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During preconception counseling, a nurse discusses the impact of male age on fertility. What statement requires correction?
- A. Pregnancy rates are not related to the age of the male partner.
- B. Sexually active males should be routinely tested for STIs and treated appropriately.
- C. Maintaining a healthy weight is important for the reproductive health of both female and male partners.
- D. Certain medications, such as testosterone supplementation and chemotherapy, can impact male fertility.
Correct Answer: A
Rationale: The correct answer is A because male age does impact fertility. Advanced paternal age is associated with decreased fertility and increased risk of genetic abnormalities in offspring. Choice B is correct as STIs can affect fertility. Choice C is relevant as obesity can impact male fertility. Choice D is correct as certain medications can impact male fertility. Overall, choice A is incorrect as male age does play a role in fertility outcomes.
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A 35-year-old client is being seen for her yearly gynecological examination. She states that she and her partner have been trying to become pregnant for a little over 6 months, and that a friend had recently advised her partner to take ginseng to improve the potency of his sperm. The woman states that they have decided to take their friend's advice. On which of the following information should the nurse base his or her reply?
- A. Based on their history
- B. the client and her partner have made the appropriate decision regarding their fertility.
- C. Ginseng can cause permanent chromosomal mutations and should be stopped immediately.
- D. It is unnecessary to become concerned about this woman's fertility because she has tried to become pregnant for only a few months.
Correct Answer: D
Rationale: While ginseng may have some benefits, fertility counseling is advisable given the duration of attempts.
A couple is seeking advice regarding actions that they can take to increase their potential of becoming pregnant. Which of the following recommendations should the nurse give to the couple?
- A. The couple should use vaginal lubricants during intercourse.
- B. The couple should delay having intercourse until the day of ovulation.
- C. The woman should refrain from douching.
- D. The man should be on top during intercourse.
Correct Answer: C
Rationale: Douching can alter the vaginal pH and reduce sperm motility, thus reducing fertility.
A client who is undergoing ovarian stimulation for infertility calls the infertility nurse and states, “My abdomen feels very bloated, my clothes are very tight, and my urine is very dark.†Which of the following is the appropriate statement for the nurse to make at this time?
- A. Please take a urine sample to the lab so they can check it for an infection.
- B. Those changes indicate that you are likely already pregnant.
- C. It is important for you to come into the office to be examined today.
- D. Abdominal bloating is an expected response to the medications.
Correct Answer: C
Rationale: Symptoms described could indicate ovarian hyperstimulation syndrome, requiring immediate evaluation.
A genetic counselor's report states, 'The genetic nomenclature for this fetus is 46, XX.' How should the nurse who reads this report interpret the cytogenetic results?
- A. The baby is female with a normal number of chromosomes.
- B. The baby is hermaphroditic male with female chromosomes.
- C. The baby is male with an undisclosed genetic anomaly.
- D. There is insufficient information to answer this question.
Correct Answer: A
Rationale: 46, XX indicates a genetically normal female.
What advice should the nurse give a patient with irregular periods trying to conceive?
- A. Track ovulation using basal body temperature and ovulation kits.
- B. Increase carbohydrate intake to regulate cycles.
- C. Avoid exercise to prevent further irregularity.
- D. Undergo hormone therapy immediately.
Correct Answer: A
Rationale: The correct answer is A because tracking ovulation using basal body temperature and ovulation kits helps identify the most fertile days for conception. This method allows the patient to time intercourse effectively. Increasing carbohydrate intake (B) does not address the root cause of irregular periods. Avoiding exercise (C) is not recommended as moderate exercise can actually help regulate menstrual cycles. Undergoing hormone therapy immediately (D) is an aggressive approach and should only be considered after other options have been explored.