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 Klinefelterโs 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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โBoth you and your partner must carry the gene for your children to get the disease.โ
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โThe gene is found on the X chromosome. Only male children have a risk of inheriting the disease.โ
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โYou have a 50 percent chance of passing the gene on to your children.โ
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โIt occurs only when the chromosomes donโt divide correctly, causing one cell to have too many chromosomes.โ
6
.
What patient statement indicates the need for further education about amniocentesis?
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โIt can be used to test for neural tube defects.โ
-
โIt is performed between 15 and 20 weeksโ gestation.โ
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โIt is performed using a sterile needle to withdraw a sample of amniotic fluid.โ
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โThe sample can be obtained using a transcervical approach.โ
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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โCaffeine does not affect my fertility.โ
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โI should start taking prenatal vitamins to increase my chances of conception.โ
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โMy partner should avoid any exercise while we are trying to conceive to avoid damaging the sperm.โ
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โSmoking can increase my risk of miscarriage.โ
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
-
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 patientโs estradiol and progesterone levels are low. What statement would the nurse include in the patient teaching?
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โYou have already ovulated this month. Let us know if you are not pregnant, and we will try again next month.โ
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โYou should have intercourse tonight and tomorrow. This is the best time to try to conceive.โ
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โYou are at the very beginning of your cycle and will be getting your period very soon.โ
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โWe canโt tell where you are in your cycle from this blood work. You may need to repeat it next week.โ
11
.
The nurse would anticipate that a patient with elevated levels of which hormone would require radiologic imaging of the brain?
-
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?
-
ovarian hyperstimulation syndrome
-
ectopic pregnancy
-
ovarian hemorrhage
-
hydrosalpinx