Question 1

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?

Accepted Answer

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

Question 2

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

Accepted Answer

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 womenE) B) and C)
F) A) and D) B

Question 3

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

Accepted Answer

A)  Hysterosalpingogram
B)  Endometrial biopsy
C)  Laparoscopy
D)  Follicle-stimulating hormone (FSH) levelE) B) and C)
F) A) and D)

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:

Accepted Answer

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."E) None of the above
F) All of the above D

Question 5

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

Accepted Answer

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 remediesE) A) and B)
F) All of the above

Question 6

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:

Accepted Answer

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."E) C) and D)
F) All of the above

Question 7

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.

Accepted Answer

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

Question 8

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:

Accepted Answer

A)  Anovulatory cycles
B)  Uterine fibroids
C)  Polycystic ovary disease (PCO
D)  
D)  Luteal phase inadequacyE) A) and B)
F) B) and D)

Question 9

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

Accepted Answer

A) True 
 B)False

Question 10

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:

Accepted Answer

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."E) None of the above
F) B) and C)

Question 11

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

Accepted Answer

A)  Thyroid dysfunction
B)  Elevated levels of prolactin
C)  Inadequate levels of follicle-stimulating hormone (FSH) 
D)  EndometriosisE) All of the above
F) None of the above

Question 12

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:

Accepted Answer

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."E) B) and D)
F) A) and D) A

Question 13

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

Accepted Answer

A) True 
 B)False

Question 14

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

Accepted Answer

Postcoital test
This test is p...

Exam 9: Infertility

Correct Answer
verified

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

Correct Answer
verified
B

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

Correct Answer
verified

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:

Correct Answer
verified
D

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

Correct Answer
verified

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:

Correct Answer
verified

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.

Correct Answer
verified

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:

Correct Answer
verified

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

Correct Answer
verified

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:

Correct Answer
verified

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

Correct Answer
verified

Correct Answer
verified
A

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

Correct Answer
verified

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

Correct Answer
verified
Postcoital test
This test is p...
View Answer

Exam 9: Infertility

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedB

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

Correct AnswerverifiedShow Answer

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:

Correct AnswerverifiedD

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

Correct AnswerverifiedShow Answer

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:

Correct AnswerverifiedShow Answer

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.

Correct AnswerverifiedShow Answer

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:

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

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:

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedShow Answer

Correct AnswerverifiedA

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

Correct AnswerverifiedShow Answer

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

Correct AnswerverifiedPostcoital testThis test is p...View AnswerShow Answer

Correct Answer
verified

Correct Answer
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B

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D

Correct Answer
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verified

Correct Answer
verified

Correct Answer
verified

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verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
A

Correct Answer
verified

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

Correct Answer
verified
Postcoital test
This test is p...
View Answer