Chapter 10 Reproductive Genetics
Chapter 11 Special Reproductive Concerns: Infertility and Genetics
1) During the initial visit with the nurse at the fertility clinic, the client asks
what effect cigarette smoking has on the ability to conceive. What is the nurses
best response?
1. Smoking has no effect.
2. Only if you smoke more than one pack a day will you experience
difficulty.
3. After your first semen analysis, we will determine whether there will be
any difficulty.
4. Smoking can affect the quantity of sperm.
Answer: 4
Explanation: 4. The quantity and quality of male sperm are affected by
cigarette smoking.
Page Ref: 194
Cognitive Level: Applying
Client Need/Sub: Health Promotion and Maintenance: Lifestyle Choices
Standards: QSEN Competencies: I. B. 10. Engage patients or designated
surrogates in active partnerships that promote health, safety and well-being, and
self-care management. | AACN Essentials Competencies: IX. 7. Provide
appropriate patient teaching that reflects developmental stage, age, culture,
spirituality, patient preferences, and health literacy considerations to foster
patient engagement in their care. | NLN Competencies: Relationship-
Centered Care: Communicate information effectively; listen openly and
cooperatively. | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1 Compare the essential components of fertility with the
possible causes of infertility.
MNL LO: 1.3.1 Explain infertility and its associated risk factors.
2) A couple is seeking advice regarding what they can do to increase the
chances of becoming pregnant. What recommendation can the nurse give to
,the couple?
1. The couple could use vaginal lubricants during intercourse.
2. The couple should delay having intercourse until the day of ovulation.
3. The woman should refrain from douching.
4. The woman should be on top during intercourse.
Answer: 3
Explanation: 3. This is the correct answer, as douching can alter sperm
mobility.
Page Ref: 195
Cognitive Level: Applying
Client Need/Sub: Health Promotion and Maintenance: Self-Care
Standards: QSEN Competencies: I. B. 10. Engage patients or designated
surrogates in active partnerships that promote health, safety and well-being, and
self-care management. | AACN Essentials Competencies: IX. 7. Provide
appropriate patient teaching that reflects developmental stage, age, culture,
spirituality, patient preferences, and health literacy considerations to foster
patient engagement in their care. | NLN Competencies: Relationship-
Centered Care: Communicate information effectively; listen openly and
cooperatively. | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1 Compare the essential components of fertility with the
possible causes of infertility.
1
Copyright 2016 Pearson Education, Inc.
MNL LO: 1.3.1 Explain infertility and its associated risk factors.
3) The nurse is teaching an infertile couple about the causes of infertility. The
nurse tells them that infertility can be caused by which of the following?
Note: Credit will be given only if all correct and no incorrect choices are
selected.
Select all that apply.
1. Immunological responses
2. Congenital anomalies
,3. Patent fallopian tubes
4. Hypothyroidism
5. Favorable cervical mucus
Answer: 1, 2, 4
Explanation: 1. Immunological responses, such as antisperm antibodies, can
cause infertility.
2. Congenital anomalies, such as a septate uterus, can cause infertility.
4. Hypothyroidism is a cause of infertility.
Page Ref: 194
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Health
Promotion/Disease Prevention
Standards: QSEN Competencies: I. B. 10. Engage patients or designated
surrogates in active partnerships that promote health, safety and well-being, and
self-care management. | AACN Essentials Competencies: IX. 7. Provide
appropriate patient teaching that reflects developmental stage, age, culture,
spirituality, patient preferences, and health literacy considerations to foster
patient engagement in their care. | NLN Competencies: Relationship-
Centered Care: Communicate information effectively; listen openly and
cooperatively. | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1 Compare the essential components of fertility with the
possible causes of infertility.
MNL LO: 1.3.1 Explain infertility and its associated risk factors.
2
Copyright 2016 Pearson Education, Inc.
4) A client and her husband have contacted their physician about fertility
problems. At the initial visit, the nurse instructs them about the infertility
workup. Which statement by the client would indicate that the instructions have
been successful?
1. The first test that we need to schedule is a semen analysis.
2. We need to schedule the Pap smear test first.
, 3. We need to schedule an appointment with the social worker in order to adopt.
