Question 1

A couple, in which both members are 22 years of age, wants to know what it can do to improve the chances of conceiving. What should the nurse respond to this couple?&#10;A) Have coitus every day.&#10;B) Have coitus every other day.&#10;C) Consume a high-fat, low-protein diet.&#10;D) The female-superior position is the best for conception.

Accepted Answer

Although frequent intercourse may stimulate sperm production, men need sperm recovery time after ejaculation to maintain an adequate sperm count. This is why coitus every other day, rather than every day, during the fertile period will probably yield faster results. A diet that is low in fat and moderate in protein is recommended. The male-superior position is the best for conception because the sperm will be closer to the cervical opening.

Question 2

The nurse is assessing a male for sperm count. Which circumstance would be most important to ask about during the health history?&#10;A) Jogs frequently&#10;B) Works at a desk job&#10;C) Eats a low-lipid diet&#10;D) Takes a vitamin supplement

Accepted Answer

Actions that directly increase scrotal heat, such as working at a desk job, may cause sperm counts to be lower compared with men whose occupations allow them to be ambulatory at least part of each day. Jogging, a low-lipid diet, and vitamin supplementation are not as important as physical posturing when beginning an analysis for a low sperm count.

Question 3

The nurse is planning an education session for couples planning to conceive. What should the nurse include to support the 2020 National Health Goals? (Select all that apply.)&#10;A) Highlight the importance of good nutrition.&#10;B) Include health promotion activities for both men and women.&#10;C) Stress the importance of having coitus every day while trying to conceive.&#10;D) Remind about safe sex practices to reduce sexually transmitted infections.&#10;E) Explain that conception rarely occurs in couples during the first year of trying.

Accepted Answer

To support the 2020 National Health Goals, the nurse should focus on health promotion, early identification of problems that could lead to subfertility such as poor nutrition, and teaching patients about safer sex practices so the incidence of sexually transmitted infections and pelvic inflammatory disease can be reduced. It is best to have coitus every other day so that the sperm have adequate time to mature. Ninety percent of couples who have routine unprotected sex conceive within a year.

Question 4

A male is diagnosed as being infertile, but he wants to have children with his spouse. Which response should the nurse provide to this patient?&#10;A) &#34;You need to consider donor-alternative insemination.&#34;&#10;B) &#34;The chance of conception is slight with artificial insemination.&#34;&#10;C) &#34;You and your sexual partner should consider embryo transfer first because it is safer.&#34;&#10;D) &#34;Artificial insemination is useful only if your sexual partner has an allergy to your sperm.&#34;

Accepted Answer

Donor sperm (alternative insemination by donor) is used if the man has no sperm. There is no evidence to support that the chance of conception is slight with artificial insemination. Embryo transfer is for the female partner who does not produce ova.
Artificial insemination is useful for many different situations.

Question 5

The nurse is teaching a female to take her basal body temperature daily to assess the time of ovulation. What will the patient's body temperature reflect as the day of ovulation?&#10;A) Increase a degree.&#10;B) Decrease a degree.&#10;C) Fluctuate a degree daily.&#10;D) Spike one degree then drop.

Accepted Answer

At the time of ovulation, the basal body temperature can be seen to dip slightly (about 0.5ºF); it then rises to a level no higher than normal body temperature; it then stays at that level until 3 or 4 days before the next menstrual flow. This increase in basal body temperature marks the time of ovulation because it occurs immediately after ovulation. Upon ovulation, the basal body temperature will not decrease a degree, fluctuate, or spike and then drop.

Question 6

The nurse is scheduling a female patient for a hysterosalpingogram. Which question would be most important to ask the patient before scheduling the procedure?&#10;A) When did you have coitus last?&#10;B) Are you allergic to any sedatives?&#10;C) What is your blood type and Rh factor?&#10;D) When do you expect your next menstrual flow?

Accepted Answer

Because X-ray, which might be harmful to a growing pregnancy, is used, the procedure must be scheduled immediately following a menstrual flow when pregnancy could not be present. Asking about coitus, sedative allergies, or blood time and Rh factor are not the most important when scheduling the patient for a hysterosalpingogram.

Question 7

The female partner of a young couple is concerned about what the results of fertility tests might reveal. Which nursing diagnosis should the nurse use to plan care for this patient?&#10;A) Fear related to possible outcome of subfertility studies&#10;B) Deficient knowledge related to measures to promote fertility&#10;C) Anxiety related to the procedures necessary for fertility testing&#10;D) Situational low self-esteem related to the apparent inability to conceive

Accepted Answer

The nursing diagnosis that would be the most appropriate to address concerns about the outcome of subfertility studies would be fear related to possible outcome. There is no information to support this patient having a knowledge deficit. The patient already had the testing so anxiety regarding these procedure processes would not be appropriate at this time. It is unknown if the patient will experience situational low self-esteem because the results of the fertility tests have not be disclosed to the patient.

