NUR 201 Test 3 - the difficulty, he and his wife are having gett...

NUR 201 Test 3

• 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. What is the nurse's most appropriate response?

• "Your sperm count seems to be okay in the first semen analysis."
• "Only marijuana cigarettes affect sperm count."
• "Smoking can give you lung cancer, even though it has no effect on sperm."
• "Smoking can reduce the quality of your sperm."

Answer

• "Smoking can reduce the quality of your sperm."

• Nurses should be aware that infertility

Answer

• Is perceived differently by women and men.
• Has a relatively stable prevalence among the overall population and throughout a women's

potential reproductive years.

• Is more likely the result of a physical flaw in the woman than in her male partner.
• Is the same thing as sterility.

Answer

• Is perceived differently by women and men.

• A woman experiencing menopause has been placed on hormone replacement therapy

(HRT) by her health care provider. What information regarding HRT should the nurse provide the client?

• "Hormone replacement therapy will assist in alleviating severe manifestations when used

on ashortterm basis."

• "You can stay on HRT as long as you need it."
• "You will find that HRT will improve bone density and serum lipids."
• "Hormone replacement therapy is safe for long-term us e

A n s wer .A. "Hormone replacement therapy will assist in alleviating severe manifestations when used on 1 / 4

a short-term basis."

• Pre-conception counseling

Answer first step family planning. physical examination, nutrition, exercise, screenings, sexual health alterations check (infertility, genetics, STIs).

• Prenatal education

Answer Programs offered to expectant families, adolescents, women, or partners to provide education regarding the pregnancy, labor, and birth experience.

• Infertility

Answer lack of conception after having unprotected intercourse for at least 12 months.

• Subfertility

Answer both parents have reduced fertility

• secondary infertility

Answer inability to conceive after a previous pregnancy

• causes of infertility in women

Answer hypothalamus dysfunction, pituitary insufficiency, thyroid or adrenal dysfunction, ovulation disorders, tubal occlusion, uterine factors (like fibroids), cervical factors (like cervical stenosis), or extra-genital factors (like STIs).

• causes of infertility in women percentages

-35%

-35% 2 / 4

-20%

-10%

Answer -ovulatory disorders

-tubal obstruction -endometriosis -idiopathic/unexplained

• Causes of infertility in males

Answer decreased sperm count, decreased sex drive, hormonal imbalances, erectile dysfunction, or decreased ability of sperm to fertilize egg.

• drugs that may decrease sperm count

Answer alcohol, tobacco, marijuana, testosterone supplements

• drugs that may affect male hormones

Answer marijuana, anabolic steroids, testosterone supplements

• drugs that may decrease male sex drive

Answer alcohol and SSRIs

• drugs that may cause ED in males

Answer alcohol, tobacco, cocaine

• Infertility Medications

Answer 3 / 4

-clomiphene citrate (Clomid)

-human menopausal gonadotropin (Repronex, Bravelle) -GnRH analogs (Lupron, Synarel, Zoladex) -therapeutic insemination (in vitro)

• Clomid

Answer a fertility drug that is used to stimulate ovulation and that has been associated with multiple births

• Natural Family Planning

Answer A morally acceptable way to time pregnancies based on the observation of a woman's naturally occurring times of fertility and infertility

• calendar rhythm method

Answer a fertility awareness method of contraception that takes account of variability in the length of a woman's menstrual cycles for 6 months

• basal body temperature method

Answer a type of rhythm method of birth control in which the woman determines when she ovulates by keeping track of her tempera- ture. temperature drops just before ovulation and rises after. abstain from intercourse the day temp rises and 3 days after

• temperature just before ovulation and after

Answer drops, rises

• Billings method (cervical mucus method)

Answer at time of ovulation mucus is clear, more stretchy and more permeable to sperm, assess for

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