OB Ch. 7

8. A woman is going to have in vitro fertilization. When preparing her for this, the nurse would make which statement? A) "It can be done with frozen donor sperm." B) "You will need to select a surrogate mother." C) "Most procedures are effective the first time tried." D) "This is dangerous if there is ovarian cancer in your family."

A) "It can be done with frozen donor sperm."

6. Which statement would be most appropriate when explaining endometriosis as a cause of a woman's infertility? A) "Ovulation does take place; however, the misplaced endometrial tissue interferes with transport of the ovum." B) "Your uterine cervix fails to close because it is engorged with tissue." C) "Menstrual sloughing does not occur, so there is never a new base for embryo growth." D) "You do not ovulate because of endometrial implants on the ovaries."

A) "Ovulation does take place; however, the misplaced endometrial tissue interferes with transport of the ovum."

20. The nurse instructs a couple on the process of basic fertility testing. Which patient statements indicate that teaching has been effective? Select all that apply. A) "The quality of the sperm will be looked at." B) "The sperm will be tested for adequate number." C) "A test will be done to determine if ovulation is occurring." D) "The importance of using in vitro fertilization will be discussed." E) "It will be determined if the sperm and eggs are able to meet correctly."

A) "The quality of the sperm will be looked at." B) "The sperm will be tested for adequate number." C) "A test will be done to determine if ovulation is occurring." E) "It will be determined if the sperm and eggs are able to meet correctly."

16. A male is diagnosed as being infertile, but he wants to have children with his spouse. Which response should the nurse provide to this patient? A) "You need to consider donor-alternative insemination." B) "The chance of conception is slight with artificial insemination." C) "You and your sexual partner should consider embryo transfer first because it is safer." D) "Artificial insemination is useful only if your sexual partner has an allergy to your sperm."

A) "You need to consider donor-alternative insemination."

25. A female patient is willing to alter nutrition and activity status in an attempt to conceive. What teaching should the nurse provide to support this patient's desire? Select all that apply. A) Exercise 30 minutes each day. B) Plan to reduce body fat to less than 10%. C) Ingest vegetables that are high in fiber. D) Consciously reduce every day stressors. E) Add brown rice and dark bread to the diet.

A) Exercise 30 minutes each day. C) Ingest vegetables that are high in fiber. D) Consciously reduce every day stressors. E) Add brown rice and dark bread to the diet.

19. The female partner of a young couple is concerned about what the results of fertility tests might reveal. Which nursing diagnosis should the nurse use to plan care for this patient? A) Fear related to possible outcome of subfertility studies B) Deficient knowledge related to measures to promote fertility C) Anxiety related to the procedures necessary for fertility testing D) Situational low self-esteem related to the apparent inability to conceive

A) Fear related to possible outcome of subfertility studies

15. The nurse is planning an education session for couples planning to conceive. What should the nurse include to support the 2020 National Health Goals? Select all that apply. A) Highlight the importance of good nutrition. B) Include health promotion activities for both men and women. C) Stress the importance of having coitus every day while trying to conceive. D) Remind about safe sex practices to reduce sexually transmitted infections. E) Explain that conception rarely occurs in couples during the first year of trying.

A) Highlight the importance of good nutrition. B) Include health promotion activities for both men and women. D) Remind about safe sex practices to reduce sexually transmitted infections.

17. The nurse is teaching a female to take her basal body temperature daily to assess the time of ovulation. What will the patient's body temperature reflect at the day of ovulation? A) Increase a degree. B) Decrease a degree. C) Fluctuate a degree daily. D) Spike one degree then drop.

A) Increase a degree.

4. The nurse is asked to schedule a hysterosalpingogram. Which question would be most important for the nurse to ask the woman before scheduling the procedure? A) When do you expect your next menstrual flow? B) Are you allergic to any sedatives? C) What is your blood type and Rh factor? D) When did you have coitus last?

A) When do you expect your next menstrual flow?

1. A husband is worried he has an inadequate sperm count. Which circumstance would be most important for the nurse to ask about during his health history? A) if he works at a desk job B) if he eats a low-lipid diet C) if he jogs frequently D) if he takes a vitamin supplement

A) if he works at a desk job

3. A nurse is asked to teach a woman to take her basal body temperature daily to assess the time of ovulation. She can detect her day of ovulation, following ovulation, because her temperature will: A) increase a degree. B) decrease a degree. C) fluctuate a degree daily. D) no longer reflect basal body temperature.

A) increase a degree.

23. The nurse completes instructing a female patient on the process of in vitro fertilization. Which statement indicates that patient teaching has been effective? A) "I will need to select a surrogate mother." B) "It can be done with frozen donor sperm." C) "Most procedures are effective the first time tried." D) "This is dangerous if there is ovarian cancer in my family."

B) "It can be done with frozen donor sperm."

13. A couple, both age 22, want to know what they can do to improve the chances of conceiving. What should the nurse respond to this couple? A) Have coitus every day. B) Have coitus every other day. C) Consume a high-fat, low-protein diet. D) The female-superior position is the best for conception.

B) Have coitus every other day.

