ATI RN
Infertility Quiz Questions Questions
Question 1 of 5
What is the role of a saline sonohysterogram in evaluating infertility?
Correct Answer: A
Rationale: The correct answer is A because a saline sonohysterogram is specifically used to visualize the uterine cavity and detect abnormalities such as polyps, fibroids, or adhesions that may be causing infertility. It helps identify structural issues that may interfere with implantation or pregnancy. Choice B is incorrect because a saline sonohysterogram does not measure hormone levels in the bloodstream. Choice C is also incorrect as it does not directly assess ovarian reserve, which is typically evaluated through blood tests like AMH and FSH levels. Choice D is incorrect as a saline sonohysterogram is not used to monitor embryo development after IVF, but rather to assess the uterine cavity before the procedure.
Question 2 of 5
A 36-year-old female patient presents to the reproductive medicine clinic for a follow-up appointment. Laboratory results indicate diminished ovarian reserve, and her partner's semen analysis is normal. Which infertility options may be appropriate for this client?
Correct Answer: A
Rationale: The correct answer is A: Donor oocytes. Diminished ovarian reserve implies reduced quantity and quality of eggs, making natural conception challenging. Donor oocytes offer a viable option for achieving pregnancy. B: Ovulation induction with clomiphene citrate may not be effective if ovarian reserve is significantly diminished. C: Follitropin injections stimulate the patient's own ovarian follicles, which may not be successful if ovarian reserve is low. D: In-vitro fertilization and embryo transfer require viable eggs from the patient, which may be limited in cases of diminished ovarian reserve.
Question 3 of 5
A patient undergoing IUI asks why sperm washing is performed. What is the nurse's explanation?
Correct Answer: A
Rationale: The correct answer is A because sperm washing in IUI concentrates healthy sperm, removing debris and non-motile sperm, increasing the chance of fertilization. Choice B is incorrect as sperm washing is not specifically for IVF. Choice C is incorrect, as genetic abnormalities are not directly related to sperm washing. Choice D is incorrect, as sperm washing does not affect ovulation timing.
Question 4 of 5
A 4-month-old infant has been diagnosed with a rare genetic disease called neonatal onset multisystem inflammatory disease (NOMID). This disease occurs through an autosomal-dominant inheritance pattern. The parents ask the nurse, 'Which of us passed this disease on to our child?' Which of the following is the nurse's best response?
Correct Answer: C
Rationale: The correct answer is C: Either the mother or the father can carry the gene. In an autosomal-dominant inheritance pattern, only one copy of the mutated gene is needed to express the disease. This means that either parent can pass on the disease gene to the child. Therefore, it is not necessary for both parents to be carriers for the child to inherit the disease. Choices A and B are incorrect because autosomal-dominant diseases do not depend on the gender of the parent carrying the gene. Choice D is incorrect as it implies that both parents must be carriers, which is not a requirement for autosomal-dominant inheritance.
Question 5 of 5
A patient is being interviewed by the nurse. During the family history assessment, the patient reports having had relatives with cancer. Which is the nurse's best response?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Completing a pedigree allows for a visual representation of the family's health history. 2. Noting the types of cancer and affected relatives helps identify patterns and potential genetic risks. 3. This response demonstrates a proactive approach to understanding the patient's genetic predispositions. Summary of other choices: B: Asking about the gender of affected relatives does not provide as much detailed information about the types of cancer or specific family members affected. C: Determining relevance to personal history is important, but a pedigree provides a broader picture for risk assessment. D: Referring to a genetic counselor may be necessary but completing a pedigree first helps gather essential information for a more informed consultation.