ne
tz
sh
FNP NUR671 WH_FINAL STUDY LATEST COMPLETE SOLUTION
ne
Chapter 9
la
tz
sh
Sp
Which test is performed around the time of ovulation to diagnose the basis of infertility?
a. Hysterosalpingogram ne
la
b. Ultrasonography
tz
c. Laparoscopy
sh
Sp
d. Follicle-stimulating hormone (FSH) level
ne
la
An infertility specialist prescribes clomiphene citrate (Clomid, Serophene) for a woman
tz
experiencing infertility. She is very concerned about the risk of multiple pregnancies. What is
sh
Sp
the nurse's most appropriate response?
ne
a. "This is a legitimate concern. Would you like to discuss further the chances of multiple
la
pregnancies before your treatment begins?"
tz
b. "No one has ever had more than triplets with Clomid."
sh
Sp
c. "Ovulation will be monitored with ultrasound to ensure that multiple pregnancies will not
ne
happen."
la
d. "Ten percent is a very low risk, so you don't need to worry too much."
tz
sh
Sp
A man smokes two packs of cigarettes a day. He wants to know if smoking is contributing to the
ne
difficulty, he and his wife are having getting pregnant. Which guidance should the nurse
la
provide?
tz
a. "Your sperm count seems to be okay in the first semen analysis."
sh
Sp
b. "Only marijuana cigarettes affect sperm count."
ne
c. "Although smoking has no effect on sperm count, it can give you lung cancer."
d. "Smoking can reduce the quality of your sperm."
la
tz
sh
A couple comes in for an infertility workup, having attempted to achieve pregnancy for 2 years.
Sp
ne
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
la
reversal 2 years ago. The man has had two normal semen analyses, but the sperm seem to be
tz
sh
clumped together. What additional testing is needed?
Sp
ne
a. Testicular biopsy
b. Antisperm antibodies
la
c. FSH level
tz
sh
d. Examination for testicular infection
Sp
ne
A couple is attempting to cope with an infertility problem. They want to know what they can do
la
to preserve their emotional equilibrium. What is the nurse's most appropriate response?
tz
sh
a. "Tell your friends and family so that they can help you."
Sp
b. "Talk only to other friends who are infertile, because only they can help."
ne
c. "Get involved with a support group. I'll give you some names."
la
d. "Start adoption proceedings immediately, because adopting an infant can be very difficult."
tz
sh
Sp
ne
la
sh
Sp
la
Sp
, ne
tz
sh
FNP NUR671 WH_FINAL STUDY LATEST COMPLETE SOLUTION
ne
la
The nurse working with clients who have infertility concerns should be aware of the use of
tz
leuprolide acetate (Lupron) as a gonadotropin-releasing hormone (GnRH) agonist. For which
sh
Sp
condition would this medication be prescribed?
a. Anovulatory cycles
b. Uterine fibroids ne
la
tz
c. Polycystic ovary disease (PCOD)
sh
d. Luteal phase inadequacy
Sp
ne
Which condition would be inappropriate to treat with exogenous progesterone (human chorionic
la
gonadotropin)?
tz
sh
a. Thyroid dysfunction
Sp
ne
b. Recent miscarriage
c. PCOD
la
d. Oocyte retrieval
tz
sh
Sp
In vitro fertilization-embryo transfer (IVF-ET) is a common approach for women with blocked
ne
fallopian tubes or with unexplained infertility and for men with very low sperm counts. A
la
husband and wife have arrived for their preprocedural interview. Which explanation regarding
tz
sh
the procedure is most accurate?
Sp
a. "The procedure begins with collecting eggs from your wife's ovaries."
ne
b. "A donor embryo will be transferred into your wife's uterus."
la
c. "Donor sperm will be used to inseminate your wife."
tz
sh
d. "Don't worry about the technical stuff; that's what we are here for."
