A nurse is assessing a patient with infertility.
The patient reports painful and heavy periods.
Which of the following statements by the nurse is appropriate?
"Painful and heavy periods are common in women with infertility.”
"You should consider using over-the-counter pain relievers for your periods.”
"Heavy periods are a sign of successful fertility.”
"Let's discuss your menstrual history further to understand your symptoms.”
The Correct Answer is D
Choice A rationale:
Painful and heavy periods are not common in women with infertility, but they can be indicative of certain underlying gynecological conditions, such as endometriosis or fibroids, which may contribute to infertility.
However, these symptoms are not synonymous with infertility, and it is important to differentiate between the two.
Choice B rationale:
Suggesting over-the-counter pain relievers for heavy and painful periods does not address the underlying cause of these symptoms.
While pain relievers may provide temporary relief, they do not treat the root causes of infertility or the associated menstrual issues.
Choice C rationale:
Heavy periods are not a sign of successful fertility; in fact, heavy menstrual bleeding can sometimes be associated with conditions that affect fertility, such as uterine fibroids or hormonal imbalances.
It is essential to investigate the cause of heavy periods rather than assuming they indicate fertility.
Choice D rationale:
This response is appropriate because it acknowledges the patient's symptoms and the need for further discussion to understand their menstrual history.
Exploring the timing, frequency, and severity of menstrual symptoms can help the nurse and healthcare provider identify potential underlying causes of infertility and develop an appropriate treatment plan.
This approach aligns with patient-centered care and evidence-based practice in assessing and addressing infertility concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Being exposed to certain toxins or chemicals is indeed a known risk factor for infertility.
Exposure to environmental toxins, industrial chemicals, and pollutants can have adverse effects on reproductive health, leading to infertility.
Therefore, this statement is accurate.
Choice B rationale:
While advanced maternal age is a well-known risk factor for infertility, advanced paternal age can also contribute to infertility, but it is not primarily associated with it.
Both maternal and paternal age can impact fertility, so this statement is less accurate than choice A.
Choice C rationale:
Endometriosis is a known risk factor for infertility.
It is a medical condition where tissue similar to the lining of the uterus grows outside the uterus, affecting fertility.
Therefore, this statement is not accurate, as endometriosis does play a role in infertility risk.
Choice D rationale:
Obesity can indeed impact the risk of infertility.
Excess body weight can disrupt hormonal balance and ovulation in women, leading to fertility problems.
Therefore, this statement is not accurate, as obesity is associated with an increased risk of infertility.
Correct Answer is D
Explanation
Choice A rationale:
The patient's dental health is not a priority assessment when evaluating infertility.
Dental health is not directly related to infertility concerns.
While overall health is important, focusing on dental health during an infertility assessment would not address the primary issues that need to be evaluated and addressed.
Choice B rationale:
While the patient's mental health history is an important aspect of their overall well-being, it is not the primary focus of an infertility assessment.
The nurse should certainly consider the patient's emotional well-being, but in the context of infertility, assessing menstrual cycle and ovulation patterns is more relevant to identifying potential causes of infertility.
Choice C rationale:
Cardiovascular fitness is not a primary concern during an infertility assessment.
While maintaining a healthy lifestyle can positively impact overall health, including reproductive health, assessing cardiovascular fitness is not a specific priority when evaluating infertility.
Menstrual and ovulation patterns are more directly related to fertility concerns.
Choice D rationale:
Assessing the patient's menstrual cycle and ovulation patterns is a critical aspect of evaluating infertility.
Irregular menstrual cycles or anovulation (lack of ovulation) can be indicators of underlying fertility issues.
Understanding the regularity of the patient's menstrual cycles, the presence of ovulation, and any associated symptoms like pain or heavy bleeding can provide valuable information for diagnosing and addressing infertility.
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