A patient inquires about the gamete intrafallopian transfer (GIFT) procedure.
What would be an appropriate response for the nurse to make?

Fertilization occurs within the woman’s body.

Zygotes are positioned in the fallopian tubes.

Donor sperm are placed in a medium with donor eggs.

A surrogate carries the infertile woman’s fetus.

Answer and Explanation

The Correct Answer is A

Choice A rationale
In the Gamete Intrafallopian Transfer (GIFT) procedure, fertilization occurs within the woman’s body. The eggs and sperm are collected, mixed together, and then injected into the fallopian tubes. This allows fertilization to occur naturally within the woman’s body. Choice B rationale
Zygotes are not positioned in the fallopian tubes in the GIFT procedure. This is a characteristic of the Zygote Intrafallopian Transfer (ZIFT) procedure, not GIFT.
Choice C rationale
Donor sperm are not placed in a medium with donor eggs in the GIFT procedure. In GIFT, the woman’s eggs and the man’s sperm are mixed together and then injected into the woman’s fallopian tubes.
Choice D rationale
A surrogate does not carry the infertile woman’s fetus in the GIFT procedure. In GIFT, the fertilized egg implants and develops in the woman’s own uterus.

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Correct Answer is D

Explanation

Choice A rationale
Smoking and drinking alcohol can indeed affect sperm count. Studies have shown that smoking and alcohol consumption do not significantly affect semen quality, but avoiding them is still considered good health advice.
Choice B rationale
Trichomoniasis is a sexually transmitted infection that can be treated with medication. If treated properly, it should not affect the ability to conceive in the future.
Choice C rationale
The timing of intercourse for conception is usually centered around the time of ovulation, which typically occurs in the middle of the menstrual cycle, not three weeks after menstruation. Engaging in unprotected intercourse three weeks after her menstrual period may not be the most effective timing for conception.
Choice D rationale
Regular use of hot tubs can indeed decrease a man’s sperm count. The heat from hot tubs can affect sperm production, leading to a reduction in sperm count.

A. Prepare the patient for a cesarean delivery B. Take a culture of the lesions to verify the involved organism C. Ask the patient if she has had unprotected sex since her outbreak D. Use internal electronic fetal surveillance to determine a baseline fetal heart rate

Correct Answer is A

Explanation

Choice A rationale
If a patient in active labor has a recent outbreak of genital herpes with verified lesions on the perineum, the nurse should prepare the patient for a cesarean delivery. This is to prevent transmission of the herpes virus to the baby during delivery.
Choice B rationale
While taking a culture of the lesions could help verify the involved organism, it would not change the immediate plan of care for this patient. The presence of active lesions necessitates a cesarean delivery regardless of the specific strain of the virus.
Choice C rationale
Asking the patient if she has had unprotected sex since her outbreak would not directly impact the plan of care in this situation. The primary concern is preventing transmission of the virus to the baby during delivery.
Choice D rationale
Using internal electronic fetal surveillance to determine a baseline fetal heart rate is generally avoided in patients with active genital herpes lesions, as this could potentially increase the risk of transmitting the virus to the baby.

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A patient inquires about the gamete intrafallopian transfer (GIFT) procedure. What would be an appropriate response for the nurse to make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement, if made by a couple receiving health education about fertility, would indicate that the teaching was successful?

Correct Answer is D

Explanation

The labor nurse is admitting a patient in active labor with a history of genital herpes. On assessment, the patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What action should the nurse take in anticipating the plan of care for this patient?

Correct Answer is A

Explanation

What are the clinical presentations of respiratory distress in a neonate? (Select all that apply.)

A patient inquires about the gamete intrafallopian transfer (GIFT) procedure. What would be an appropriate response for the nurse to make?

A client with genital herpes simplex infection asks the nurse, “Will I ever be cured of this infection?” Which response by the nurse would be most appropriate?

Which of the following statements, if made by the patient, would indicate that the nurse’s teaching about the intrauterine device has been effective?

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When assessing a woman who has been unable to conceive, which factor would the nurse least likely identify as a potential risk in her history?

What behaviors are often exhibited by newborns whose mothers are substance abusers?

A patient inquires about the gamete intrafallopian transfer (GIFT) procedure.
What would be an appropriate response for the nurse to make?