Review Questions
1
.
In which structure does fertilization usually occur?
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the ovary
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the uterus
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the fallopian tube
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the vagina
2
.
How many mature ova result from a single cycle of oogenesis?
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1
-
2
-
3
-
4
3
.
What hormone is secreted by the corpus luteum after ovulation?
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prolactin
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progesterone
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luteinizing hormone
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follicle-stimulating hormone
4
.
What karyotype would the nurse anticipate for a patient with Klinefelter’s syndrome?
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XO
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XXY
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XYY
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XXX
5
.
What information would the nurse include when teaching a patient newly diagnosed with Huntington disease about having children?
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“Both you and your partner must carry the gene for your children to get the disease.”
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“The gene is found on the X chromosome. Only male children have a risk of inheriting the disease.”
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“You have a 50 percent chance of passing the gene on to your children.”
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“It occurs only when the chromosomes don’t divide correctly, causing one cell to have too many chromosomes.”
6
.
What patient statement indicates the need for further education about amniocentesis?
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“It can be used to test for neural tube defects.”
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“It is performed between 15 and 20 weeks’ gestation.”
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“It is performed using a sterile needle to withdraw a sample of amniotic fluid.”
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“The sample can be obtained using a transcervical approach.”
7
.
What is an example of a statement by the patient that indicates effective teaching by the nurse about methods to improve fertility?
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“Caffeine does not affect my fertility.”
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“I should start taking prenatal vitamins to increase my chances of conception.”
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“My partner should avoid any exercise while we are trying to conceive to avoid damaging the sperm.”
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“Smoking can increase my risk of miscarriage.”
8
.
What condition would the nurse suspect in a patient with irregular menstrual cycles, obesity, and abnormal hair growth on the face?
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endometriosis
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hyperprolactinemia
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polycystic ovary syndrome
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hydrosalpinx
9
.
What term would the nurse use to document the lab results of a patient with a zero sperm count?
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azospermia
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oligospermia
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varicocele
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retrograde ejaculation
10
.
The nurse is reviewing the hormonal blood work from a patient who is tracking their cycle to try to conceive this month. The patient’s estradiol and progesterone levels are low. What statement would the nurse include in the patient teaching?
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“You have already ovulated this month. Let us know if you are not pregnant, and we will try again next month.”
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“You should have intercourse tonight and tomorrow. This is the best time to try to conceive.”
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“You are at the very beginning of your cycle and will be getting your period very soon.”
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“We can’t tell where you are in your cycle from this blood work. You may need to repeat it next week.”
11
.
The nurse would anticipate that a patient with elevated levels of which hormone would require radiologic imaging of the brain?
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TSH
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prolactin
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progesterone
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FSH
12
.
What patient may need laparoscopic surgery?
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a patient with low antral follicle count
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a patient with an elevated prolactin level
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a patient with patent fallopian tubes on hysterosalpingogram
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a patient with suspected endometriosis
13
.
What medication would the nurse include in the discharge teaching for a patient after an egg retrieval?
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birth control pills
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follitropin
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estrogen supplementation
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ganirelix acetate
14
.
What condition would the nurse suspect when a patient calls to report feeling very bloated after egg retrieval 3 days ago?
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ovarian hyperstimulation syndrome
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ectopic pregnancy
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ovarian hemorrhage
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hydrosalpinx