A 37-year-old patient visits her OBGYN office for a routine check-up. She mentions that she and her partner are trying to conceive.
Which statement indicates that the patient understands infertility?
We should consider fertility treatments if we don’t conceive within a few months.
I know men can’t have fertility issues, so I’m not worried about my partner.
I’m concerned we might struggle to conceive because of my age.
Since my younger sister had infertility issues, I will too.
The Correct Answer is C
Choice A rationale:
This statement suggests that the patient has some awareness of infertility treatments, but it does not necessarily indicate a full understanding of infertility itself.
It's important to consider that a few months of trying to conceive may not be indicative of infertility, as it can take up to a year for healthy couples to achieve pregnancy.
Jumping to fertility treatments without a proper evaluation could lead to unnecessary interventions and potential financial and emotional burdens.
Choice B rationale:
This statement is incorrect. Male factor infertility is a common cause of difficulty conceiving, accounting for about 40% of infertility cases.
It's essential to evaluate both partners when assessing fertility issues.
Choice C rationale:
This statement demonstrates the patient's understanding of the relationship between age and fertility.
Female fertility gradually declines with age, especially after the age of 35, due to a decrease in the number and quality of eggs.
This awareness indicates that the patient is realistic about her chances of conceiving and is prepared to seek appropriate help if needed.
Choice D rationale:
While family history can play a role in infertility, it's not a guarantee that someone will experience the same issues as their relatives.
Each case is unique, and multiple factors can contribute to infertility, including genetics, lifestyle, medical conditions, and environmental factors.
It's important to undergo a thorough evaluation to determine the specific causes of infertility in each individual.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A rationale:
Incorrect. Nitrous oxide can be used during any stage of labor, not just the second stage. It is often used during the first stage to help manage early labor pain.
Evidence: Studies have shown that nitrous oxide is effective for pain relief during both the first and second stages of labor.
Additional information: The timing of nitrous oxide administration is typically based on the individual's preferences and needs. Some people prefer to use it as soon as labor begins, while others wait until contractions become more intense.
Choice B rationale:
Incorrect. Nitrous oxide is not a prelude to cesarean birth. It is a method of pain relief that can be used during vaginal or cesarean birth.
Evidence: Cesarean birth is a major surgical procedure that is typically performed under regional or general anesthesia. Nitrous oxide is not a type of anesthesia that would be used for this purpose.
Additional information: Cesarean birth is usually only performed when there is a medical reason why a vaginal birth is not possible or safe.
Choice C rationale:
Incorrect. Nitrous oxide is still a commonly used method of pain relief during labor. It is safe and effective, and it has a good safety profile.
Evidence: Nitrous oxide is one of the most widely used methods of pain relief during labor in many countries around the world.
Additional information: The use of nitrous oxide during labor has been increasing in recent years, as more people have become aware of its benefits.
Choice D rationale:
Correct. The procedure described in the question is an application of nitrous oxide. Nitrous oxide is a colorless, odorless gas that has analgesic and anxiolytic properties. It is often used during labor to help manage pain and anxiety.
Evidence: Nitrous oxide is a well-established method of pain relief during labor. It has been used for this purpose for over a century.
Additional information: Nitrous oxide is a safe and effective option for pain relief during labor. It is easy to administer and has few side effects.
Correct Answer is A
Explanation
Choice A rationale:
Amniocentesis is the most reliable and direct method to assess fetal lung maturity. It involves the extraction of a small sample of amniotic fluid from the amniotic sac, which surrounds the fetus in the uterus. This fluid contains various substances, including surfactant, which is a crucial substance produced by the fetal lungs that enables them to expand and function properly after birth.
By analyzing the levels of surfactant and other components in the amniotic fluid, clinicians can accurately determine the maturity of the fetal lungs. This information is essential in guiding decisions about potential delivery options, especially in cases of preterm labor or other complications that may necessitate early delivery.
Amniocentesis is generally considered a safe procedure, but it does carry some small risks, such as infection, bleeding, or amniotic fluid leakage. However, these risks are typically outweighed by the benefits of obtaining accurate information about fetal lung maturity when necessary.
Choice B rationale:
Fetal fibronectin (fFN) is a protein that is found in the amniotic fluid and cervicovaginal secretions. Elevated levels of fFN in cervicovaginal secretions between 22 and 34 weeks of gestation can indicate an increased risk of preterm labor.
However, fFN testing is not a direct measure of fetal lung maturity. It is used primarily as a screening tool to assess the risk of preterm birth, not to determine the readiness of the fetal lungs for delivery.
Choice C rationale:
Chorionic villus sampling (CVS) is a prenatal diagnostic test that involves taking a small sample of chorionic villi, which are tiny finger-like projections of placental tissue. This test is typically performed earlier in pregnancy (between 10 and 13 weeks gestation) to diagnose genetic abnormalities in the fetus.
CVS is not used to assess fetal lung maturity. It does not provide any information about the development of the fetal lungs or their readiness for birth.
Choice D rationale:
Alpha-fetoprotein (AFP) is a protein produced by the fetal liver. Elevated levels of AFP in the maternal blood can indicate an increased risk of certain birth defects, such as neural tube defects.
AFP testing is not used to assess fetal lung maturity. It does not provide any information about the development of the fetal lungs or their readiness for birth.
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