ATI RN
Fetal Development Questions Questions
Question 1 of 5
What is an example of a statement by the patient that indicates effective teaching by the nurse about methods to improve fertility?
Correct Answer: D
Rationale: The correct answer is D because it accurately reflects the nurse's teaching on fertility. Smoking is known to have negative effects on fertility and can increase the risk of miscarriage. This statement shows that the patient has understood the information provided by the nurse regarding factors that could impact fertility. A is incorrect because caffeine can actually affect fertility. B is incorrect because while taking prenatal vitamins is beneficial, it does not directly address fertility improvement. C is incorrect as exercise is generally beneficial for fertility and does not necessarily harm sperm.
Question 2 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 3 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 4 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.
Question 5 of 5
What is the purpose of chorionic villus sampling (CVS) in the first trimester?
Correct Answer: C
Rationale: Rationale: CVS is done in the first trimester to assess the risk of chromosomal abnormalities in the fetus by obtaining a sample of cells from the placenta. This allows for genetic testing to detect conditions such as Down syndrome. Other choices are incorrect as CVS is not used to measure amniotic fluid quantity (A), confirm pregnancy (B), or assess maternal infection (D).