Self-Assessment Questions:

1. The Madrid’s are a couple undergoing testing for subfertility. Subfertility is said to exist when:

A. A couple has been trying to conceive for 1 year.

B. A woman has no children from a marriage.

C. A woman has no uterus or fallopian tubes.

D. A couple has wanted a child for over 6 months.

2. Michelle Madrid is diagnosed as having endometriosis. This condition interferes with fertility because:
A. The ovaries stop producing adequate estrogen.

B. The uterine cervix becomes inflamed and swollen.

C. Pressure on the pituitary leads to decreased FSH levels.

D. Endometrial implants can block the fallopian tubes.

3. Michelle Madrid is scheduled to have a hysterosalpingogram. Which of the following instructions

would you give her regarding this procedure?

A. She may feel some mild cramping when the dye is inserted.

B. The ultrasound of the uterus will reveal any tumors present.

C. She will not be able to conceive for 3 months after the procedure.

D. Many women experience mild bleeding as an after effect.

4. Martin Madrid asks the nurse what therapeutic insemination by donor entails. Which would be your
best answer?

A. Therapeutic sperm are injected vaginally to test tubal patency.

B. Donor sperm are introduced vaginally into the uterus or cervix.

C. The husband’s sperm is administered intravenously weekly.

D. Donor sperm are injected intra-abdominally into each ovary.

5. Michelle Madrid is having a GIFT procedure. What makes her a good candidate for this procedure?

A. She has patent fallopian tubes, so fertilized ova can be implanted into them.
B. She is Rh negative, a necessary requirement to rule out Rh incompatibility.

C. She has a normal uterus, so sperm can be injected through the cervix into it.

D. Her husband is taking sildenafil (Viagra), so all sperm will be motile.

6. Martin Madrid asks you, “What can I do to make sure that the analysis of my semen sample is as
accurate as possible?” The nurse should instruct Martin when obtaining a semen sample for analysis to:

A. Avoid ejaculation for 24-72 hrs before the test

B. Avoid alcohol, caffeine or drugs 2-5 days prior to testing

C. Avoid any hormone medication as instructed by Health Care Provider

D. Stop taking any herbal medication as advised by the Health Care Provider

7. List two types of infertility and explain the meaning of each type

A. Primary Infertility – entails when there is no previous of either partner conceiving or impregnating

B. Secondary Infertility – entails the inability to conceive after a successful pregnancy

8. List the causes of infertility in men.

A. Inadequate sperm count

B. Impaired Sperm

C. Problems with ejaculation

9. List the causes of infertility in women.

A. Anovulation (Inadequate expulsion of ova)

B. Uterine factors such as tumors or poor endometrial development

C. Limited production of FSH or LH

D. Impaired Implantation

Rein A. Liwanag BSN 210

Self-Assessment Questions:

You are a nurse assessing a pregnant woman in your care for potential risk of PPH.

1. Suppose a postpartum patient has a retained placental fragment that is causing extensive postpartum
bleeding. What hormone test would you anticipate being ordered to detect whether placenta is still
present?

A. Placental and cord blood estrogen.

B. Progesterone from the placenta.

C. Human chorionic gonadotropin hormone.

D. Systemic prolactin (a pituitary hormone).

2. A postpartum client develops endometritis. What would be the best activity for her?

A. Lying in bed with a cold cloth on her forehead.

B. Walking around her room listening to music.

C. Reading while resting in a Trendelenburg position.

D. Sitting with her feet elevated while playing cards.

3. Which statement by a postpartum client is most suggestive of a woman developing postpartum

psychosis?

1. “I wish my baby had more hair.”

2. “My baby has the devil’s eyes.”

3. “I feel exhausted since birth.”

4. “Breastfeeding is harder than I thought.”

4. What questions would you ask a pregnant woman and what would you remember to check as part of
your antenatal care visit?

A. The first day of her last menstrual period

B. Obstetric Score

C. Perform Leopolds Maneuver to determine fetal presentation, attitude, and such.

5. What checks and interventions would you make during her labor and delivery?

A. Monitor vital signs

B. Monitor fetal heart rate

C. Monitor and document contractions

D. During labor perform Internal Examination