7. A nurse is providing care to a woman who is to undergo surgery to remove fibroid tumors. The nurse teaches the woman about the procedure and what to expect after it. The nurse determines that the teaching was successful when the woman identifies which situation as most likely to occur after the surgery? A) Treatment with a testosterone B) Insertion of an intrauterine device C) Recommendation to become pregnant immediately D) Counseling to accept childfree living

B) Insertion of an intrauterine device

14. The nurse is assessing a male for sperm count. Which circumstance would be most important to ask about during the health history? A) Jogs frequently B) Works at a desk job C) Eats a low-lipid diet D) Takes a vitamin supplement

B) Works at a desk job

11. The nurse is assessing the health history of a male partner. Which data is most likely to be related to an infertility problem? A) 30 years of age B) employment as a taxi driver C) intercourse approximately every third day D) immunization against mumps as a child

B) employment as a taxi driver

9. Which definition best explains the term "subfertility/infertility"? A) failure to achieve pregnancy after 6 months of unprotected intercourse B) failure to achieve pregnancy after 1 year of unprotected intercourse C) inability to achieve pregnancy because of a known factor that prevents conception D) inability to achieve pregnancy following a previous viable pregnancy

B) failure to achieve pregnancy after 1 year of unprotected intercourse

28. A couple is undergoing fertility testing. The male partner is scheduled for semen analysis. When teaching the male partner about this procedure, the nurse would instruct him to refrain from sexual intercourse for which time frame before the analysis? A) 4 to 8 hours B) 12 to 24 hours C) 2 to 4 days D) at least 1 week

C) 2 to 4 days

26. A female patient being treated for infertility is completing the third course of clomiphene citrate. What information should the nurse prepare for the patient in the event this course does not result in conception? A) Agencies that coordinate adoptions B) Strategies to improve sperm motility C) Additional options to achieve conception D) Informed consent for taking a fourth course of the medication

C) Additional options to achieve conception

2. A man needs to bring a semen specimen in for analysis. Which of the following instructions would you give him? A) Obtain it immediately after voiding. B) Collect it immediately after coitus. C) Protect it against chilling. D) Dilute it with saline for transport.

C) Protect it against chilling.

21. What should the nurse include when explaining endometriosis as a cause for a female patient's infertility? A) "You do not ovulate because of endometrial implants on the ovaries." B) "Your uterine cervix fails to close because it is engorged with tissue." C) "Menstrual sloughing does not occur, so there is never a new base for embryo growth." D) "Ovulation does take place misplaced endometrial tissue interferes with transport of the ovum."

D) "Ovulation does take place misplaced endometrial tissue interferes with transport of the ovum."

27. An adolescent is diagnosed with pelvic inflammatory disease. It is believed to have been caused by abdominal adhesions after an appendectomy. What should the nurse explain to the patient about future success with fertility? A) "You won't ovulate normally." B) "Your body will reject any embryo implantation." C) "Your cervical mucus is changed, and sperm will be killed." D) "There's scarring that will make it really difficult for the eggs to pass through the tubes."

D) "There's scarring that will make it really difficult for the eggs to pass through the tubes."

24. The nurse has completed a fertility assessment on a couple and is preparing outcomes for care. Which statement indicates that the couple wants to continue with the process, regardless of the outcome? A) Couple interested in learning about other options to having a family. B) Couple wants to have a family but has limited resources for artificial methods. C) Couple states the desire to minimize disruptions in their normal activities for testing. D) Couple desires to continue with testing after it is determined that one partner is fertile.

D) Couple desires to continue with testing after it is determined that one partner is fertile.

12. How can pelvic inflammatory disease (PID) affect fertility? A) It causes anovulation because of interference with secretion of pituitary hormones. B) It causes changes in cervical mucus that make it less receptive to penetration by sperm. C) It causes sperm-agglutinating antibodies to be produced in the vagina. D) It interferes with the transport of ova because of tubal scarring.

D) It interferes with the transport of ova because of tubal scarring.

22. Before signing the consent form for a myomectomy, the patient asks why an intrauterine device (IUD) is being inserted because the goal is to become pregnant. What should the nurse respond to the patient? A) After a myomectomy, an IUD will not prevent pregnancy. B) Pregnancy must be avoided for a year after a myomectomy. C) It is used to ensure an adequate menstrual blood flow occurs. D) It prevents the uterine sides from touching and forming new adhesions.

D) It prevents the uterine sides from touching and forming new adhesions

10. Why is fertility testing initiated with sperm analysis of the male partner? A) Asking the male partner to undergo diagnostic procedures is the best way to assess his interest in treatment of infertility. B) The man is found to be fertile in over 75% of couples with infertility problems. C) Male fertility testing is time-consuming and, therefore, should be initiated early. D) Sperm analysis is one of the easiest tests to complete.

D) Sperm analysis is one of the easiest tests to complete.

18. The nurse is scheduling a female patient for a hysterosalpingogram. Which question would be most important to ask the patient before scheduling the procedure? A) When did you have coitus last? B) Are you allergic to any sedatives? C) What is your blood type and Rh factor? D) When do you expect your next menstrual flow?

D) When do you expect your next menstrual flow?

5. Which description best explains the hysterosalpingogram procedure? A) insertion of an endoscope through the posterior fornix to visualize the reproductive organs B) instillation of carbon dioxide through the cervix into the uterus and fallopian tubes C) passage of an endoscope through a small abdominal incision to inspect the reproductive organs D) radiograph of the uterus and fallopian tubes following introduction of a radiopaque medium through the cervix

D) radiograph of the uterus and fallopian tubes following introduction of a radiopaque medium through the cervix