Chapter 07 Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig

Chapter 07 Contemporary Maternal Newborn Nursing 7th Edition by Patricia W. Ladewig

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Chapter 07_LO01_Q01

A client who has been unable to conceive asks the nurse if it is her fault or her husband’s fault that they have not been able to become pregnant. The best response by the nurse is:

1. “The male infertility factors are more common than female.”
2. “Female infertility issues are more common than male issues.”
3. “The testing the doctor will order will determine who is at fault.”
4. “We will know what is causing your infertility after some tests are done.”

Correct Answer: 4

Rationale:

1. This statement is not true. Because of the complexity of ovulation and maintaining a pregnancy, it is more likely that a female issue is causing the infertility. However, using the term “at fault” is blaming, and should be avoided.
2. Although this statement is true, because of the complexity of ovulation and maintaining a pregnancy, using the term “at fault” is blaming, and should be avoided.
3. Testing will determine what the infertility issue is, but using the term “at fault” is blaming, and should be avoided.
4. This is a factual answer that avoids using the term “at fault.” This statement is therapeutically worded, and therefore is the best answer.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Planning

Learning Outcome: 7.1 Compare the essential components of fertility with the possible causes of infertility.

Chapter 07_LO02 _Q02

The client experiencing infertility is to complete three months of documenting her basal body temperatures. Which statement by the client indicates a need for additional teaching?

1. “I should check my temperature with this special thermometer before I get out of bed each day.”
2. “I will track my temperatures and the consistency of my cervical mucus for the next three months.”
3. “If I am ovulating, my temperature will be a smooth, even line on the graph that does not go up or down.”
4. “The point of checking my basal body temperature is to determine whether I am ovulating regularly.”

Correct Answer: 3

Rationale:

1. The basal body temperature is most accurate prior to arising each day. A thermometer with larger spaces between tenths of a degree is used to facilitate accurate recording.
2. Taking the temperature each morning will help detect ovulation. Checking cervical mucus daily for changes in consistency and stretchiness is another method to detect ovulation. Combining the two methods gives better information on when ovulation is occurring than one does method alone.
3. A flat line on the graph is a monophasic cycle indicating a lack of ovulation. An ovulating woman will have a biphasic pattern to her basal body temperature. The temperature will drop slightly prior to ovulation, and rise about .5–1.0-degree Fahrenheit as ovulation occurs, remaining elevated if conception occurs or dropping just prior to onset of menses.
4. Basal body temperatures are less predictive of when ovulation occurs, but an increase in the latter half of the cycle indicates that ovulation has occurred.

Cognitive level:  Analysis

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Evaluation

Learning Outcome: 7.2 Describe the elements of the preliminary investigation of infertility, and the nurse’s role in supporting/teaching clients during this phase.

Chapter 07_LO03 _Q03

The infertile couple will have ovulation induced and retrieval of ovum, followed by mixing with washed donor sperm. One day later, the fertilized ovum will be placed in the fallopian tube. The nurse knows that education has been successful if the client describes the procedure as:

1. Zygote intrafallopian transfer (ZIFT).
2. Gamete intrafallopian transfer (GIFT).
3. Tubal embryo transfer (TET).
4. In vitro fertilization (IVF).

Correct Answer: 1

Rationale:

1. ZIFT is the return of fertilized ovum into the fallopian tube after ovum retrieval and mixing the ovum with washed sperm.
2. GIFT is placing retrieved ovum and washed sperm into the fallopian tube.
3. TET is placing embryos into the fallopian tube. The embryos form in a laboratory after ovum are retrieved and then mixed with washed sperm.
4. IVF is the placement of embryos into the uterus. The embryos form in a laboratory after ovum are retrieved and then mixed with washed sperm.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Evaluation

Learning Outcome: 7.3 Compare the indications for the tests with the associated treatments, including assisted reproductive technologies, that are done in an infertility workup.