Sp
ne
With regard to the assessment of female, male, or couple infertility, the nurse should be aware of
la
which important information?
tz
a. The couple's religious, cultural, and ethnic backgrounds provide emotional clutter that does
sh
Sp
not affect the clinical scientific diagnosis.
ne
b. The investigation will take several months and can be very costly.
la
c. The woman is assessed first; if she is not the problem, then the male partner is analyzed.
d. Semen analysis is for men; the postcoital test is for women.
tz
sh
Sp
ne
The nurse is having her first meeting with a couple experiencing infertility. The nurse has
la
formulated the nursing diagnosis, "Deficient knowledge, related to lack of understanding of the
tz
reproductive process with regard to conception." Which nursing intervention does not apply to
sh
Sp
this diagnosis?
ne
a. Assess the current level of factors promoting conception.
la
b. Provide information regarding conception in a supportive manner.
tz
c. Evaluate the couple's support system.
sh
Sp
d. Identify and describe the basic infertility tests.
ne
la
Male fertility declines slowly after age 40 years; however, no cessation of sperm production
tz
analogous to menopause in women occurs in men. What condition is not associated with
sh
Sp
advanced paternal age?
ne
a. Autosomal dominant disorder
b. Schizophrenia
la
sh
Sp
la
Sp
, ne
tz
sh
FNP NUR671 WH_FINAL STUDY LATEST COMPLETE SOLUTION
ne
la
c. Autism spectrum disorder
tz
d. Down syndrome
sh
Sp
A woman inquiry about herbal alternative methods for improving fertility. Which statement by
ne
the nurse is most appropriate when informing the client on which herbal preparations may
improve ovulation induction therapy?
la
tz
a. "You should avoid nettle leaf, dong quai, and vitamin E while you are trying to get pregnant."
sh
b. "You may want to try black cohosh or phytoestrogens."
Sp
ne
c. "You should take vitamins E and C, selenium, and zinc."
d. "Herbs have no bearing on fertility."
la
tz
sh
To provide adequate care, the nurse should be cognitive of which important information
Sp
ne
regarding infertility?
a. Is perceived differently by women and men.
la
b. Has a relatively stable prevalence among the overall population and throughout a woman's
tz
sh
potential reproductive years.
Sp
c. Is more likely the result of a physical flaw in the woman than in her male partner.
ne
d. Is the same thing as sterility.
la
tz
sh
Although remarkable developments have occurred in reproductive medicine, assisted
Sp
reproductive therapies are associated with numerous legal and ethical issues. Nurses can
ne
provide accurate information about the risks and benefits of treatment alternatives to enable
la
couples to make informed decisions about their choice of treatment. Which concern is
tz
sh
unnecessary for the nurse to address before treatment?
Sp
a. Risks of multiple gestation
ne
b. Whether or how to disclose the facts of conception to offspring
la
c. Freezing embryos for later use
tz
d. Financial ability to cover the cost of treatment
sh
Sp
ne
Which statement regarding gamete intrafallopian transfer (GIFT) is most accurate?
la
a. Semen is collected after laparoscopy.
b. Women must have two normal fallopian tubes.
tz
sh
Sp
c. Ovulation spontaneously occurs.
ne
d. Ova and sperm are transferred to one tube.
la
tz
Significant advances have been made with most reproductive technologies. Which improvement
sh
Sp
has resulted in increased success related to preimplantation genetic diagnosis?
ne
a. Embryos are transferred at the cleavage stage.
la
b. Embryos are transferred at the blastocyst stage.
tz
c. More than two embryos can be transferred at a time.
sh
Sp
d. Two cells are removed from each embryo.
ne
la
An infertile woman is about to begin pharmacologic treatment. As part of the regimen, she will
tz
take purified FSH (Metrodin). The nurse instructs her that this medication is administered in the
sh
Sp
form of what?
