Chapter 32: Infertility

Chapter 32: Infertility

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Large amounts of leukocytes in the seminal fluid suggest:

ANS:  C

The presence of large amounts of leukocytes suggests an infection. Adequate fructose must be present to supply energy for the sperm. An inflammatory process would be diagnosed by abnormal consistency or chemical composition. If an obstruction is present, the total amount of the seminal fluid would be abnormal.

PTS:   1                    DIF:    Cognitive Level: Understanding       REF:   704

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Health Promotion and Maintenance

2. A couple who has not achieved a successful pregnancy is scheduled to meet with a fertility specialist. Which simple evaluation is usually the first test to be performed?

ANS:  A

Semen analysis is usually the first test to be performed because it is least costly and noninvasive. Endometrial biopsy determines whether the endometrium is responding to ovarian stimulation. A testicular biopsy is an invasive examination using a local anesthetic. Hysterosalpingography uses a contrast medium to evaluate the structure and patency of the uterus and tubes.

PTS:   1                    DIF:    Cognitive Level: Understanding       REF:   707

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Physiologic Integrity

3. Which situation best describes secondary infertility in a couple?

ANS:  D

Secondary infertility occurs in couples who have conceived before but are unable to conceive again. Primary infertility occurs when a couple has never conceived or who has not conceived after 1 year of unprotected intercourse. Repeated spontaneous abortions are considered primary infertility.

PTS:   1                    DIF:    Cognitive Level: Understanding       REF:   701

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Health Promotion and Maintenance

4. A woman undergoing evaluation of infertility states, “At least when we’re through with all of these tests, we will know what is wrong.” The nurse’s best response is:

ANS:  C

Problems with infertility must be approached realistically. Nurses should not make judgments or give false reassurance. Providing accurate information to the couple is the best response. The nurse should not make statements indicating that problems will be resolved, because this gives a false impression. The tests are not always definitive, so the nurse should not give false reassurance. The nurse should not offer her view or opinion but should state the facts.

PTS:   1                    DIF:    Cognitive Level: Application           REF:   702

OBJ:   Nursing Process Step: Planning        MSC:  Client Needs: Physiologic Integrity