Advanced Reproductive Dynamics Q & A w/ Rationales, Exams of Nursing

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NURSING 7281

Advanced Reproductive

Dynamics

Q & A w/ Rationales

1. Which factor is NOT associated with advanced reproductive dynamics? a. Ovarian reserve b. Sperm motility c. Uterine fibroids d. Menstrual cycle length Answer: d. Menstrual cycle length Rationale: Menstrual cycle length is not directly associated with advanced reproductive dynamics. It refers to the average duration between two consecutive menstrual cycles and does not indicate any specific reproductive function.
2. When does implantation typically occur after fertilization? a. 6-8 days b. 12-14 days c. 20-22 days d. 30-32 days Answer: a. 6-8 days Rationale: Implantation, the attachment of the fertilized egg to the uterine lining, typically occurs 6-8 days after fertilization. This process allows pregnancy to commence.
3. Which hormone is responsible for promoting ovulation? a. Luteinizing hormone (LH) b. Human chorionic gonadotropin (hCG) c. Estrogen d. Progesterone

uterus.

6. What is the primary purpose of ovarian stimulation in assisted reproductive technologies (ART)? a. Prevent miscarriage b. Increase sperm motility c. Enhance follicle development d. Reduce uterine complications Answer: c. Enhance follicle development Rationale: Ovarian stimulation in assisted reproductive technologies (ART) involves using medication to enhance follicle development, leading to the production of multiple mature eggs for fertilization.
7. Which condition refers to the absence of menstruation in women of reproductive age? a. Amenorrhea b. Dysmenorrhea c. Menorrhagia d. Oligomenorrhea Answer: a. Amenorrhea Rationale: Amenorrhea is the absence of menstruation in women of reproductive age. It may be primary (never having a period) or secondary (periods ceasing after previously occurring).
8. Which procedure involves the surgical removal of the uterus?

a. Oophorectomy b. Myomectomy c. Hysteroscopy d. Hysterectomy Answer: d. Hysterectomy Rationale: Hysterectomy involves the surgical removal of the uterus. It is performed for various reasons, including advanced reproductive dynamics-related conditions such as uterine fibroids or endometriosis.

9. Which condition is characterized by insufficient sperm production? a. Polycystic ovary syndrome (PCOS) b. Erectile dysfunction (ED) c. Oligospermia d. Azoospermia Answer: c. Oligospermia Rationale: Oligospermia is a condition characterized by a below-average sperm count, resulting in reduced fertility. It can be a contributing factor in male infertility.
10. What is the primary function of the fallopian tubes during reproduction? a. Production of eggs b. Site of fertilization c. Hormone secretion d. Maintenance of pregnancy

13. Which disorder is characterized by the growth of endometrial tissue outside the uterus? a. Polycystic ovary syndrome (PCOS) b. Endometriosis c. Uterine fibroids d. Pelvic inflammatory disease (PID) Answer: b. Endometriosis Rationale: Endometriosis is a disorder characterized by the growth of endometrial tissue outside the uterus, typically in the pelvic region. It can cause chronic pain and fertility issues.
14. What is the term for the cessation of menstrual cycles and reproductive function in women? a. Menopause b. Perimenopause c. Premenopause d. Postmenopause Answer: a. Menopause Rationale: Menopause refers to the natural cessation of menstrual cycles and reproductive function in women, typically occurring between the ages of 45 and 55.
15. Which technique involves injecting a single sperm directly into the egg? a. Artificial insemination b. Intracytoplasmic sperm injection (ICSI)

c. Gamete intrafallopian transfer (GIFT) d. Zygote intrafallopian transfer (ZIFT) Answer: b. Intracytoplasmic sperm injection (ICSI) Rationale: Intracytoplasmic sperm injection (ICSI) is a technique used in assisted reproductive technologies where a single sperm is injected directly into the egg, enhancing the chances of fertilization. B:

1. A 35-year-old woman with a history of endometriosis and infertility is undergoing in vitro fertilization (IVF) treatment. She receives daily injections of gonadotropins to stimulate ovarian follicle development. On day 10 of her cycle, she undergoes transvaginal ultrasound to assess the number and size of the follicles. The ultrasound shows 12 follicles, ranging from 15 to 20 mm in diameter. What is the next step in her IVF protocol? a) Continue gonadotropin injections until the follicles reach 25 mm in diameter. b) Administer human chorionic gonadotropin (hCG) injection to trigger ovulation. c) Perform oocyte retrieval by aspiration under ultrasound guidance. d) Transfer one or two embryos into the uterine cavity. Answer: B. Administer human chorionic gonadotropin (hCG) injection to trigger ovulation. Rationale: The

as long as they are viable and have intact DNA.

3. A 32-year-old woman with a history of polycystic ovary syndrome (PCOS) and anovulation is undergoing ovulation induction with clomiphene citrate. She takes 50 mg of clomiphene daily from day 3 to day 7 of her cycle. On day 14, she undergoes serial serum progesterone measurements to monitor her ovulatory response. Her progesterone levels are as follows: day 14: 0.5 ng/mL, day 16: 1.2 ng/mL, day 18: 2.5 ng/mL, day 20: 4.8 ng/mL, day 22: 6.2 ng/mL. What is the interpretation of her progesterone profile? a) She did not ovulate despite clomiphene treatment. b) She ovulated on day 14 and has a normal luteal phase. c) She ovulated on day 18 and has a short luteal phase. d) She ovulated on day 20 and has a delayed luteal phase. Answer: C. She ovulated on day 18 and has a short luteal phase. Rationale: Progesterone is a hormone that is produced by the corpus luteum after ovulation. It prepares the endometrium for implantation and maintains pregnancy in the early stages. Progesterone levels rise sharply after ovulation and peak around mid-luteal phase (day 21 in a typical 28-day cycle). A progesterone level above 3 ng/mL indicates ovulation, while a level below 10 ng/mL suggests luteal phase deficiency. In this case, the woman's progesterone level reached above 3 ng/mL on day