Chapter 7 fam exam

"I've been having bleeding off and on that's irregular and sometimes heavy."

9s After assessing a woman who has come to the clinic, the nurse suspects that the woman is experiencing abnormal uterine bleeding. Which statement by the client would support the nurse's suspicions?

90 percent

A married couple, both age 27, is in the reproductive clinic and have been trying for a year to become pregnant. In a year, what percent of couples usually do conceive?

anovulation

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?

Desk job Salesman who travels daily Long-distance truck driver

A nurse is reviewing the medical records of several male clients who are undergoing fertility assessments. The nurse is evaluating the clients' responses to the type of work that they do. The nurse determines that a client involved in which type of work is as risk for a lowered sperm count? Select all that apply.

overstimulation of the ovary resulting in potential multiple births

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

Progesterone vaginal suppositories

A woman trying to conceive has been diagnosed with a luteal phase defect. Which medication would the nurse most likely anticipate as being prescribed for this woman?

mumps (testicular inflammation and scarring because of the mumps virus)

About which childhood communicable disease should the nurse question the male client who is seeking information about subfertility?

"Bring the sample to the lab immediately after you collect it."; Semen samples must be delivered to a lab no more than 30 minutes after collection. Storage in the refrigerator would violate this directive. The client should abstain from ejaculating for 3 to 5 days before collecting the sample. The semen does not need to be collected in the morning.

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?

FSH, to increase ovulation

Which laboratory result would be most important for a nurse to monitor for a client who has recently started letrozole?

client has just completed her menses (not likely to disrupt a spontaneous pregnancy) (second phase is for edometrial biopsy)

A 35-year-old female client who is unable to conceive is scheduled for a hysterosalpingogram to assess tubal patency. Which of the following would the nurse ensure before the client undergoes the hysterosalpingogram?

"I will call the health care provider to come visit with you." (The nurse needs to notify the health care provider because the client does not have a clear understanding of the outcomes of the procedure in which she is about to undergo.)

A client who is scheduled for hysteroscopy says to a nurse, 'I thought I would be able to have children, but now I know that will never be possible." Which response would be most appropriate for the nurse to make?

hysterosalpingography

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?

Chart body temperature for at least a month ( mornings)

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?

diet doesnt play a role

A nursing instructor is teaching about causes of infertility and identifies a need for further instruction when a student states which of the following?

blocked fallopian tubes ovarian dysfunction (In women, ovarian dysfunction and tubal/pelvic pathology are the primary contributing factors to infertility.)

A woman at the infertility clinic for the first time asks, "What could have caused my infertility?" Learning has taken place when the woman can identify which common causes of infertility?

This drug can be teratogenic early in pregnancy and shouldn't be continued if a pregnancy is suspected.

A woman trying to conceive has been prescribed metronidazole (Flagyl) for bacterial vaginosis. What should the nurse caution this patient while taking this medication?

"They will place a catheter in my uterus and use an ultrasound to see what the problem is."

A client has been given instructions about a scheduled sonohysterosalpingogram. Which statement, if made by the client, should indicate to a nurse that the client has an adequate understanding of the instructions?

"The primary care provider will transfer the egg and sperm into the fallopian tube where the egg will become fertilized."

A client is scheduled to have in vitro fertilization (IVF) in 1 week. Which statement made by the client indicates that she needs further teaching?

serum progesterone; Diagnostic studies performed to determine if ovulation is regular and whether the progestational endometrium is adequate for implantation may include a serum progesterone level and an ovulation index.

A couple has come to the infertility clinic because they have been unable to get pregnant even though they have been trying for over a year. Diagnostic tests are planned for the woman to ascertain if ovulation is regular and whether her endometrium is adequately supported for implantation. What test would the nurse expect to have ordered for this woman?

semen analysis of the partner ovulation monitoring tubal patency assessment

A female patient who has been trying to conceive for 1 year comes to the fertility clinic and will be undergoing a subfertility evaluation. When discussing the components involved, which information would the nurse most likely include? Select all that apply

desk job

A nurse has completed her assessment of a male patient for subfertility. Which finding would the nurse interpret as increasing the patient's risk for experiencing a limited sperm count?

oral temperature of 102°F (39°C) painful urination tenderness with cervical motion negative pregnancy history; (History and physical examination findings of PID include dysmenorrhea, dysuria, lower abdominal tenderness, cervical or vaginal mucopurulent discharge, and cervical motion tenderness. Typically the client has a fever above 101° F (38° C) and is nulliparous.)

A nurse is assessing a client diagnosed with pelvic inflammatory disease (PID). Which finding would the nurse most likely assess? Select all that apply.

Anovulation; absence of ovulation or release of ova from the ovary

A young woman is having trouble conceiving and has come in to the office for fertility testing. She states that she has irregular and unpredictable menstrual cycles. On blood testing, it is found that her ovaries are producing excess testosterone, which is lowering her follicle-stimulating hormone (FSH) and luteinizing hormone (LH) levels. Which of the following is the most likely cause of her subfertility?

Hypospadias; Anomalies of the penis, such as hypospadias (urethral opening on the ventral surface of the penis), can cause sperm to be deposited too far from the sexual partner's cervix to allow optimal cervical penetration. (although i think its epispadias)

The nurse is assessing a man concerned about his ability to father children because he has an "abnormality of the penis." The nurse finds that the urethral opening is on the ventral surface of the penis. How would the nurse document this finding?

intermittent, sharp, suprapubic pain

The nurse is preparing to assess a client who is noted to have a history of dysmenorrhea. The nurse predicts the client will report which potential symptom during the examination?