Chapter 9: Infertility Flashcards
(22 cards)
Which test is performed around the time of ovulation to diagnose the basis of infertility?
b. Ultrasonography
An infertility specialist prescribes clomiphene citrate (Clomid, Serophene) for a woman experiencing infertility. She is very concerned about the risk of multiple pregnancies. What is the nurse’s most appropriate response?
a. “This is a legitimate concern. Would you like to discuss further the chances of multiple pregnancies before your treatment begins?”
A man smokes two packs of cigarettes a day. He wants to know if smoking is contributing to the difficulty he and his wife are having getting pregnant. Which guidance should the nurse provide?
“Smoking can reduce the quality of your sperm.”
A couple comes in for an infertility workup, having attempted to achieve pregnancy for 2 years. The woman, 37 years of age, has always had irregular menstrual cycles but is otherwise healthy. The man has fathered two children from a previous marriage and had a vasectomy reversal 2 years ago. The man has had two normal semen analyses, but the sperm seem to be clumped together. What additional testing is needed?
c. FSH level
A couple is attempting to cope with an infertility problem. They want to know what they can do to preserve their emotional equilibrium. What is the nurse’s most appropriate response?
c. “Get involved with a support group. I’ll give you some names.”
The nurse working with clients who have infertility concerns should be aware of the use of leuprolide acetate (Lupron) as a gonadotropin-releasing hormone (GnRH) agonist. For which condition would this medication be prescribed?
b. Uterine fibroids
Which condition would be inappropriate to treat with exogenous progesterone (human chorionic gonadotropin)?
a. Thyroid dysfunction
In vitro fertilization–embryo transfer (IVF-ET) is a common approach for women with blocked fallopian tubes or with unexplained infertility and for men with very low sperm counts. A husband and wife have arrived for their preprocedural interview. Which explanation regarding the procedure is most accurate?
a. “The procedure begins with collecting eggs from your wife’s ovaries.”
With regard to the assessment of female, male, or couple infertility, the nurse should be aware of which important information?
b. The investigation will take several months and can be very costly
The nurse is having her first meeting with a couple experiencing infertility. The nurse has formulated the nursing diagnosis, “Deficient knowledge, related to lack of understanding of the reproductive process with regard to conception.” Which nursing intervention does not apply to this diagnosis?
c. Evaluate the couple’s support system.
. Male fertility declines slowly after age 40 years; however, no cessation of sperm production analogous to menopause in women occurs in men. What condition is not associated with advanced paternal age?
d. Down syndrome
A woman inquires about herbal alternative methods for improving fertility. Which statement by the nurse is most appropriate when informing the client on which herbal preparations may improve ovulation induction therapy?
b. “You may want to try black cohosh or phytoestrogens.”
To provide adequate care, the nurse should be cognitive of which important information regarding infertility?
a. Is perceived differently by women and men.
Although remarkable developments have occurred in reproductive medicine, assisted reproductive therapies are associated with numerous legal and ethical issues. Nurses can provide accurate information about the risks and benefits of treatment alternatives to enable couples to make informed decisions about their choice of treatment. Which concern is unnecessary for the nurse to address before treatment?
d. Financial ability to cover the cost of treatment
Which statement regarding gamete intrafallopian transfer (GIFT) is most accurate?
d. Ova and sperm are transferred to one tube
Significant advances have been made with most reproductive technologies. Which improvement has resulted in increased success related to preimplantation genetic diagnosis?
b. Embryos are transferred at the blastocyst stage
An infertile woman is about to begin pharmacologic treatment. As part of the regimen, she will take purified FSH (Metrodin). The nurse instructs her that this medication is administered in the form of what?
c. Intramuscular (IM) injection
. A couple arrives for their first appointment at an infertility center. Which of the following is a noninvasive test performed during the initial diagnostic phase of testing?
c. Sperm analysis
Many factors, male and female, contribute to normal fertility. Approximately 40% of cases of infertility are related to the female partner. Which factors are possible causes for female infertility? (Select all that apply.)
a. Congenital or developmental b. Hormonal or ovulatory c. Tubal or peritoneal d. Uterine
A probable cause for increasing infertility is the societal delay in pregnancy until later in life. What are the natural reasons for the decrease in female fertility? (Select all that apply.)
a. Ovulation dysfunction c. Organ damage from toxins d. Endometriosis e. Tubal infections
Women who have undergone an oophorectomy, have ovarian failure, or a genetic defect may be eligible to receive donor oocytes (eggs). Which statements regarding oocyte donation are accurate?
b. Donor eggs are fertilized with the male partner’s sperm. c. Donors are under 35 years of age. d. Recipient undergoes hormonal stimulation.
Which procedure falls into the category of micromanipulation techniques of the follicle?
c. Intracytoplasmic sperm injection (ISCI) d. Assisted hatching
