An infertile couple has used at-home ovulation testing using basal body temperature without conceiving.
The nurse understands that what will be used first to treat this infertile couple?
Selective estrogen receptor modulator clomiphene
Surgery to reduce endometriosis.
Intrauterine insemination with sperm from the husband
Assisted reproductive technologies (e.g. invitro fertilization)
The Correct Answer is A
If a couple has used at-home ovulation testing with basal body temperature and has not conceived, the first treatment option may depend on the underlying cause of infertility. However, the most common first-line treatment for infertility is selective estrogen receptor modulator clomiphene. This medication stimulates ovulation and can increase the chances of conception.
Surgery to reduce endometriosis may be considered if endometriosis is the underlying cause of infertility. However, surgery is not always successful and may not be the first option.
Intrauterine insemination (IUI) with sperm from the husband is another option that may be considered if the male partner has mild to moderate sperm abnormalities or if there is unexplained infertility. IUI involves placing washed sperm directly into the uterus during ovulation.
Assisted reproductive technologies (ART), such as in vitro fertilization (IVF), may be considered if other treatments have been unsuccessful or if there are more severe fertility issues. ART involves combining eggs and sperm outside of the body and transferring the resulting embryo(s) into the uterus.
The choice of treatment will depend on the underlying cause of infertility, the age of the couple, and other factors that may impact fertility. It is important for the couple to consult with a healthcare provider who specializes in fertility treatments to determine the best course of action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Endometriosis is a condition in which tissue like the lining of the uterus grows outside of the uterus, often on the ovaries, fallopian tubes, or other organs in the pelvic area. This tissue can cause pain, inflammation, and in some cases, fertility problems.
The other options are incorrect. Option A describes endometritis, which is an infection of the lining of the uterus. Option c suggests that endometriosis causes the lining of the uterus to be too thin, which is not accurate. Option d describes adenomyosis, which is a separate condition in which the lining of the uterus grows into the muscular wall of the uterus, causing thickening and pain.
Correct Answer is C
Explanation
The current recommendation from the American Cancer Society is that women with an average risk of breast cancer should undergo annual mammography screening starting at age 45, although women may choose to start screening as early as age 40. Therefore, the nurse should recommend annual mammography screening starting at age 45. However, it is important to note that women with certain risk factors for breast cancer, such as a family history of the disease, may need to begin screening earlier or undergo additional screening tests. The nurse can provide more individualized recommendations based on each woman's specific risk factors.
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