Deck 9: Infertility

Question 1

A couple have arrived for their preprocedural In vitro fertilization-embryo transfer (IVF-ET)interview.Which explanation regarding the procedure is most accurate?

A) "The procedure begins with collecting eggs from the woman's ovaries."
B) "A donor embryo will be transferred into the woman's uterus."
C) "Donor sperm will be used to inseminate the woman."
D) "Don't worry about the technical stuff;that's what we are here for."

Answer 1

"The procedure begins with collecting eggs from the woman's ovaries."

Question 2

Women who have undergone an oophorectomy,have ovarian failure,or a genetic defect may be eligible to receive donor oocytes (eggs).Which statements regarding oocyte donation are accurate? (Select all that apply. )

A) Donor is inseminated with semen from the parent.
B) Donor eggs can be fertilized with the male partner's sperm.
C) Donors are under 35 years of age.
D) Recipient undergoes hormonal stimulation.
E) Ovum is placed into a surrogate.

Answer 2

Donor eggs can be fertilized with the male partner's sperm.
Donors are under 35 years of age.
Recipient undergoes hormonal stimulation.

Question 3

Which procedure falls into the category of micromanipulation techniques of the follicle? (Select all that apply. )

A) Intrauterine insemination
B) Preimplantation genetic diagnosis
C) Intracytoplasmic sperm injection (ISCI)
D) Assisted hatching
E) IVF-ET

Answer 3

Intracytoplasmic sperm injection (ISCI)
Assisted hatching

Question 4

A couple comes in for an infertility workup,having attempted to achieve pregnancy for 2 years.The woman,37 years of age,has always had irregular menstrual cycles but is otherwise healthy.The man has fathered two children from a previous marriage and had a vasectomy reversal 2 years ago.The man has had two normal semen analyses,but the sperm seem to be clumped together.What additional testing is needed?

A) Testicular biopsy
B) Antisperm antibodies
C) Serum prolactin level
D) Examination for testicular infection

Question 5

Which test is performed around the time of ovulation to diagnose the basis of infertility?

A) Hysterosalpingogram
B) Vaginal ultrasonography
C) Laparoscopy
D) Follicle-stimulating hormone (FSH)level

Question 6

Which statement regarding gamete intrafallopian transfer (GIFT)is most accurate?

A) Semen is collected after laparoscopy.
B) Women must have two normal fallopian tubes.
C) Ovulation spontaneously occurs.
D) Ova and sperm are transferred to one tube.

Question 7

A couple is attempting to cope with an infertility problem.They want to know what they can do to preserve their emotional equilibrium.What is the nurse's most appropriate response?

A) "Tell your friends and family so that they can help you."
B) "Talk only to other friends who are infertile,because only they can help."
C) "Get involved with a support group.I'll give you some names."
D) "Start adoption proceedings immediately,because adopting an infant can be very difficult."

Question 8

Many factors,male and female,contribute to normal fertility.Which factors are possible causes for female infertility? (Select all that apply. )

A) Congenital or developmental
B) Hormonal or ovulatory
C) Tubal or peritoneal
D) Uterine
E) Emotional or psychologic

Question 9

A probable cause for increasing infertility is the societal delay in pregnancy until later in life.What are the natural reasons for the decrease in female fertility? (Select all that apply. )

A) Ovulation dysfunction
B) Endocrine dysfunction
C) Organ damage from toxins
D) Endometriosis
E) Tubal infections

Question 10

Significant advances have been made with most reproductive technologies.Which improvement has resulted in increased success related to preimplantation genetic diagnosis?

A) Embryos are transferred at the cleavage stage.
B) Embryos are transferred at the blastocyst stage.
C) More than two embryos can be transferred at a time.
D) Two cells are removed from each embryo.

Question 11

Male fertility declines slowly after age 40 years;however,no cessation of sperm production analogous to menopause in women occurs in men.What condition is not associated with advanced paternal age?

A) Autosomal dominant disorder
B) Schizophrenia
C) Autism spectrum disorder
D) Down syndrome

Question 12

A man smokes two packs of cigarettes a day.He wants to know if smoking is contributing to the difficulty he and his wife are having getting pregnant.Which guidance should the nurse provide?

A) "Your sperm count seems to be okay in the first semen analysis."
B) "Only marijuana cigarettes affect sperm count."
C) "Although smoking has no effect on sperm count,it can give you lung cancer."
D) "Smoking can reduce the quality of your sperm."