Deck 7: Families With Special Reproductive Concerns

Question 1

The nurse is reviewing prenatal assessment data for several clients.Which one would be most likely to receive a genetic amniocentesis?

A)25-year-old primipara
B)40-year-old primipara
C)30-year-old multipara
D)28-year-old who conceived after taking fertility drugs

Answer 1

40-year-old primipara

Question 2

A client calls the fertility clinic to schedule a laparoscopy.The nurse instructs the client to:

A)Stay on bedrest 48 hours after the procedure.
B)Expect to have shoulder and arm pain.
C)Purchase a rectal tube to relieve the gas.
D)Lie on her back to relieve the gas pain.

Answer 2

Lie on her back to relieve the gas pain.

Question 3

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:

A)"We must have sexual intercourse one day prior to the menstrual cycle."
B)"This test removes the spontaneity from our sex lives."
C)"The specimen is collected in a sterile cup."
D)"This test counts the number of sperm my husband produces."

Answer 3

"This test removes the spontaneity from our sex lives."

Question 4

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

A)Circumcised client
B)Client with a history of premature ejaculation
C)Client with a history of measles at age 12
D)Client employed as an engineer

Question 5

A newborn has been diagnosed with a disorder that occurs through an autosomal recessive inheritance pattern.The parents ask the nurse,"Which of us passed on the gene that caused the disorder?" The nurse tells them it was:

A)The female.
B)The male.
C)Neither.
D)Both.

Question 6

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

A)"The first test that we need to schedule is a semen analysis."
B)"We need to schedule the Huhner test first."
C)"We need to schedule an appointment with the social worker in order to adopt."
D)"We need to schedule an appointment with a counselor."

Question 7

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

A)"Have sexual intercourse every day for 1 week,starting 5 days after completion of medication."
B)"Take a pregnancy test before restarting medication."
C)"Contact the doctor if visual disturbances occur."
D)"Discontinue the medication if hot flashes occur."

Question 8

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

A)Refer them to a marriage counselor.
B)Provide them with information and instructions throughout the diagnostic and therapeutic process.
C)Express concern and caring.
D)Inquire about the names they have chosen for their baby.

Question 9

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

A)"Smoking has no effect."
B)"Only if you smoke more that one pack a day will you experience difficulty."
C)"After your first semen analysis,we will determine if there will be any difficulty."
D)"Smoking can affect sperm motility."

Question 10

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

A)Sexual intercourse should occur four times a week.
B)Get up to urinate 1 hour after intercourse.
C)Do not douche.
D)Institute stress-reduction techniques.

Question 11

A nurse counsels a couple on sex-linked disorders.Both are carriers of the disorder.They ask the nurse how this disorder will affect any children they might have.The nurse's best response is:

A)"If you have a daughter,she will not be affected."
B)"Your son will be affected,since the father has the disorder."
C)"There is a 25% chance that your son will have the disorder,since the mother has the disorder."
D)"There is a 50% chance that your son will be a carrier only."

Question 12

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

A)"You might want to consider adoption."
B)"An option you might consider is in vitro fertilization."
C)"Surrogacy might be your best option."
D)"Many couples utilize therapeutic husband insemination."
E)"The GIFT procedure has had much success."

Question 13

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

A)Avoid sexual intercourse 24 hours prior to obtaining a specimen.
B)Use a latex condom to collect the specimen.
C)Expect that a repeat test might be required.
D)Expect a small sample.

Question 14

A 58-year-old father and a 45-year-old mother gave birth to a baby boy 2 days ago.The nurse assesses a single palmar crease and low-set ears on the newborn.The nurse plans to counsel the couple about which of the following chromosomal abnormality?

A)Trisomy 13
B)Trisomy 18
C)Trisomy 21
D)Trisomy 26