NSG 504 Exam 3 with correct answers

NSG 504 Exam 3 with correct answers
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Infertility 1.) Explain factors that can impair a couples ability to
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conveive? - CORRECT ANSWERS ✔✔Structural, hormonal,
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endocrine, knowledge of fertility, age, tumors, adrenal issues,
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insulin resistance, cysts, varicocele in men.
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Infertility 2.) Describe the various evaluations and treatments that
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may be performed when a couple seeks help for infertility/ -
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CORRECT ANSWERS ✔✔-simple to complex evaluations of
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infertility see slide |\ |\




-Physical exam |\




-cultures
-endocrine
-tumors
-chronic dz |\




TESTS:
-Prolactin, LH, FSH, TSH, Estradiol (E2), Progesterone, Glucose
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-Semen # 1hr after ejaculation on 3 occasions
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-Are you ovulating? Body temp, ovulation kit
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-Postcoidal test: sperm to survuve in cervical mucus 12-24 hrs
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after intercourse at ovulation
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,Ultrasound-Follucular development |\




infertility 3.) Describe the role of the nurse in caring for an
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infertile couple. - CORRECT ANSWERS ✔✔Educator
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Counselor
Researcher
Practioner |\




-Don't use phrases as "Hostile mucus, Fail or failure, incompetent,
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or the word dysfunction."
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-don't give false hope
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-anticipate guidance |\




-Give coping mechanisms
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Primary Infertility - CORRECT ANSWERS ✔✔Inability to conceive
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after 1yr of regular unprotected sex.
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Except if the woman is >35 yrs old, OR if she has pre-existing
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condition (PCOS, fibroids, PID) |\ |\ |\




Secondary infertility - CORRECT ANSWERS ✔✔inability to
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conceive in a previously fertile couple. Woman has given birth
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before. Can be within the same relationship, or a new one.
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,Infertility increases with age, especially in women older than... -
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CORRECT ANSWERS ✔✔37 years. |\ |\ |\




What gonadotropin hormone stimulates ovulation (release of
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egg)? - CORRECT ANSWERS ✔✔LH
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When oocytes(egg) are contained inside the follicle, what
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hormones do the follicle make? |\ |\ |\ |\




_____ and ____ make the oocyte grow
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A mature oocyte or (egg) is called a(n)__________ - CORRECT
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ANSWERS ✔✔Progesterone and Estrogen |\ |\ |\




LH and FSH
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Ovum


Hormonal infertility causes in women - CORRECT ANSWERS
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✔✔HPG axis disruption(GnRH, FSH, LH)
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-PCOS

, -Premie Menopause (ovary failure)
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-Adrenal gland dysfunction (too much stress!)
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-High prolactin
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-Thyroid Dz |\




-Insulin resistance/HYPERglycemia
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Simple to complex Eval of infertility - CORRECT ANSWERS ✔✔-
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Patient education of fertility
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-Previous pregnancies |\




-H & P
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-Structure
-Toxins
-Lifestyle and weight |\ |\




Evaluation for infertility Male and Female - CORRECT ANSWERS
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✔✔-Assess gonads |\




-Infection
-Cysts
-Cultures (pap) |\




-endocrine disturbances |\




-cranial tumors (pituitary tumor)
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-UnDx chronic dz |\ |\