Question 8

The nurse instructs a couple on the process of basic fertility testing. Which patient statements indicate that teaching has been effective? (Select all that apply.)&#10;A) &#34;The quality of the sperm will be looked at.&#34;&#10;B) &#34;The sperm will be tested for adequate number.&#34;&#10;C) &#34;A test will be done to determine if ovulation is occurring.&#34;&#10;D) &#34;The importance of using in vitro fertilization will be discussed.&#34;&#10;E) &#34;It will be determined if the sperm and eggs are able to meet correctly.&#34;

Accepted Answer

There are three parts to basic fertility testing. The sperm are analyzed for number and quality, ovulation is determined, and the environment for the sperm and egg to meet is analyzed. In vitro fertilization is not a part of basic fertility testing.

Question 9

What should the nurse include when explaining endometriosis as a cause for a female patient's infertility?&#10;A) &#34;You do not ovulate because of endometrial implants on the ovaries.&#34;&#10;B) &#34;Your uterine cervix fails to close because it is engorged with tissue.&#34;&#10;C) &#34;Menstrual sloughing does not occur, so there is never a new base for embryo growth.&#34;&#10;D) &#34;Ovulation does take place misplaced endometrial tissue interferes with transport of the ovum.&#34;

Accepted Answer

Endometriosis refers to the implantation of uterine endometrium, or nodules, that have spread from the interior of the uterus to locations outside the uterus. If viable particles of endometrium enter a tube, they can cause tubal obstruction; growths on the ovaries can displace fallopian tubes away from the ovaries, preventing the entrance of ova into the tubes. Peritoneal macrophages, which are drawn to nodules of endometrium, can destroy sperm. Endometriosis does not affect ovulation, cervix competence, or menstruation.

Question 10

Before signing the consent form for a myomectomy, the patient asks why an intrauterine device (IUD) is being inserted because the goal is to become pregnant. What should the nurse respond to the patient?

A) After a myomectomy, an IUD will not prevent pregnancy.
B) Pregnancy must be avoided for a year after a myomectomy.
C) It is used to ensure an adequate menstrual blood flow occurs.
D) It prevents the uterine sides from touching and forming new adhesions.

Accepted Answer

During a myomectomy, an IUD may be inserted to prevent the uterine sides from touching and forming new adhesions. This treatment can be difficult for a woman to accept because preventing pregnancy through an IUD is exactly what she does not want to do. The IUD is not inserted to prevent pregnancy. An IUD will prevent pregnancy even after a myomectomy. The IUD is not used to ensure an adequate menstrual blood flow.

Question 11

The nurse completes instructing a female patient on the process of in vitro fertilization. Which statement indicates that patient teaching has been effective?&#10;A) &#34;I will need to select a surrogate mother.&#34;&#10;B) &#34;It can be done with frozen donor sperm.&#34;&#10;C) &#34;Most procedures are effective the first time tried.&#34;&#10;D) &#34;This is dangerous if there is ovarian cancer in my family.&#34;

Accepted Answer

The answer of The nurse completes instructing a female patient...

Question 12

The nurse has completed a fertility assessment on a couple and is preparing outcomes for care. Which statement indicates that the couple wants to continue with the process, regardless of the outcome?&#10;A) Couple interested in learning about other options to having a family.&#10;B) Couple wants to have a family but has limited resources for artificial methods.&#10;C) Couple states the desire to minimize disruptions in their normal activities for testing.&#10;D) Couple desires to continue with testing after it is determined that one partner is fertile.

Accepted Answer

The answer of The nurse has completed a fertility assessment...

Question 13

A female patient is willing to alter nutrition and activity status in an attempt to conceive. What teaching should the nurse provide to support this patient's desire? (Select all that apply.)&#10;A) Exercise 30 minutes each day.&#10;B) Plan to reduce body fat to less than 10%.&#10;C) Ingest vegetables that are high in fiber.&#10;D) Consciously reduce every day stressors.&#10;E) Add brown rice and dark bread to the diet.

Accepted Answer

The answer of A female patient is willing to alter...

Question 14

A female patient being treated for infertility is completing the third course of clomiphene citrate (Clomid). What information should the nurse prepare for the patient in the event this course does not result in conception?

A) Agencies that coordinate adoptions
B) Strategies to improve sperm motility
C) Additional options to achieve conception
D) Informed consent for taking a fourth course of the medication

Accepted Answer

The answer of A female patient being treated for infertility...

Question 15

An adolescent is diagnosed with pelvic inflammatory disease believed to have been caused by abdominal adhesions after an appendectomy. What should the nurse explain to the patient about future success with fertility?

A) "You won't ovulate normally."
B) "Your body will reject any embryo implantation."
C) "Your cervical mucus is changed, and sperm will be killed."
D) "The eggs won't go through the fallopian tubes because of scarring."

Unlock Deck

Unlock for access to all 15 flashcards in this deck.

Unlock Deck

k this deck

Accepted Answer

The answer of An adolescent is diagnosed with pelvic inflammatory...

Deck 8: Nursing Care of the Family Having Difficulty Conceiving a Child