Question 1

A patient calls the urologist's office to receive instructions about semen analysis. The nurse instructs the patient to:

Accepted Answer

Semen analysis often requires a repeat test to confirm results due to variability in sperm count and motility.

Question 2

A male patient visits the infertility clinic for the results of his comprehensive exam. The exam indicated oligospermia. The patient asks the nurse which procedure would assist him and his wife to conceive. The nurse's best response is:

Accepted Answer

B,D

Question 3

The nurse is reviewing assessment data from several different male patients. Which one should receive information about causes of infertility?

Accepted Answer

Premature ejaculation can be a contributing factor to infertility, as it may prevent sperm from reaching the egg. The other options (circumcision, measles history, and occupation) are not directly related to infertility.

Question 4

An infertile couple confide in the nurse at the infertility clinic that they feel overwhelmed with the decisions facing them. Which nursing strategy would be most appropriate?

Accepted Answer

Providing the couple with information and instructions throughout the diagnostic and therapeutic process would be the most appropriate nursing strategy. It can help the couple feel more in control and knowledgeable about the process, which can reduce feelings of overwhelm. Referring them to a marriage counselor or inquiring about baby names may not be relevant or helpful at this point. Expressing concern and caring is important, but alone may not address the couple's specific needs for information and guidance.

Question 5

A patient scheduled a laparoscopy. After the procedure, the nurse instructs the patient to:

Accepted Answer

The answer of A patient scheduled a laparoscopy. After the...

Question 6

The nurse in a fertility clinic is working with a woman who has been undergoing infertility treatment with clomiphene citrate (Clomid) and menotropin (Repronex). Which statement would the nurse expect the woman to make?

Accepted Answer

Both clomiphene citrate and menotropin can cause mood swings and emotional changes as a side effect. It is common for women undergoing infertility treatment to experience these symptoms.

Question 7

The nurse working with an infertile couple has made the following diagnosis: Sexual Dysfunction related to decreased libido. Which assessment is most likely the reason for this diagnosis?

Accepted Answer

Establishing a set schedule for having sexual intercourse can decrease spontaneity and create pressure, leading to decreased libido and sexual dysfunction. The other options do not necessarily relate to decreased libido or sexual dysfunction.

Question 8

A couple who have sought fertility counseling have been told that the man's sperm count is very low. The nurse advises the couple that spermatogenesis is impaired when which condition occurs?

Accepted Answer

Spermatogenesis can be impaired when the testes are overheated. This can happen due to factors like wearing tight clothing, sitting in hot tubs for prolonged periods, and exposure to frequent high temperatures.

Question 9

A patient is to receive fetility drugs prior to in vitro fertilization. The expected action of this medication is:

Accepted Answer

Fertility drugs are used to stimulate the ovaries to produce more eggs, thereby increasing the chances of successful fertilization during in vitro fertilization (IVF). These drugs work by promoting ovulation, which is the release of a mature egg from the ovary.

Question 10

A patient and her husband have contacted their physician about fertility problems. At the initial visit, the nurse instructs them about the infertility workup. Which statement by the patient would indicate that the instructions have been successful?

Accepted Answer

Option A is the correct answer as a semen analysis is typically the first step in the infertility workup for male partners. Option B refers to a specific test for assessing cervical mucus, which is not always necessary. Option C and D are not relevant to the infertility workup.

Question 11

The nurse is teaching an infertile couple about the causes of infertility. The nurse tells them that infertility can be caused by:

Accepted Answer

Immunological responses, congenital anomalies, and hypothyroidism are known causes of infertility. Patent fallopian tubes and favorable cervical mucus are not causes of infertility, but rather factors that can help facilitate conception.

Question 12

A couple are seeking advice regarding what they can do to increase the chances of becoming pregnant. What recommendation can the nurse give to the couple?

Accepted Answer

Refraining from douching can help maintain healthy vaginal flora and avoid disrupting the natural pH balance, which can increase the chances of conception. Using vaginal lubricants can actually decrease fertility by impeding the movement of sperm. Delaying intercourse until the day of ovulation can also decrease the chances of conception, as sperm can survive for up to five days in the female reproductive tract. The position during intercourse does not have a significant impact on fertility.

