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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.
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The nurse is counseling a female patient who has unsuccessfully attempted to become pregnant through a variety of methods and treatments for infertility. Which psychosocial manifestation is the nurse most likely to recognize?
- A. Close connections with extended family
- B. Strong intimate relationship with her partner
- C. Difficulty accepting pregnancy if it does occur
- D. Greater focus on career and job opportunities
Correct Answer: C
Rationale: The correct answer is C: Difficulty accepting pregnancy if it does occur. A patient who has struggled with infertility may have developed emotional barriers or fears related to pregnancy due to past disappointments. This psychosocial manifestation is common in individuals who have faced challenges with fertility. It is important for the nurse to recognize and address this potential issue during counseling.
A: Close connections with extended family is not the most likely psychosocial manifestation in this scenario. While extended family support can be beneficial, it may not be the primary concern for a patient struggling with infertility.
B: Strong intimate relationship with her partner is important for coping with infertility, but it is not the most likely manifestation for the nurse to recognize in this scenario.
D: Greater focus on career and job opportunities is not the most likely psychosocial manifestation for a patient struggling with infertility. While some individuals may prioritize their career, the primary concern in this case is related to emotional challenges with pregnancy acceptance.
Identify the birthing place providing the most comprehensive labor, birth, and immediate postpartum and newborn care.
- A. hospital with LDRP and NICU units
- B. in-hospital birthing center
- C. free-standing birthing center
- D. home birth
Correct Answer: A
Rationale: The correct answer is A: hospital with LDRP and NICU units. Hospitals with Labor-Delivery-Recovery-Postpartum (LDRP) and Neonatal Intensive Care Unit (NICU) provide the most comprehensive care for labor, birth, and immediate postpartum and newborn care. LDRP units allow women to stay in one room for the entire birthing process, ensuring continuity of care. The NICU is crucial for providing specialized care to newborns with complications. In-hospital birthing centers lack the full range of medical resources available in hospitals, free-standing birthing centers may not have immediate access to emergency care, and home births carry risks due to limited medical interventions available.
What routine lab tests should a pregnant person have in the first trimester? Select all that apply.
- A. complete blood count (CBC)
- B. blood type and Rh factor
- C. urinalysis
- D. thyroid function tests
Correct Answer: D
Rationale: The correct answer is D: thyroid function tests. During pregnancy, thyroid function is crucial for the health of the mother and baby. Thyroid disorders can lead to complications. Testing thyroid function in the first trimester helps detect any abnormalities early.
A, B, and C are commonly performed tests in pregnancy, but they are not specific to the first trimester. A CBC helps assess overall health, blood type and Rh factor are important for identifying potential blood type incompatibilities, and urinalysis can indicate urinary tract infections or other issues. However, these tests are not unique to the first trimester and are typically done throughout pregnancy.
Match each term with its description. Blastocyst
- A. None
- B. None
- C. Part of the blastocyst that will develop into the placenta.
- D. None
Correct Answer: C
Rationale: Blastocyst contains structures forming the placenta.
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.