An Infertile Patient Has Received Two 5-Day Courses of Clomiphene

question 10

Multiple Choice

An infertile patient has received two 5-day courses of clomiphene [Clomid] to help her conceive. An ultrasound 1 week after the last dose reveals that follicular maturation has occurred without ovulation. The nurse expects the next step for this patient to be:

• A) administration of human chorionic gonadotropin (hCG).
• B) an order for cabergoline to be given twice weekly.
• C) evaluation of ovarian and pituitary function.
• D) repeating clomiphene once daily for 5 days.

---

Definitions:

Endolymph

A fluid within the inner ear that fills the cochlear duct and vestibular system, important for transmitting sound and maintaining balance.

Oval Window

The membrane-covered opening that leads from the middle ear to the vestibule of the inner ear.

Cochlea

A spiral-shaped, fluid-filled inner ear structure responsible for converting sound waves into nerve impulses.

Productivity

The measure of efficiency of a person, machine, factory, system, etc., in converting inputs into useful outputs.