Fertility and infertility | Mock Test | Staff Nurse | Guides Academy
Time: 15:00
A couple is diagnosed with primary infertility. The nurse understands this means the couple has been unable to conceive after:
[a] Six months of unprotected intercourse.
[b] At least one year of regular, unprotected intercourse.
[c] A previous successful pregnancy.
[d] The woman has reached the age of 35.
What is considered the single most important initial diagnostic test for male factor infertility?
[a] A testicular ultrasound.
[b] A hormonal profile (testosterone, FSH, LH).
[c] A physical examination.
[d] A semen analysis.
Polycystic Ovary Syndrome (PCOS) is a common cause of female infertility primarily because it leads to:
[a] Blockage of the fallopian tubes.
[b] Ovulatory dysfunction or anovulation.
[c] The development of uterine fibroids.
[d] Unreceptive cervical mucus.
A hysterosalpingogram (HSG) is a radiological procedure used to assess:
[a] The number and quality of ovarian follicles.
[b] The thickness of the endometrial lining.
[c] The patency of the fallopian tubes and the shape of the uterine cavity.
[d] Hormonal levels throughout the menstrual cycle.
The medication clomiphene citrate (Clomid) is prescribed to a woman to treat infertility. The nurse explains that its primary action is to:
[a] Thicken the uterine lining for implantation.
[b] Prevent premature ovulation.
[c] Stimulate the pituitary gland to release hormones that induce ovulation.
[d] Improve the quality of cervical mucus.
A key role of the nurse in caring for a couple experiencing infertility is to:
[a] Recommend a specific course of treatment.
[b] Guarantee that the treatment will be successful.
[c] Perform the diagnostic procedures.
[d] Provide education, emotional support, and coordinate care.
Advancing maternal age (over 35) is a significant factor in fertility primarily due to:
[a] An increased risk of pelvic inflammatory disease.
[b] A higher likelihood of developing uterine fibroids.
[c] A decline in the quantity and quality of oocytes (eggs).
[d] Changes in cervical mucus consistency.
The term "oligospermia" on a semen analysis report indicates:
[a] A complete absence of sperm.
[b] Poor sperm motility.
[c] Abnormally shaped sperm.
[d] A low concentration of sperm.
The procedure in which prepared sperm is placed directly into the uterus around the time of ovulation is known as:
[a] In Vitro Fertilization (IVF).
[b] Intrauterine Insemination (IUI).
[c] Intracytoplasmic Sperm Injection (ICSI).
[d] Gamete Intrafallopian Transfer (GIFT).
Pelvic Inflammatory Disease (PID) is a major risk factor for infertility because it can cause:
[a] Hormonal imbalances.
[b] Scarring and blockage of the fallopian tubes.
[c] Ovarian cysts.
[d] Cervical stenosis.
The "fertile window" for a woman with a regular 28-day menstrual cycle is typically considered to be:
[a] The week of her menstrual period.
[b] The week just before her menstrual period begins.
[c] The 5 days leading up to and the day of ovulation (around days 9-14).
[d] Only the 24 hours immediately following ovulation.
Which lifestyle modification should a nurse recommend to a couple trying to improve their fertility?
[a] Increase caffeine intake.
[b] Engage in high-intensity exercise daily.
[c] Maintain a healthy weight and cease smoking.
[d] Reduce intake of fruits and vegetables.
A varicocele is a common cause of male infertility. It is best described as:
[a] A blockage in the vas deferens.
[b] An infection of the prostate gland.
[c] An enlargement of veins within the scrotum.
[d] A chromosomal abnormality in the sperm.
Basal Body Temperature (BBT) charting is used to help identify:
[a] The exact timing of intercourse.
[b] The presence of a pregnancy.
[c] The start of the menstrual cycle.
[d] If and when ovulation has occurred.
Endometriosis can cause infertility primarily by:
[a] Causing anovulatory cycles.
[b] Creating pelvic adhesions, inflammation, and anatomical distortion.
[c] Preventing the cervix from producing mucus.
[d] Leading to premature ovarian failure.
The Assisted Reproductive Technology (ART) that involves fertilizing an egg with sperm in a laboratory and then transferring the resulting embryo into the uterus is:
[a] IUI.
[b] IVF.
[c] HSG.
[d] BBT.
A couple is diagnosed with "unexplained infertility." This means:
[a] The cause is definitely related to the male partner.
[b] The couple did not complete the recommended tests.
[c] A cause has not been identified after a standard fertility workup.
[d] The infertility is likely psychological.
The term "azoospermia" refers to:
[a] Low sperm count.
[b] Poor sperm motility.
[c] The complete absence of sperm in the ejaculate.
[d] An infection in the semen.
A nurse is teaching a patient how to use an over-the-counter ovulation prediction kit. The nurse explains that the kit works by detecting a surge in which hormone?
[a] Progesterone.
[b] Estrogen.
[c] Luteinizing Hormone (LH).
[d] Follicle-Stimulating Hormone (FSH).
Intracytoplasmic Sperm Injection (ICSI) is a specialized form of IVF most often recommended for:
[a] Ovulatory dysfunction.
[b] Blocked fallopian tubes.
[c] Severe male factor infertility.
[d] Uterine fibroids.
Which of the following is an example of a uterine factor that could cause infertility?
[a] PCOS.
[b] Pelvic Inflammatory Disease.
[c] A large submucosal fibroid.
[d] Anovulation.
A woman who is unable to become pregnant after having one biological child is experiencing:
[a] Primary infertility.
[b] Unexplained infertility.
[c] Subfertility.
[d] Secondary infertility.
A common psychological stressor for couples undergoing fertility treatment that a nurse should be sensitive to is:
[a] An excess of free time.
[b] Feelings of failure, loss of control, and marital strain.
[c] A lack of available information.
[d] The simplicity of the treatment process.
An elevated serum progesterone level one week after ovulation indicates that:
[a] The woman is pregnant.
[b] Ovulation has successfully occurred.
[c] The fallopian tubes are open.
[d] The woman has a low ovarian reserve.
When a couple asks about the "best" treatment for infertility, the nurse's most appropriate response is:
[a] "IVF is always the best option."
[b] "You should start with lifestyle changes and herbal remedies."
[c] "The best treatment depends on the specific cause of your infertility."
[d] "Intrauterine insemination is the least expensive, so it's the best."
No comments: