An infertile couple has used at-home ovulation testing using basal body temperature without conceiving.
The nurse understands that what will be used first to treat this infertile couple?
Selective estrogen receptor modulator clomiphene
Surgery to reduce endometriosis.
Intrauterine insemination with sperm from the husband
Assisted reproductive technologies (e.g. invitro fertilization)
The Correct Answer is A
If a couple has used at-home ovulation testing with basal body temperature and has not conceived, the first treatment option may depend on the underlying cause of infertility. However, the most common first-line treatment for infertility is selective estrogen receptor modulator clomiphene. This medication stimulates ovulation and can increase the chances of conception.
Surgery to reduce endometriosis may be considered if endometriosis is the underlying cause of infertility. However, surgery is not always successful and may not be the first option.
Intrauterine insemination (IUI) with sperm from the husband is another option that may be considered if the male partner has mild to moderate sperm abnormalities or if there is unexplained infertility. IUI involves placing washed sperm directly into the uterus during ovulation.
Assisted reproductive technologies (ART), such as in vitro fertilization (IVF), may be considered if other treatments have been unsuccessful or if there are more severe fertility issues. ART involves combining eggs and sperm outside of the body and transferring the resulting embryo(s) into the uterus.
The choice of treatment will depend on the underlying cause of infertility, the age of the couple, and other factors that may impact fertility. It is important for the couple to consult with a healthcare provider who specializes in fertility treatments to determine the best course of action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
“An incisional biopsy is performed to confirm a diagnosis and so that special studies can be done that will help determine the best treatment”
The appropriate answer is b because an incisional biopsy is typically performed to obtain a tissue sample from a suspicious mass to confirm a diagnosis and to help determine the best treatment approach. It is not performed primarily to assess potential for recovery or to select a less painful or more accurate test, nor is it limited to a specific age group or health status. The nurse should provide accurate and relevant information to the client to help them understand the purpose and benefits of the procedure, and to alleviate any concerns or fears they may have.
Correct Answer is D
Explanation
Ovarian cancer risk is increased in women who have not been pregnant, have a family history of ovarian cancer, have a personal history of breast or colon cancer, and have inherited gene mutations such as BRCA1 and BRCA2.
Hormonal contraceptives, having children, and the age at which a woman had her first child have been associated with a reduced risk of ovarian cancer. However, these factors do not completely eliminate the risk. It is still possible for women taking hormonal contraceptives, women who have had children, and women who had their first child at an early age to develop ovarian cancer
.
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