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A woman calls into the ambulatory care center. She reports that her at-home ovulation predictor test strip results were “positive.” She asks what this means. Which should the nurse explain? “The kit has detected an increased presence of luteinizing hormone (LH) in the urine.” “The kit has determined that your cervical mucus is receptive to sperm.” “The kit has detected an increase in free estrogen in the urine.” “The kit has detected that ovulation will take place within the next 6 to 8 days.” A woman is using a basal body temperature (BBT) graph to monitor fertile periods. She calls to report that she did not see any temperature change during her past monthly cycle. To which does the nurse attribute this? An elevated estrogen level An elevated FSH level A failure to ovulate An elevated progesterone level In counseling a couple who have experienced subfertility for 14 months, which of the following true statement does the nurse base the initial information given to them? Transrectal and scrotal ultrasound testing is routinely performed in the male. Semen analysis is usually not performed until all tests in the female partner are negative. Testing for tubal patency is performed during the same time period as ovulation monitoring is being done. Fertility testing usually begins with ovulation monitoring in the woman.

Question

A woman calls into the ambulatory care center. She reports that her at-home ovulation predictor test strip results were “positive.” She asks what this means. Which should the nurse explain? “The kit has detected an increased presence of luteinizing hormone (LH) in the urine.” “The kit has determined that your cervical mucus is receptive to sperm.” “The kit has detected an increase in free estrogen in the urine.” “The kit has detected that ovulation will take place within the next 6 to 8 days.” A woman is using a basal body temperature (BBT) graph to monitor fertile periods. She calls to report that she did not see any temperature change during her past monthly cycle. To which does the nurse attribute this?
An elevated estrogen level An elevated FSH level A failure to ovulate An elevated progesterone level In counseling a couple who have experienced subfertility for 14 months, which of the following true statement does the nurse base the initial information given to them? Transrectal and scrotal ultrasound testing is routinely performed in the male. Semen analysis is usually not performed until all tests in the female partner are negative. Testing for tubal patency is performed during the same time period as ovulation monitoring is being done. Fertility testing usually begins with ovulation monitoring in the woman.

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Solution

  1. The nurse should explain that a positive result on an at-home ovulation predictor test strip means "The kit has detected an increased presence of luteinizing hormone (LH) in the urine." This hormone surges just before ovulation, so a positive result indicates that ovulation is likely to occur soon.

  2. If a woman is using a basal body temperature (BBT) graph to monitor fertile periods and she did not see any temperature change during her past monthly cycle, the nurse would attribute this to "A failure to ovulate". A lack of temperature rise could indicate that ovulation did not occur.

  3. In counseling a couple who have experienced subfertility for 14 months, the nurse should base the initial information given to them on the true statement that "Fertility testing usually begins with ovulation monitoring in the woman." This is often the first step in fertility testing because it's a non-invasive way to check if the woman is ovulating regularly.

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