Infertility

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Question 1
Free
Multiple Choice

Large amounts of leukocytes in the seminal fluid suggest:

Choose correct answer/s
A

inadequate fructose.

B

inflammation of the testes.

C

an infection of the genital tract.

D

an obstruction in the vas deferens.

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Question 2
Free
Multiple Choice

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?

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A

Semen analysis

B

Testicular biopsy

C

Endometrial biopsy

D

Hysterosalpingography

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Question 3
Free
Multiple Choice

Which situation best describes secondary infertility in a couple?

Choose correct answer/s
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

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Question 4
Free
Multiple Choice

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:

Choose correct answer/s
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."

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Question 5
Free
Multiple Choice

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:

Choose correct answer/s
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."

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Question 6
Multiple Choice

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

Choose correct answer/s
A
in vitro fertilization.
B
tubal embryo transfer.
C
therapeutic insemination.
D
gamete intrafallopian transfer.
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Question 7
Multiple Choice

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

Choose correct answer/s
A
Never conceived
B
Has long-standing infertility
C
Has had repeated pregnancy losses
D
Has a normal child but has not conceived again
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Question 8
Multiple Choice

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:

Choose correct answer/s
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."
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Question 9
Multiple Choice

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

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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
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Question 10
Multiple Choice

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

Choose correct answer/s
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
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Question 11
Multiple Choice

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

Choose correct answer/s
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
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Question 12
Multiple Choice

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

Choose correct answer/s
A
Abdominal bloating
B
Diarrhea
C
Oliguria
D
Nausea and vomiting
E
Abnormal uterine bleeding
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