Deck 9: Infertility

Question 1

In their role of implementing a plan of care for infertile couples,nurses should:

A)Be comfortable with their own sexuality and nonjudgmental about others to effectively counsel their clients
B)Know about such nonmedical remedies as diet,exercise,and stress management
C)Be able to direct clients to sources of information about what herbs to take that might help and which ones to avoid
D)Do all of these plus be knowledgeable about potential drug and surgical remedies

Answer 1

Do all of these plus be knowledgeable about potential drug and surgical remedies

Question 2

Normally a fertile couple has approximately a 50% chance of conception each ovulatory cycle.Is this statement true or false?

Answer 2

False

Question 3

Which test used to diagnose the basis of infertility is done during the luteal or secretory phase of the menstrual cycle?

A)Hysterosalpingogram
B)Endometrial biopsy
C)Laparoscopy
D)Follicle-stimulating hormone (FSH)level

Answer 3

Endometrial biopsy

Question 4

A man smokes two packs of cigarettes a day.He wants to know if smoking is contributing to the difficulty he and his wife are having getting pregnant.The nurse's most appropriate response is:

A)"Your sperm count seems to be okay in the first semen analysis."
B)"Only marijuana cigarettes affect sperm count."
C)"Smoking can give you lung cancer,even though it has no effect on sperm."
D)"Smoking can reduce the quality of your sperm."

Question 5

With regard to the assessment of female,male,and couple infertility,nurses should be aware that:

A)The couple's religious,cultural,and ethnic backgrounds provide emotional clutter that does not affect the clinical scientific diagnosis
B)The investigation takes several months and can be very costly
C)The woman is assessed first;if she is not the problem,the male partner is analyzed
D)Semen analysis is for men;the postcoital test is for women

Question 6

The ___________________ __________ is one method used to evaluate the adequacy of coital technique,cervical mucous,sperm quality and penetration.

Question 7

The nurse working with a client who has infertility concerns should be aware that leuprolide acetate (Lupron),a gonadotropin-releasing hormone (GnRH)agonist,may be prescribed for an infertile woman to treat:

A)Anovulatory cycles
B)Uterine fibroids
C)Polycystic ovary disease (PCOD)
D)Luteal phase inadequacy

Question 8

Many factors,male and female,contribute to normal fertility.Approximately 40% of cases of infertility are related to the female partner.These alterations in physiology belong to one of five categories.Choose all that apply.

A)Congenital or developmental factors
B)Hormonal or ovulatory factors
C)Tubal or peritoneal factors
D)Uterine factors
E)Emotional or psychologic factors

Question 9

In vitro fertilization-embryo transfer (IVF-ET)is a common approach for women with blocked fallopian tubes or with unexplained infertility and for men with very low sperm counts.A husband and wife have arrived for their preprocedural interview.The husband asks the nurse to explain what the procedure entails.The nurse's most appropriate response is:

A)"IVF is a type of assisted reproductive therapy that involves collecting eggs from your wife's ovaries,fertilizing them in the lab with your sperm,and transferring the embryo to her uterus."
B)"A donor embryo will be transferred into your wife's uterus."
C)"Donor sperm will be used to inseminate your wife."
D)"Don't worry about the technical stuff;that's what we are here for."

Question 10

A couple comes in for an infertility workup,having attempted to get pregnant for 2 years.The woman,37,has always had irregular menstrual cycles but is otherwise healthy.The man has fathered two children from a previous marriage and had a vasectomy reversal 2 years ago.The man has had two normal semen analyses,but the sperm seem to be clumped together.What additional test is needed?

A)Testicular biopsy
B)Antisperm antibodies
C)Follicle-stimulating hormone (FSH)level
D)Examination for testicular infection

Question 11

A couple is trying to cope with an infertility problem.They want to know what they can do to preserve their emotional equilibrium.The nurse's most appropriate response is:

A)"Tell your friends and family so that they can help you."
B)"Talk only to other friends who are infertile,because only they can help."
C)"Get involved with a support group.I'll give you some names."
D)"Start adoption proceedings immediately,because obtaining an infant is very difficult."

Question 12

Obesity is associated with infertility as well as poorer outcomes for assisted reproductive technologies.Is this statement true or false?

Question 13

Danazol (androgens)may be prescribed for an infertile woman if she has:

A)Thyroid dysfunction
B)Elevated levels of prolactin
C)Inadequate levels of follicle-stimulating hormone (FSH)
D)Endometriosis

Question 14

A physician prescribes clomiphene citrate (Clomid,Serophene)for a woman experiencing infertility.She is very concerned about the risk of multiple births.The nurse's most appropriate response is:

A)"This is a legitimate concern.Would you like to discuss this further before your treatment begins?"
B)"No one has ever had more than triplets with Clomid."
C)"Ovulation will be monitored with ultrasound so that this will not happen."
D)"Ten percent is a very low risk,so you don't need to worry too much."