A client had an anterior pituitary tumor removed a few years ago and is curious if this will affect her future ability to become pregnant. What is the best response by the nurse to this client?
1. "You shouldn't have any problems at all because you still have your ovaries and uterus."
2. "You might have trouble getting pregnant. The hormones necessary for stimulating the ovaries are contained in the anterior pituitary."
3. "You will have trouble getting pregnant because the anterior pituitary secretes gonadotropin-releasing hormone (GnHR), which is necessary for conception."
4. "You shouldn't have any problems at all. The important hormones for conception are contained in the posterior pituitary."
Correct Answer: 2
Rationale 1: The client might have trouble getting pregnant because of damage to the anterior pituitary.
Rationale 2: The anterior pituitary contains FSH and LH, which promote the development of immature ovarian follicles. This maturation process is necessary for ovulation.
Rationale 3: The anterior pituitary does not secrete gonadotropin-releasing hormone (GnHR).
Rationale 4: The posterior pituitary does not contain the hormones needed for conception.
Global Rationale: The client might have trouble getting pregnant because of damage to the anterior pituitary. The anterior pituitary contains FSH and LH, which promote the development of immature ovarian follicles. This maturation process is necessary for ovulation. GnHR is secreted by the hypothalamus. The posterior pituitary does not contain the hormones needed for conception.
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