Chapter 11 Special Reproductive Concerns: Infertility and Genetics

Chapter 11   Special Reproductive Concerns: Infertility and Genetics

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1) During the initial visit with the nurse at the fertility clinic, the client asks what effect cigarette smoking has on the ability to conceive. What is the nurse’s best response?

1. “Smoking has no effect.”
2. “Only if you smoke more than one pack a day will you experience difficulty.”
3. “After your first semen analysis, we will determine whether there will be any difficulty.”
4. “Smoking can affect the quantity of sperm.”

Answer:  4

Explanation:  4. The quantity and quality of male sperm are affected by cigarette smoking.

Page Ref: 194

Cognitive Level:  Applying

Client Need/Sub:  Health Promotion and Maintenance: Lifestyle Choices

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:  1 Compare the essential components of fertility with the possible causes of infertility.

MNL LO:  1.3.1 Explain infertility and its associated risk factors.

 

2) A couple is seeking advice regarding what they can do to increase the chances of becoming pregnant. What recommendation can the nurse give to the couple?

1. The couple could use vaginal lubricants during intercourse.
2. The couple should delay having intercourse until the day of ovulation.
3. The woman should refrain from douching.
4. The woman should be on top during intercourse.

Answer:  3

Explanation:  3. This is the correct answer, as douching can alter sperm mobility.

Page Ref: 195

Cognitive Level:  Applying

Client Need/Sub:  Health Promotion and Maintenance: Self-Care

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome:  1 Compare the essential components of fertility with the possible causes of infertility.

MNL LO:  1.3.1 Explain infertility and its associated risk factors.

3) The nurse is teaching an infertile couple about the causes of infertility. The nurse tells them that infertility can be caused by which of the following?

Note: Credit will be given only if all correct and no incorrect choices are selected.

Select all that apply.

1. Immunological responses
2. Congenital anomalies
3. Patent fallopian tubes
4. Hypothyroidism
5. Favorable cervical mucus

Answer:  1, 2, 4

Explanation:  1. Immunological responses, such as antisperm antibodies, can cause infertility.

2. Congenital anomalies, such as a septate uterus, can cause infertility.
3. Hypothyroidism is a cause of infertility.

Page Ref: 194

Cognitive Level:  Understanding

Client Need/Sub:  Health Promotion and Maintenance: Health Promotion/Disease Prevention

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:  1 Compare the essential components of fertility with the possible causes of infertility.

MNL LO:  1.3.1 Explain infertility and its associated risk factors.

 

 

4) A client and her husband have contacted their physician about fertility problems. At the initial visit, the nurse instructs them about the infertility workup. Which statement by the client would indicate that the instructions have been successful?

1. “The first test that we need to schedule is a semen analysis.”
2. “We need to schedule the Pap smear test first.”
3. “We need to schedule an appointment with the social worker in order to adopt.”
4. “We need to schedule an appointment with a marriage counselor.”

Answer:  1

Explanation:  1. A semen analysis is one of the first diagnostic tests, prior to doing invasive procedures.

Page Ref: 195

Cognitive Level:  Understanding

Client Need/Sub:  Health Promotion and Maintenance: Health Promotion/Disease Prevention

Standards:  QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations that foster patient engagement in their care. | NLN Competencies: Relationship-Centered Care: Communicate information effectively; listen openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome:  2 Describe the elements of the preliminary investigation of infertility and the nurse’s role in supporting/teaching patients during this phase.

MNL LO:  1.3.2 Examine the assessment process for male and female infertility.