ATI RN
Fetal Development Questions Questions
Question 1 of 5
What hormone is secreted by the corpus luteum after ovulation?
Correct Answer: B
Rationale: The correct answer is B: progesterone. After ovulation, the ruptured follicle transforms into the corpus luteum, which secretes progesterone. Progesterone plays a crucial role in preparing the uterus for implantation and maintaining pregnancy. Prolactin (A) is a hormone mainly involved in milk production. Luteinizing hormone (C) triggers ovulation and the release of the egg from the ovary. Follicle-stimulating hormone (D) is responsible for stimulating the growth of ovarian follicles. The key is understanding the physiological processes post-ovulation and the role of progesterone in these processes.
Question 2 of 5
The nurse would anticipate that a patient with elevated levels of which hormone would require radiologic imaging of the brain?
Correct Answer: B
Rationale: The correct answer is B: prolactin. Elevated prolactin levels can indicate a pituitary tumor, which may require brain imaging. TSH, progesterone, and FSH are not typically associated with the need for brain imaging. TSH is related to thyroid function, progesterone to the menstrual cycle, and FSH to reproductive health. Prolactin is the hormone primarily associated with lactation and can be elevated due to various reasons, including pituitary tumors. Therefore, in a patient with elevated prolactin levels, brain imaging is necessary to assess for the presence of a pituitary tumor.
Question 3 of 5
After counseling with an obstetrician about infertility, a couple is advised to undergo testicular sperm aspiration. The nurse is aware that the procedure may be recommended for which infertility?
Correct Answer: B
Rationale: Step 1: Testicular sperm aspiration is a procedure to retrieve sperm directly from the testicles. Step 2: If a vasectomy reversal was unsuccessful, it means there is no sperm in the ejaculate due to the blocked vas deferens. Step 3: Testicular sperm aspiration can be recommended in such cases to retrieve sperm for assisted reproductive techniques. Summary: A: Blocked fallopian tubes do not involve male infertility; they affect female fertility. C: Poor cervical mucus production is a female factor, not male. D: Diminished sperm motility may require other treatments, not testicular sperm aspiration.
Question 4 of 5
A female patient with a history of infertility is scheduled to have a hysterosalpingogram. Which findings can be detected with this procedure? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Tubal occlusions. Hysterosalpingogram is a diagnostic imaging procedure used to evaluate the uterus and fallopian tubes. It can detect tubal occlusions by visualizing the flow of contrast dye through the fallopian tubes. Choice B, uterine fibroids, is incorrect as hysterosalpingogram does not specifically assess uterine fibroids. Choice C, cervical irritation, is also incorrect as this procedure focuses on the uterus and fallopian tubes, not the cervix. Choice D, bicornuate uterus, is incorrect as hysterosalpingogram primarily evaluates tubal patency and uterine cavity shape, not specific uterine anomalies like a bicornuate uterus.
Question 5 of 5
A 37-year-old patient is being seen for her first OB appointment after having a positive pregnancy test at home. She thinks she is about 6 weeks pregnant. She and her husband have been trying to conceive for 7 years, and she has a history of three spontaneous abortions. What antepartum testing do you anticipate the provider ordering at today’s visit?
Correct Answer: A
Rationale: The correct answer is A: a vaginal ultrasound to confirm gestation age, due date, and pregnancy viability. At the first OB appointment, confirming gestational age and viability is crucial, especially for a patient with a history of spontaneous abortions. This ultrasound will help determine the accurate due date and assess the viability of the pregnancy. Maternal assay blood tests for genetic and chromosomal disorders (choice B) are usually done later in the pregnancy, around 10-13 weeks. Nuchal translucency ultrasound (choice C) and integrated screen blood test (choice D) are typically done between 11-14 weeks and are not usually ordered at the first OB appointment.