Infertility Practice Exam

The nurse is caring for a couple during their initial visit to a fertility clinic after being unable to conceive for 2 years. Which assessment questions would be appropriate to determine an alternate cause of infertility? 1 "Do you use any lubrication during intercourse?" 2 "Can both of you reach orgasm at the same time?" 3 "What type of birth control did you use in the past?" 4 "Are you consistent in the manner in which you have intercourse?"

"Do you use any lubrication during intercourse?"

A client with mild preeclampsia is told that she must increase rest at home. The client starts to cry and tells the nurse that she has 2 small children at home who need her. Which response would the nurse provide? 1 "Let's explore your available current support and opportunities for child care." 2 "Are you worried about how you'll be able to handle this problem?" 3 "You can get a neighbor to help out, and your husband can do the housework in the evening." 4 "You can prepare light meals and the children can go to nursery school a few hours each day."

"Let's explore your available current support and opportunities for child care."

A client is crying after undergoing dilation and curettage after an early miscarriage (spontaneous abortion). Which response would the nurse give? 1 "This must be a very difficult experience for you to deal with." 2 "You'll have other children to take the place of the child you lost." 3 "Of course you're sad now, but at least you know you can get pregnant." 4 "I know how you feel, but when a woman miscarries, it's usually for the best."

"This must be a very difficult experience for you to deal with."

After 5 years of unprotected intercourse, a childless couple comes to the fertility clinic. The husband tells the nurse that his parents have promised to make a down payment on a house for them if his wife gets pregnant this year. Which response would the nurse provide? 1 "This must be very difficult for you with this added pressure." 2 "Having a child is a decision you should make without your parents' input." 3 "You're lucky. It's nice that your parents are making such a generous offer." 4 "Five years without a pregnancy is a long time. You were right to come to the fertility clinic."

"This must be very difficult for you with this added pressure."

A client at the fertility clinic is being treated for hypertension and obesity and has lost 8 lb (3.6 kg) in the past month, and her blood pressure has decreased to 154/98 mmHg. She states she is using self-control strategies to achieve these improvements. Which would be a therapeutic response by the nurse? 1 Explaining to the client that her current program needs revision to improve results 2 Acknowledging the client's achievement while encouraging continuation of her current program 3 Emphasizing to the client the importance of exercise in addition to reduced sodium and caloric intake 4 Recommending that the client ask her health care practitioner about a prescription for an antihypertensive or a diuretic

Acknowledging the client's achievement while encouraging continuation of her current program

On a visit to the fertility clinic a couple requests fertility medications because, despite having a 28-day menstrual cycle and temperature readings that demonstrate an ovulatory pattern, the woman has been unable to conceive. Which guidance would the nurse provide to this couple? 1 A laparoscopy will be scheduled. 2 An endometrial biopsy will be required. 3 A fertility medication will be prescribed. 4 An examination of semen will be needed.

An examination of semen will be needed.

As part of an infertility workup involving both partners, a male client is to have a semen analysis. Which instruction would the nurse give him? 1 Obtain the specimen upon awakening. 2 Use a condom to collect the semen specimen. 3 Ejaculate at least 4 hours before collection to ensure a pure specimen. 4 Deliver the specimen to the laboratory within 2 hours of obtaining it.

Deliver the specimen to the laboratory within 2 hours of obtaining it.

When speaking with the nurse, the husband of a couple who wants to start a family says, "Well, I guess we're going to have to jump into bed 3 or 4 times a day, every day, until it works." Which response would the nurse provide? 1 Telling them to continue intercourse as usual until conception occurs 2 Instructing them in the optimal frequency and timing of intercourse to promote conception 3 Discouraging this because sperm production decreases with frequent sexual intercourse 4 Agreeing that the frequency of intercourse must increase but twice daily is sufficient to promote conception

Instructing them in the optimal frequency and timing of intercourse to promote conception

The nurse at the fertility clinic is counseling a couple about the tests that will be necessary to determine the cause of their infertility. Which test will most likely be used in the initial evaluation of the woman's organs of reproduction? 1 Biopsy 2 Cystogram 3 Laparoscopy 4 Hysterosalpingogram

Hysterosalpingogram

The nurse explains to the client that infertility caused by a defect in the tube is most often related to which condition? 1 A tubal injury 2 Past infection 3 A fibroid tumor 4 A congenital anomaly

Past infection

Which activity would be part of the plan of care for a couple beginning their care in the fertility clinic? 1 Planning when to have intercourse 2 Having a procedure to retrieve the egg at ovulation 3 Visiting the fertility clinic daily 4 Taking medication to induce ovulation

Planning when to have intercourse

Which information would the nurse include in the discussion of preimplantation genetic testing in a couple planning in vitro fertilization? 1 Couples undergoing in vitro fertilization will routinely have preimplantation genetic testing. 2 Preimplantation genetic testing will allow the couple to be assured that their baby will be healthy. 3 The decision to have preimplantation genetic testing should be made based on family history. 4 Preimplantation genetic testing may bring up ethical issues for the family if a genetic defect is identified

Preimplantation genetic testing may bring up ethical issues for the family if a genetic defect is identified

A 41-year-old woman is being seen for an initial visit in the infertility clinic after 3 years of trying to become pregnant. Which test or treatment would the nurse advise her would be done first? 1 A laparoscopy 2 The start of fertility medication 3 A hysteroscopy 4 Semen analysis

Semen analysis