ne
a. Intranasal spray
b. Vaginal suppository
la
sh
Sp
la
Sp
tz
sh
FNP NUR671 WH_FINAL STUDY LATEST COMPLETE SOLUTION
ne
Chapter 9
la
tz
sh
Sp
Which test is performed around the time of ovulation to diagnose the basis of infertility?
a. Hysterosalpingogram ne
la
b. Ultrasonography
tz
c. Laparoscopy
sh
Sp
d. Follicle-stimulating hormone (FSH) level
ne
la
An infertility specialist prescribes clomiphene citrate (Clomid, Serophene) for a woman
tz
experiencing infertility. She is very concerned about the risk of multiple pregnancies. What is
sh
Sp
the nurse's most appropriate response?
ne
a. "This is a legitimate concern. Would you like to discuss further the chances of multiple
la
pregnancies before your treatment begins?"
tz
b. "No one has ever had more than triplets with Clomid."
sh
Sp
c. "Ovulation will be monitored with ultrasound to ensure that multiple pregnancies will not
ne
happen."
la
d. "Ten percent is a very low risk, so you don't need to worry too much."
tz
sh
Sp
A man smokes two packs of cigarettes a day. He wants to know if smoking is contributing to the
ne
difficulty, he and his wife are having getting pregnant. Which guidance should the nurse
la
provide?
tz
a. "Your sperm count seems to be okay in the first semen analysis."
sh
Sp
b. "Only marijuana cigarettes affect sperm count."
ne
c. "Although smoking has no effect on sperm count, it can give you lung cancer."
d. "Smoking can reduce the quality of your sperm."
la
tz
sh
A couple comes in for an infertility workup, having attempted to achieve pregnancy for 2 years.
Sp
ne
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
la
reversal 2 years ago. The man has had two normal semen analyses, but the sperm seem to be
tz
sh
clumped together. What additional testing is needed?
Sp
ne
a. Testicular biopsy
b. Antisperm antibodies
la
c. FSH level
tz
sh
d. Examination for testicular infection
Sp
ne
A couple is attempting to cope with an infertility problem. They want to know what they can do
la
to preserve their emotional equilibrium. What is the nurse's most appropriate response?
tz
sh
a. "Tell your friends and family so that they can help you."
Sp
b. "Talk only to other friends who are infertile, because only they can help."
ne
c. "Get involved with a support group. I'll give you some names."
la
d. "Start adoption proceedings immediately, because adopting an infant can be very difficult."
tz
sh
Sp
ne
la
sh
Sp
la
Sp
, ne
tz
sh
FNP NUR671 WH_FINAL STUDY LATEST COMPLETE SOLUTION
ne
la
The nurse working with clients who have infertility concerns should be aware of the use of
tz
leuprolide acetate (Lupron) as a gonadotropin-releasing hormone (GnRH) agonist. For which
sh
Sp
condition would this medication be prescribed?
a. Anovulatory cycles
b. Uterine fibroids ne
la
tz
c. Polycystic ovary disease (PCOD)
sh
d. Luteal phase inadequacy
Sp
ne
Which condition would be inappropriate to treat with exogenous progesterone (human chorionic
la
gonadotropin)?
tz
sh
a. Thyroid dysfunction
Sp
ne
b. Recent miscarriage
c. PCOD
la
d. Oocyte retrieval
tz
sh
Sp
In vitro fertilization-embryo transfer (IVF-ET) is a common approach for women with blocked
ne
fallopian tubes or with unexplained infertility and for men with very low sperm counts. A
la
husband and wife have arrived for their preprocedural interview. Which explanation regarding
tz
sh
the procedure is most accurate?
Sp
a. "The procedure begins with collecting eggs from your wife's ovaries."
ne
b. "A donor embryo will be transferred into your wife's uterus."
la
c. "Donor sperm will be used to inseminate your wife."
tz
sh
d. "Don't worry about the technical stuff; that's what we are here for."