Question 13

A couple are requesting fertility counseling. The nurse practitioner has identified the factors listed below in the woman's health history, and knows that which of them could be contributing to the couple's infertility?

Accepted Answer

Advanced maternal age is a known factor in infertility as the quality and quantity of oocytes decreases with age. At 38 years old, the patient's fertility may be compromised.

Answer: B
 An early age of menarche (first menstruation) is associated with a higher risk of infertility. If the patient started her menses at 13 years old, it could indicate hormonal imbalances that affect fertility.

Answer: C and D are not factors that are typically associated with infertility.

Question 14

The nurse is talking with a couple who have been trying to get pregnant for 5 years. They are now at the fertility clinic seeking help. The nurse assesses their emotional responses as part of the workup. Which response would the nurse expect to hear?

Accepted Answer

Couples struggling with infertility often experience a range of emotions, including anger at others who have babies (A), feelings of failure (B), sadness due to the perceived loss of not being able to become parents (D), and guilt if one partner feels responsible for the infertility (E). Sexual excitement as a response to desperation to conceive (C) is not typically an emotional response associated with infertility issues.

Question 15

During the initial visit with the nurse at the fertility clinic, the patient asks what effect cigarette smoking has on the ability to conceive. The nurse's best response is:

Accepted Answer

Smoking can affect sperm motility, which can make it more difficult to conceive. It is important to discuss any tobacco use with your healthcare provider and consider quitting smoking to improve fertility.

Question 16

A nurse working in an infertility clinic should include which information in her discussions with the patients?

Accepted Answer

As a nurse working in an infertility clinic, it is important to discuss the various treatment options available to patients such as therapeutic insemination and in vitro fertilization. These are common and effective alternatives that should be discussed with couples seeking infertility treatments. It is not necessary to discuss the legal controversy surrounding artificial insemination or recommend marriage counseling unless the patient expresses a need for it. Additionally, discussing statistics around infertility may not be helpful or informative for patients, as every case is unique.

Question 17

The physician has prescribed the medication clomiphene citrate (Clomid) for a patient with infertility. The nurse's instructions to the woman should be:

Accepted Answer

Clomiphene citrate can cause visual disturbances as a side effect, and if they occur, the patient should contact the doctor as it may indicate a more serious issue.

Question 18

The nurse at the fertility clinic instructs a couple on the Huhner test. The nurse knows that the teaching has been effective when they state:

Accepted Answer

The Huhner test, also known as the post-coital test, assesses how sperm interacts with cervical mucus at the time of ovulation. It requires couples to have intercourse close to the time of ovulation and then examines the woman's cervical mucus under a microscope to see how the sperm are moving. This process can indeed feel less spontaneous because it has to be timed very specifically, which is why statement B reflects an understanding of the test's implications on their sex life. The other options are incorrect: A) is incorrect because the test is timed around ovulation, not the menstrual cycle; C) is incorrect because the specimen is not collected in a cup but rather examined from the cervix; D) is incorrect because the test focuses on sperm mobility in cervical mucus, not the count of sperm produced.

Question 19

The nurse is planning a group session for parents who are beginning infertility evaluation. Which statement should be included in this session?

Accepted Answer

A and D are both important statements to include in a group session for parents beginning infertility evaluation. Infertility can indeed be stressful for a marriage or relationship, and it's important to encourage open communication throughout the process. B may not always be accurate, as some cases of infertility may not have a clear cause. C is not a guarantee and may vary depending on insurance coverage. E is not a reliable or evidence-based statement.

Question 20

The nurse is planning to teach couples factors that influence fertility. Which factor should not be included in the teaching plan?

Accepted Answer

Sexual intercourse frequency may vary based on individual circumstances and preferences. There is no set number of times per week that guarantees fertility.

Quiz 12: Special Reproductive Concerns: Infertility and Genetics