Deck 37: Infertility

Question 1

Ingrid is a 32-year-old client who has struggled to get pregnant and has come to the office today to find out if she might be infertile. In Ingrid's case, which of the following criteria must be met for infertility to be diagnosed, as should be explained by the nurse? (Select all that apply.)

A) No prior pregnancies
B) Regular sexual intercourse
C) Unprotected sexual intercourse
D) Well-timed sexual intercourse
E) At least 12 months of actively attempting to get pregnant

Answer 1

B, C, D, E

Question 2

At what age is it estimated that fertility begins to decline in women?

A) 30
B) 35
C) 40
D) 45

Answer 2

B

Question 3

For the period 2011 to 2013, about what percentage of women aged 15 to 44 years reported difficulty getting pregnant or carrying a baby to term?

A) 24%
B) 34%
C) 44%
D) 54%

Answer 3

A

Question 4

Bonnie is a 31-year-old client who has been trying to get pregnant for 18 months now. After interviewing Bonnie and going over her health record, which of the following are the risk factors for infertility, as should be mentioned by the nurse to Bonnie? (Select all that apply.)

A) Her age (31 years)
B) Drinking two beers per day
C) Body mass index (BMI) of 16
D) Strict vegetarian diet
E) Walking a mile each day for exercise

Question 5

Minnie is a 21-year-old client who has just been diagnosed with chlamydia. What complication associated with this infection that can lead to infertility should the nurse inform Minnie of?

A) Pelvic inflammatory disease
B) Epididymitis
C) Ovarian cancer
D) Endometriosis

Question 6

Mike, a 40-year-old client, is coming to the office to undergo assessment related to infertility. Which of the following should the nurse tell Mike to be prepared to do?

A) Undergo a digital rectal exam
B) Have a urinary catheter placed
C) Undergo an EKG
D) Masturbate to provide a semen specimen

Question 7

Which of the following are risk factors for males related to infertility? (Select all that apply.)

A) Undescended testicles
B) History of radiography of the groin
C) Onset of puberty at the age of 13 years
D) Erectile dysfunction
E) Mumps-related orchitis

Question 8

Hope, a 35-year-old client, has been diagnosed with oligomenorrhea. Which of the following are medications the nurse should consider prescribing to Hope to induce ovulation and aid conception? (Select all that apply.)

A) Mifepristone
B) Levonorgestrel
C) Clomiphene citrate
D) Aromatase inhibitor
E) Human chorionic gonadotropin

Question 9

Which assistive reproductive technology has a higher fecundability than natural conception?

A) Intrauterine insemination
B) Gamete intrafallopian transfer
C) In vitro fertilization
D) Zygote intrafallopian transfer

Question 10

What recommendations related to use of reproductive technologies should the nurse follow to help avoid ethical problems? (Select all that apply.)

A) Progress from invasive to conservative measures
B) Avoid excessive treatments and costs
C) Provide full disclosure regarding success rates of a procedure before initiating it
D) Offer counseling for gamete donors, surrogates, and their partners
E) Insist that the offspring conceived by gamete donation be informed of the nature of conception by the age of 12 years

Question 11

A client with ovarian cancer who will be undergoing surgery and radiation therapy is concerned that she will become infertile as a result of the treatment. Which of the following should the nurse recommend that the client consider?

A) Cryopreservation of her oocytes
B) Estrogen therapy
C) Intrauterine insemination
D) Adoption