Nokea
A male patient is diagnosed with low sperm count as the cause of infertility. Which interventions will the nurse recommend to improve the patient’s sperm count? Select all that apply.
- A. Yoga or relaxation techniques
- B. Surgical repair of an inguinal hernia
- C. Switch to underwear made from cotton
- D. Avoidance of showers with hot water temperature
Correct Answer: A
Rationale: The correct answer is A: Yoga or relaxation techniques. Stress can negatively impact sperm count, so relaxation techniques like yoga can help reduce stress levels and improve sperm count. Surgical repair of an inguinal hernia (Choice B) is unrelated to sperm count. Switching to cotton underwear (Choice C) may help with ventilation, but it does not directly impact sperm count. Avoiding hot showers (Choice D) can prevent overheating of the testicles, but it is not as effective as stress reduction techniques in improving sperm count.
You may also like to solve these questions
The upper uterus is the best place for the fertilized ovum to implant due to which anatomical adaptation?
- A. Maternal blood flow is lower.
- B. Placenta attaches most firmly.
- C. Uterine endometrium is softer.
- D. Developing baby is best nourishe
Correct Answer: D
Rationale: The correct answer is D because the upper uterus provides the developing baby with the best nourishment due to increased blood flow and nutrient supply. This area allows for optimal growth and development of the fetus. Maternal blood flow is higher in the upper uterus, not lower (A). While the placenta attaches firmly in the upper uterus, it is not the main reason for the implantation site (B). The uterine endometrium is softer in the lower uterus, not the upper, making choice C incorrect. In summary, the upper uterus is ideal for implantation due to increased nourishment for the developing baby, making choice D the correct answer.
A patient at 37 weeks gestation arrives at the labor and delivery unit and reports a rupture of her membranes. Which factor causes the nurse to anticipate the HCP will prescribe a medical method of labor induction?
- A. The fetus is viable and the barrier for a sterile uterine environment is breached.
- B. The fetus is at risk for “drying out” and causing the mother to have a dry birth.
- C. The mother must be maintained on complete bedrest until contractions begin.
- D. The mother is at risk for developing an infection and passing it to the fetus.
Correct Answer: A
Rationale: The correct answer is A: The fetus is viable and the barrier for a sterile uterine environment is breached. At 37 weeks gestation, the fetus is considered full-term and capable of surviving outside the womb. Rupture of membranes increases the risk of infection as it exposes the fetus to the vaginal flora. Therefore, a medical method of labor induction may be prescribed to prevent complications such as intrauterine infection.
Choices B, C, and D are incorrect:
B: The fetus "drying out" and causing a dry birth is not a valid reason for labor induction.
C: Bedrest until contractions begin is not a standard approach for managing ruptured membranes.
D: While infection risk is a concern with ruptured membranes, the primary reason for induction is to prevent harm to the fetus due to the breach in the sterile uterine environment, not just maternal infection.
Fewer fetal movements than expected suggest possible:
- A. Intrauterine fetal growth restriction.
- B. Inaccurate gestational age dating.
- C. Rapid intrauterine fetal maturation.
- D. Reduced placental perfusion with fetal hypoxia.
Correct Answer: D
Rationale: Reduced placental perfusion or fetal hypoxia can lead to fewer fetal movements.
What is the function of the yolk sac in early pregnancy?
- A. Provides antibodies to the developing fetus
- B. Produces blood cells for the fetus
- C. Secretes hormones needed to support the pregnancy
- D. Becomes the placenta
Correct Answer: B
Rationale: The correct answer is B because the yolk sac in early pregnancy produces blood cells for the fetus. This is essential for the fetus's development as it helps in the formation of the circulatory system. The other choices are incorrect because:
A: Providing antibodies to the developing fetus is typically done by the placenta, not the yolk sac.
C: Hormones needed to support the pregnancy are mainly secreted by the placenta and other maternal structures, not the yolk sac.
D: The yolk sac does not become the placenta; they are two distinct structures with different functions.
Which physical characteristics decrease as the fetus nears term? (Select all that apply.)
- A. Vernix caseosa
- B. Lanugo
- C. Port wine stain
- D. Brown fat
Correct Answer: A
Rationale: Vernix caseosa is a protective, waxy substance on the fetus' skin that decreases as the fetus nears term due to absorption into the skin. Lanugo, fine hair that covers the fetus, persists until birth. Port wine stain, a birthmark, and brown fat, a specialized fat for newborns' warmth, do not decrease as the fetus nears term.