Question 1

Which factors would contribute to abnormalities of the fallopian tube associated with the development of infertility? (Select all that apply.)

Accepted Answer

A)  History of conization of the cervix 
B)  History of pelvic surgical procedures 
C)  Incompetent cervix 
D)  Past treatments of STD with follow-up test of cure 
E)  Endometriosis 
A)  History of conization of the cervix 
B)  History of pelvic surgical procedures 
C)  Incompetent cervix 
D)  Past treatments of STD with follow-up test of cure 
E)  Endometriosis B, D, E

Question 2

A couple who has not achieved a successful pregnancy is scheduled to meet with a fertility specialist. Which simple evaluation is usually the first test to be performed?

Accepted Answer

A)  Semen analysis 
B)  Testicular biopsy 
C)  Endometrial biopsy 
D)  Hysterosalpingography 
A)  Semen analysis 
B)  Testicular biopsy 
C)  Endometrial biopsy 
D)  Hysterosalpingography A

Question 3

A woman undergoing evaluation of infertility states, "At least when we're through with all of these tests, we will know what is wrong." The nurse's best response is:

Accepted Answer

A)  "I know the test will identify what is wrong." 
B)  "I'm sure that once you finish these tests, your problem will be resolved." 
C)  "Even with diagnostic testing, infertility remains unexplained in about 20% of couples." 
D)  "Once you've identified your problem, you may want to look at the option of adoption." 
A)  "I know the test will identify what is wrong." 
B)  "I'm sure that once you finish these tests, your problem will be resolved." 
C)  "Even with diagnostic testing, infertility remains unexplained in about 20% of couples." 
D)  "Once you've identified your problem, you may want to look at the option of adoption." C

Question 4

A client has been diagnosed with an incompetent cervix. What treatment option will be incorporated into the plan of care?

Accepted Answer

A)  Bed rest throughout the pregnancy 
B)  Wait and see approach to determine if the client goes into preterm labor 
C)  Preparation for cerclage procedure at 32 weeks' gestation 
D)  More frequent ultrasounds to assess progression of pregnancy 
A)  Bed rest throughout the pregnancy 
B)  Wait and see approach to determine if the client goes into preterm labor 
C)  Preparation for cerclage procedure at 32 weeks' gestation 
D)  More frequent ultrasounds to assess progression of pregnancy

Question 5

Chromosome analysis is a diagnostic test that should be offered to which couple?

Accepted Answer

A)  Never conceived 
B)  Has long-standing infertility 
C)  Has had repeated pregnancy losses 
D)  Has a normal child but has not conceived again 
A)  Never conceived 
B)  Has long-standing infertility 
C)  Has had repeated pregnancy losses 
D)  Has a normal child but has not conceived again

Question 6

A newly married woman states, "My friend told me I would never have a baby because I had pelvic inflammatory disease when I was younger. I don't understand how that can affect whether or not I get pregnant." The nurse's best response is:

Accepted Answer

A)  "Your friend may be right. The disease may affect your ability to conceive." 
B)  "Pelvic inflammatory disease may damage the ovaries and prevent ovulation." 
C)  "Your friend has been misinformed. Fallopian tube damage occurs only following gonorrhea." 
D)  "Infection may cause scarring and obstruction of the fallopian tubes, which can prevent the fertilized egg from reaching the uterus." 
A)  "Your friend may be right. The disease may affect your ability to conceive." 
B)  "Pelvic inflammatory disease may damage the ovaries and prevent ovulation." 
C)  "Your friend has been misinformed. Fallopian tube damage occurs only following gonorrhea." 
D)  "Infection may cause scarring and obstruction of the fallopian tubes, which can prevent the fertilized egg from reaching the uterus."

Question 7

Which of the following medical conditions could possible affect a woman's fertility status?

