Health Promotion and Maintenance
89. A woman is practicing natural family planning methods. She asks a nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:
Health Promotion and Maintenance
89. A woman is practicing natural family planning methods. She asks a nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:
. Estrogen levels are low.
. Luteinizing hormone is high.
. The endometrial lining is thin.
. The progesterone level is low.
Test-Taking Tip
Review the hormones responsible for fertility and the role of each in conception. Eliminate the obvious response that does not refer to hormone production because the endometrial lining must be conductive to a pregnancy for conception to occur.
Content Area: Adult Health, Family Planning; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Self-Care
Health Promotion and Maintenance
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Answer 1 is incorrect because, during the ovulatory phase, the developing follicles produce estrogen, which is critical for the buildup of the uterine lining. To conceive, the estrogen levels need to be elevated. Answer 2 is correct because the luteinizing hormone surge is responsible for triggering ovulation, or the release of the egg from the ovary, and conception. Answer 3 is incorrect because, during the ovulatory phase, the developing follicles produce estrogen, which is critical for the buildup of the uterine lining. The lining must be thick to nourish the fertilized egg. Answer 4 is incorrect because progesterone is the reproductive hormone that is actually produced by the corpus luteum (a part of the ovary from which the mature egg bursts during ovulation). The levels need to be elevated for conception to occur.