 of 5
The procedure in which ova are removed by laparoscopy, mixed with sperm, and the embryo(s) returned to the woman's uterus is
Correct Answer: A
Rationale: The correct answer is A: in vitro fertilization (IVF). In IVF, ova are retrieved via laparoscopy, fertilized with sperm in a lab dish, and then the resulting embryo(s) are transferred back to the woman's uterus. This process allows for fertilization to occur outside the body. Incorrect choices: B: Tubal embryo transfer (TET) involves transferring embryos directly into the fallopian tubes, not the uterus. C: Therapeutic insemination (IUI) is the process of injecting sperm directly into the uterus, not involving the removal and fertilization of ova. D: Gamete intrafallopian transfer (GIFT) involves transferring both eggs and sperm into the fallopian tubes for fertilization to occur internally, not in a lab dish.
Question 2 of 5
When assessing cervical effacement of a client in labor, the nurse assesses which characteristic?
Correct Answer: B
Rationale: In assessing cervical effacement during labor, the nurse should focus on the degree of thinning, which is the correct answer (B). Effacement refers to the thinning and shortening of the cervix in preparation for childbirth. This is a crucial aspect to monitor as it indicates progress in labor and readiness for the baby to descend through the birth canal. Option A, the extent of opening to its widest diameter, refers to cervical dilation, not effacement. Dilation is the measurement of how open the cervix is, while effacement is about the thinning of the cervix. Option C, passage of the mucous plug, is not directly related to cervical effacement. The mucous plug is a barrier that seals the cervix during pregnancy to protect the fetus from infections. Its passage can be a sign that labor is approaching, but it is not a direct indicator of effacement. Option D, fetal presenting part, pertains to the position of the baby's head or body in relation to the mother's pelvis, which is important for labor progress but not specifically related to cervical effacement. Understanding the distinction between cervical effacement, dilation, and other aspects of labor progress is essential for nurses and healthcare providers to effectively monitor and support women during childbirth. By knowing the specific characteristics to assess, they can provide appropriate care and interventions to promote safe and positive birth outcomes.
Question 3 of 5
A nurse is providing care to a woman in labor. After assessment of the fetus, the nurse documents the fetal lie. Which term would the nurse use?
Correct Answer: C
Rationale: The correct answer is C because fetal lie refers to the relationship of the long axis of the fetus to the long axis of the mother. The primary lies are longitudinal, oblique, and transverse. Flexion and extension are terms used to describe fetal attitude, while cephalic is used to describe fetal presentation.
Question 4 of 5
A nurse is providing care to a pregnant woman in labor. The woman is in the first stage of labor. When describing this stage to the client, which event would the nurse identify as the major change occurring during this stage?
Correct Answer: B
Rationale: In the first stage of labor, the major change that occurs is cervical dilation. This is the correct answer because during this stage, the cervix begins to efface (thin out) and dilate (open up) to allow the baby to pass through the birth canal. This process is essential for the progression of labor and eventual delivery of the baby. Option A, regular contractions, while important in labor, are not the major change in the first stage. Contractions help to push the baby down the birth canal, but cervical dilation is the primary focus during the first stage. Option C, fetal movement through the birth canal, is incorrect as this typically occurs later in labor, particularly during the second stage when the mother begins actively pushing. Option D, placental separation, is a crucial event that occurs after the baby is born during the third stage of labor when the placenta is delivered. Understanding the stages of labor and the specific changes that occur during each stage is crucial for healthcare providers to provide safe and effective care to pregnant women. This knowledge helps in assessing the progress of labor, identifying any deviations from the norm, and intervening appropriately to ensure a positive outcome for both the mother and the baby.
Question 5 of 5
A nurse working in an infertility clinic should include which of the following in her discussions with the couple?
Correct Answer: A
Rationale: In the context of infertility, option A, which is discussing adoption as an alternative to infertility treatments, is the most appropriate choice for the nurse to include in her discussions with the couple. This is because infertility can be a complex and emotionally challenging issue for couples, and adoption can be a viable option for building a family. By discussing adoption, the nurse is providing valuable information that may offer hope and a positive way forward for the couple. Option B, which focuses on the legal controversy surrounding artificial insemination, is not as relevant for the nurse to discuss with the couple in an initial conversation. While legal aspects are important, the primary concern for the couple at this stage is understanding their options for family-building rather than legal controversies. Option C, suggesting the need for marriage counseling before undergoing infertility treatments, may not be necessary for all couples. While counseling can be beneficial for some, it should not be a blanket recommendation for all couples struggling with infertility. Option D, providing statistics about the number of couples who never learn why they are infertile, is not as helpful or relevant as discussing practical options or alternatives like adoption. Statistics alone do not provide actionable steps or emotional support for the couple in their journey towards building a family. In an educational context, it is essential for healthcare professionals, including nurses, to approach discussions about infertility with sensitivity, empathy, and a focus on providing relevant and practical information to support the emotional well-being of the individuals or couples involved. By understanding the emotional and psychological impact of infertility, healthcare providers can offer more holistic care and support to those navigating this challenging experience.