A patient is to receive Pergonal (Menotropins) injections for infertility prior to in vitro fertilization. What is the expected action of this medication?

Prolongation of the luteal phase

Stimulation of ovulation

Suppression of menstruation

Promotion of cervical mucus production

Answer and Explanation

The Correct Answer is B

Choice A rationale
Prolongation of the luteal phase is not the primary action of Pergonal (Menotropins). The luteal phase is part of the menstrual cycle, and while hormones do regulate it, Pergonal’s primary function is not to extend this phase.
Choice B rationale
Pergonal (Menotropins) is used to stimulate ovulation. It contains follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are essential for ovulation. FSH stimulates the growth and maturation of ovarian follicles, and LH triggers ovulation and the development of the corpus luteum.
Choice C rationale
Suppression of menstruation is not an expected action of Pergonal. This medication is used to promote ovulation, not to stop menstrual periods.
Choice D rationale
While hormonal changes during the menstrual cycle can affect cervical mucus production, the primary action of Pergonal is not to promote cervical mucus production. Its main role is to stimulate ovulation.

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Correct Answer is D

Explanation

Choice A rationale
Informing the obstetrician is important, but it is not the first action to take. The nurse should first try to address the issue at hand, which is a displaced and boggy uterus.
Choice B rationale
Straight catheterization of the patient could be necessary if the patient is unable to void. However, the first step should be to ask the patient to void.
Choice C rationale
Preparing the patient for manual removal of uterine clots is a more invasive procedure that should be considered if other measures, such as asking the patient to void or massaging the fundus, are not effective.
Choice D rationale
A full bladder can displace the uterus and prevent it from contracting properly. Asking the patient to void can help the uterus contract and reduce bleeding.

A. Smoking cigarettes and drinking wine will not affect my sperm count. B. I was treated with antibiotics for trichomoniasis in my late teens, so it should not affect my ability to conceive now. C. We should engage in unprotected intercourse three weeks after her menstrual period when we decide to conceive. D. If my husband regularly uses the hot tub, it will decrease his sperm count.

Correct Answer is D

Explanation

Choice A rationale
Smoking and drinking alcohol can indeed affect sperm count. Studies have shown that smoking and alcohol consumption do not significantly affect semen quality, but avoiding them is still considered good health advice.
Choice B rationale
Trichomoniasis is a sexually transmitted infection that can be treated with medication. If treated properly, it should not affect the ability to conceive in the future.
Choice C rationale
The timing of intercourse for conception is usually centered around the time of ovulation, which typically occurs in the middle of the menstrual cycle, not three weeks after menstruation. Engaging in unprotected intercourse three weeks after her menstrual period may not be the most effective timing for conception.
Choice D rationale
Regular use of hot tubs can indeed decrease a man’s sperm count. The heat from hot tubs can affect sperm production, leading to a reduction in sperm count.

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A patient is to receive Pergonal (Menotropins) injections for infertility prior to in vitro fertilization. What is the expected action of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Within 3 hours, the fundus becomes boggy and is located 2 cm above the umbilicus and displaced to the right in the postpartum patient. What is the priority nursing action?

Correct Answer is D

Explanation

Which statement, if made by a couple receiving health education about fertility, would indicate that the teaching was successful?

Correct Answer is D

Explanation

What is a typical outcome of phototherapy?

The postpartum woman is experiencing heavy lochia and has required frequent fundal massage over the past 24- hour period. Which of the following factors may have contributed to the uterine atony?

After conducting an in-service program about ovarian cysts, what type of cyst would the nurse expect the group to identify as being commonly found in females of reproductive age and regresses with the menstrual cycle?

Which newborn response could be related to a newborn infant receiving phototherapy in an isolette?

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