Infertility

A man smokes two packs of cigarettes per 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

"Smoking can give you lung cancer, even though it has no effect on sperm." "Only marijuana cigarettes affect sperm counts." "Your sperm count seems to be okay in the first semen analysis." **"Smoking can decrease the quality of your sperm."

A client who is undergoing ovarian stimulation for infertility calls the infertility nurse and states, "My abdomen feels bloated, my clothes are very tight, and my urine is very dark." Which if the following is the appropriate statement for the nurse to make at this time?

**"It is important for you to come into the office to be examined today." "Abdominal bloating is an expected response to the medication." "Please take take a urine sample to the lab so they can check it for an infection." "Those changes indicate that you are likely already pregnant."

The client is to have a hysterosalpingogram. In this procedure, the physician will be able to determine which of the following

**Whether or not the fallopian tubes are obstructed. Whether or not the ovaries are maturing properly. If the cervix is incompetent. If the endometrium is fully vascularized.

A couple is seeking infertility counseling. The practitioner has identified the factors listed below in the woman's health history. Which of these findings may be contributing to the couples infertility

The client works as a dental hygienist 3 days a week. The client was 13 years old when she started to menstruate. **The client is 36 years old. The client jogs 2 miles every day.

A couple is seeking infertility counseling. During the history, it is noted that the man is a cancer survivor, drinks one beer every night with dinner, and takes a sauna every day after work. The response provided by the nurse should be based on which of the following?

Cancer survivors have the same fertility rates as healthy males. **Sperm may be malformed when exposed to the heat of the sauna. It is unlikely that any of these factors is affecting his fertility. Daily alcohol consumption could be altering his sperm count.