The nurse is teaching a client about maternal hormones.The woman states that she has been unable to complete a full-term pregnancy.
According to her healthcare provider, she and her husband have been able to achieve fertilization but implantation never takes place.
This is most likely due to a lack of which hormone?
Follicle Stimulating Hormone (FSH).
Progesterone.
Human chorionic gonadotropin (HCG).
Prolactin.
The Correct Answer is B
Choice A rationale
Follicle Stimulating Hormone (FSH) is involved in the maturation of ovarian follicles and the menstrual cycle. While it is crucial for fertility, it is not directly responsible for maintaining pregnancy once implantation occurs.
Choice B rationale
Progesterone is essential for maintaining pregnancy. It prepares the endometrium for implantation and supports the early stages of pregnancy by preventing uterine contractions that could dislodge the embryo.
Choice C rationale
Human chorionic gonadotropin (HCG) supports the corpus luteum in early pregnancy, ensuring the continued production of progesterone and estrogen. However, implantation failure is less likely due to a lack of HCG.
Choice D rationale
Prolactin plays a role in lactation and has some influence on reproductive health, but it is not primarily responsible for implantation. A lack of prolactin is less likely to be the cause of failed implantation. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
This represents 5 pregnancies (2 elective abortions, 1 twin birth, 1 spontaneous twin abortion, and current pregnancy), 1 term birth, 0 preterm births, 2 abortions (excluding current pregnancy), and 1 living child.
Choice B rationale
Incorrect because it lists 1 term birth and 3 abortions, which does not accurately reflect the client's history.
Choice C rationale
Incorrect because it states 4 pregnancies and 2 living children, missing the current pregnancy and miscounting the living children.
Choice D rationale
Incorrect as it accounts for 3 pregnancies, incorrectly summing the term birth and spontaneous abortions without considering the current pregnancy.
Correct Answer is A
Explanation
Choice A rationale
Increasing folic acid intake immediately is recommended because it helps prevent neural tube defects, which can occur very early in pregnancy, often before a woman knows she is pregnant.
Choice B rationale
Starting folic acid intake one week before her period is not sufficient. Folic acid needs to be taken consistently before conception and during early pregnancy to be effective.
Choice C rationale
Waiting until pregnancy is confirmed may be too late to prevent neural tube defects, which form in the early weeks of pregnancy.
Choice D rationale
If she misses her period, it might already be too late to prevent neural tube defects. Consistent intake of folic acid before and during early pregnancy is essential.
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