Sp
ne
With regard to the assessment of female, male, or couple infertility, the nurse should be aware of
la
which important information?
tz
a. The couple's religious, cultural, and ethnic backgrounds provide emotional clutter that does
sh
Sp
not affect the clinical scientific diagnosis.
ne
b. The investigation will take several months and can be very costly.
la
c. The woman is assessed first; if she is not the problem, then the male partner is analyzed.
d. Semen analysis is for men; the postcoital test is for women.
tz
sh
Sp
ne
The nurse is having her first meeting with a couple experiencing infertility. The nurse has
la
formulated the nursing diagnosis, "Deficient knowledge, related to lack of understanding of the
tz
reproductive process with regard to conception." Which nursing intervention does not apply to
sh
Sp
this diagnosis?
ne
a. Assess the current level of factors promoting conception.
la
b. Provide information regarding conception in a supportive manner.
tz
c. Evaluate the couple's support system.
sh
Sp
d. Identify and describe the basic infertility tests.
ne
la
Male fertility declines slowly after age 40 years; however, no cessation of sperm production
tz
analogous to menopause in women occurs in men. What condition is not associated with
sh
Sp
advanced paternal age?
ne
a. Autosomal dominant disorder
b. Schizophrenia
la
sh
Sp
la
Sp
, ne
tz
sh
FNP NUR671 WH_FINAL STUDY LATEST COMPLETE SOLUTION
ne
la
c. Autism spectrum disorder
tz
d. Down syndrome
sh
Sp
A woman inquiry about herbal alternative methods for improving fertility. Which statement by
ne
the nurse is most appropriate when informing the client on which herbal preparations may
improve ovulation induction therapy?
la
tz
a. "You should avoid nettle leaf, dong quai, and vitamin E while you are trying to get pregnant."
sh
b. "You may want to try black cohosh or phytoestrogens."
Sp
ne
c. "You should take vitamins E and C, selenium, and zinc."
d. "Herbs have no bearing on fertility."
la
tz
sh
To provide adequate care, the nurse should be cognitive of which important information
Sp
ne
regarding infertility?
a. Is perceived differently by women and men.
la
b. Has a relatively stable prevalence among the overall population and throughout a woman's
tz
sh
potential reproductive years.
Sp
c. Is more likely the result of a physical flaw in the woman than in her male partner.
ne
d. Is the same thing as sterility.
la
tz
sh
Although remarkable developments have occurred in reproductive medicine, assisted
Sp
reproductive therapies are associated with numerous legal and ethical issues. Nurses can
ne
provide accurate information about the risks and benefits of treatment alternatives to enable
la
couples to make informed decisions about their choice of treatment. Which concern is
tz
sh
unnecessary for the nurse to address before treatment?
Sp
a. Risks of multiple gestation
ne
b. Whether or how to disclose the facts of conception to offspring
la
c. Freezing embryos for later use
tz
d. Financial ability to cover the cost of treatment
sh
Sp
ne
Which statement regarding gamete intrafallopian transfer (GIFT) is most accurate?
la
a. Semen is collected after laparoscopy.
b. Women must have two normal fallopian tubes.
tz
sh
Sp
c. Ovulation spontaneously occurs.
ne
d. Ova and sperm are transferred to one tube.
la
tz
Significant advances have been made with most reproductive technologies. Which improvement
sh
Sp
has resulted in increased success related to preimplantation genetic diagnosis?
ne
a. Embryos are transferred at the cleavage stage.
la
b. Embryos are transferred at the blastocyst stage.
tz
c. More than two embryos can be transferred at a time.
sh
Sp
d. Two cells are removed from each embryo.
ne
la
An infertile woman is about to begin pharmacologic treatment. As part of the regimen, she will
tz
take purified FSH (Metrodin). The nurse instructs her that this medication is administered in the
sh
Sp
form of what?
ne
a. Intranasal spray
b. Vaginal suppository
la
sh
Sp
la
Sp