Accepted Answer

A)  Past medical history of asthma during childhood that is presently under control with the use of an inhaler 
B)  Recently diagnosed with PCOS 
C)  Past surgical history of removal of external polyps on labial tissue 
D)  History of frequent sinus headaches that is seasonal in nature treated with over-the-counter medication 
A)  Past medical history of asthma during childhood that is presently under control with the use of an inhaler 
B)  Recently diagnosed with PCOS 
C)  Past surgical history of removal of external polyps on labial tissue 
D)  History of frequent sinus headaches that is seasonal in nature treated with over-the-counter medication

Question 8

The procedure in which ova are removed by laparoscopy, mixed with sperm, and the embryo(s) returned to the woman's uterus is:

Accepted Answer

A)  in vitro fertilization. 
B)  tubal embryo transfer. 
C)  therapeutic insemination. 
D)  gamete intrafallopian transfer. 
A)  in vitro fertilization. 
B)  tubal embryo transfer. 
C)  therapeutic insemination. 
D)  gamete intrafallopian transfer.

Question 9

A woman who is undergoing infertility testing states, "My husband won't discuss this with me. I don't think he cares about or wants a baby." The nurse's best response is:

Accepted Answer

A)  "You should confront him about this." 
B)  "He probably doesn't understand your concern." 
C)  "Men are sometimes less eager to have children." 
D)  "It may be harder for him to express his feelings." 
A)  "You should confront him about this." 
B)  "He probably doesn't understand your concern." 
C)  "Men are sometimes less eager to have children." 
D)  "It may be harder for him to express his feelings."

Question 10

Large amounts of leukocytes in the seminal fluid suggest:

Accepted Answer

A)  inadequate fructose. 
B)  inflammation of the testes. 
C)  an infection of the genital tract. 
D)  an obstruction in the vas deferens. 
A)  inadequate fructose. 
B)  inflammation of the testes. 
C)  an infection of the genital tract. 
D)  an obstruction in the vas deferens.

Question 11

Which situation best describes secondary infertility in a couple?

Accepted Answer

A)  Never conceived 
B)  Had repeated spontaneous abortions 
C)  Not conceived after 1 year of unprotected intercourse 
D)  Has one child but cannot conceive a second time 
A)  Never conceived 
B)  Had repeated spontaneous abortions 
C)  Not conceived after 1 year of unprotected intercourse 
D)  Has one child but cannot conceive a second time

Question 12

Which adverse reactions are associated with the administration of clomiphene citrate (Clomid)? (Select all that apply.)

Accepted Answer

A)  Abdominal bloating 
B)  Diarrhea 
C)  Oliguria 
D)  Nausea and vomiting 
E)  Abnormal uterine bleeding 
A)  Abdominal bloating 
B)  Diarrhea 
C)  Oliguria 
D)  Nausea and vomiting 
E)  Abnormal uterine bleeding

Exam 32: Infertility

Which factors would contribute to abnormalities of the fallopian tube associated with the development of infertility? (Select all that apply.)

A couple who has not achieved a successful pregnancy is scheduled to meet with a fertility specialist. Which simple evaluation is usually the first test to be performed?

A woman undergoing evaluation of infertility states, "At least when we're through with all of these tests, we will know what is wrong." The nurse's best response is:

A client has been diagnosed with an incompetent cervix. What treatment option will be incorporated into the plan of care?

Chromosome analysis is a diagnostic test that should be offered to which couple?

A newly married woman states, "My friend told me I would never have a baby because I had pelvic inflammatory disease when I was younger. I don't understand how that can affect whether or not I get pregnant." The nurse's best response is:

Which of the following medical conditions could possible affect a woman's fertility status?

The procedure in which ova are removed by laparoscopy, mixed with sperm, and the embryo(s) returned to the woman's uterus is:

A woman who is undergoing infertility testing states, "My husband won't discuss this with me. I don't think he cares about or wants a baby." The nurse's best response is:

Large amounts of leukocytes in the seminal fluid suggest:

Which situation best describes secondary infertility in a couple?

Which adverse reactions are associated with the administration of clomiphene citrate (Clomid)? (Select all that apply.)

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