Chapter 8

Semen analysis has been ordered for the partner of a client who has been unable to become pregnant. What instructions should the nurse provide to the partner?

"Bring the sample to the lab immediately after you collect it."

Health hx questions?

General health Nutrition Alcohol, drug, or tobacco use Congenital problems of reproductive tract, past STDs or genital tract surgery Current illnesses Contraceptive history and pregnancies in previous relationships Occupational/lifestyle hazards

Male questions?

Radiation to testes Surgeries or treatments Sexual practices Occupation (sitting, industrial exposure) Recreational activities

A couple comes to the clinic and states to the nurse, "I don't think we are ever going to be able to have children. We have been trying but have had no luck." What assessments does the nurse anticipate will be performed for this couple? Select all that apply.

semen analysis ovulation monitoring tubal patency

The nurse is assessing a couple who has come to the health care facility because they have been unable to conceive a child. When assessing the woman, the nurse would identify which factor as increasing the woman's risk for infertility?

endometriosis

A woman has just been prescribed clomiphene citrate to stimulate ovulation. Which possible effect should the nurse warn the woman about?

overstimulation of the ovary resulting in potential multiple births

The nurse is caring for a couple who are trying to get pregnant and have not been able to for over a year. The nurse explains to the couple that diagnostic testing usually begins on the male partner, as these tests are easier. The couple asks what kind of problems a man can have that can cause infertility. What should be the nurse's response?

"Men can have problems that increase the temperature around their testicles, which decreases the quality of their semen."

A nursing instructor is teaching about subfertility to nursing students and perceives their understanding when they define subfertility existing when a pregnancy has not occurred after how much time of engaging in unprotected coitus?

12 months

A nurse is teaching a female client who is unable to conceive how to monitor her basal body temperature. Which instruction would the nurse prioritize for this client?

Chart body temperature for at least a month

A client asks the nurse, "What would be the best way to get pregnant." The nurse would incorporate which of the following in the response?

Conception is more likely when intercourse occurs within 72 hours of ovulation

A nurse is conducting a class for a group of couples about subfertility. When describing the causes of subfertility, which cause would the nurse include as being most common?

anovulation

A clinic nurse explains to a client who is undergoing an infertility workup that the patency of her fallopian tubes will be checked. Which test is currently used to do this?

hysterosalpingography

The nurse is assessing a male client who is concerned about his ability to produce enough sperm to have a child. He tells the nurse, "I have had some issues in my younger years." What questions would be important for the nurse to ask this client? Select all that apply.

"Do you use drugs or use alcohol excessively? "Are you exposed to X-rays or other radioactive substances?" "Have you ever had any type of trauma or surgery on or near your testicles?"

Female questions?

Past pregnancies, miscarriages, abortions, surgeries Menstrual history (age x interval x duration) Current or past reproductive tract problems Radiation to pelvis Use of douches or intravaginal medications Nutrition (folic acid) Ovulation detection