4. We need to schedule an appointment with a marriage counselor.
Answer: 1
Explanation: 1. A semen analysis is one of the first diagnostic tests, prior to
doing invasive procedures.
Page Ref: 195
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Health
Promotion/Disease Prevention
Standards: QSEN Competencies: I. B. 10. Engage patients or designated
surrogates in active partnerships that promote health, safety and well-being, and
self-care management. | AACN Essentials Competencies: IX. 7. Provide
appropriate patient teaching that reflects developmental stage, age, culture,
spirituality, patient preferences, and health literacy considerations that foster
patient engagement in their care. | NLN Competencies: Relationship-
Centered Care: Communicate information effectively; listen openly and
cooperatively. | Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 2 Describe the elements of the preliminary investigation
of infertility and the nurses role in supporting/teaching patients during this
phase.
MNL LO: 1.3.2 Examine the assessment process for male and female infertility.
5) A nurse working in an infertility clinic should include which information
in her discussions with the clients?
1. It is important to know the statistics surrounding couples who never learn
why they are infertile.
2. Couples should understand the legal controversy concerning therapeutic
insemination.
3. Couples should seek marriage counseling before undergoing fertility
treatments.
4. Couples should discuss therapeutic insemination and in vitro fertilization
as alternatives.
Chapter 11 Special Reproductive Concerns: Infertility and Genetics
1) During the initial visit with the nurse at the fertility clinic, the client asks
what effect cigarette smoking has on the ability to conceive. What is the nurses
best response?
1. Smoking has no effect.
2. Only if you smoke more than one pack a day will you experience
difficulty.
3. After your first semen analysis, we will determine whether there will be
any difficulty.
4. Smoking can affect the quantity of sperm.
Answer: 4
Explanation: 4. The quantity and quality of male sperm are affected by
cigarette smoking.
Page Ref: 194
Cognitive Level: Applying
Client Need/Sub: Health Promotion and Maintenance: Lifestyle Choices
Standards: QSEN Competencies: I. B. 10. Engage patients or designated
surrogates in active partnerships that promote health, safety and well-being, and
self-care management. | AACN Essentials Competencies: IX. 7. Provide
appropriate patient teaching that reflects developmental stage, age, culture,
spirituality, patient preferences, and health literacy considerations to foster
patient engagement in their care. | NLN Competencies: Relationship-
Centered Care: Communicate information effectively; listen openly and
cooperatively. | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1 Compare the essential components of fertility with the
possible causes of infertility.
MNL LO: 1.3.1 Explain infertility and its associated risk factors.
2) A couple is seeking advice regarding what they can do to increase the
chances of becoming pregnant. What recommendation can the nurse give to
,the couple?
1. The couple could use vaginal lubricants during intercourse.
2. The couple should delay having intercourse until the day of ovulation.
3. The woman should refrain from douching.
4. The woman should be on top during intercourse.
Answer: 3
Explanation: 3. This is the correct answer, as douching can alter sperm
mobility.
Page Ref: 195
Cognitive Level: Applying
Client Need/Sub: Health Promotion and Maintenance: Self-Care
Standards: QSEN Competencies: I. B. 10. Engage patients or designated
surrogates in active partnerships that promote health, safety and well-being, and
self-care management. | AACN Essentials Competencies: IX. 7. Provide
appropriate patient teaching that reflects developmental stage, age, culture,
spirituality, patient preferences, and health literacy considerations to foster
patient engagement in their care. | NLN Competencies: Relationship-
Centered Care: Communicate information effectively; listen openly and
cooperatively. | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1 Compare the essential components of fertility with the
possible causes of infertility.
1
Copyright 2016 Pearson Education, Inc.
MNL LO: 1.3.1 Explain infertility and its associated risk factors.
3) The nurse is teaching an infertile couple about the causes of infertility. The
nurse tells them that infertility can be caused by which of the following?
Note: Credit will be given only if all correct and no incorrect choices are
selected.
Select all that apply.
1. Immunological responses
2. Congenital anomalies
,3. Patent fallopian tubes
4. Hypothyroidism
5. Favorable cervical mucus
Answer: 1, 2, 4
Explanation: 1. Immunological responses, such as antisperm antibodies, can
cause infertility.
2. Congenital anomalies, such as a septate uterus, can cause infertility.
4. Hypothyroidism is a cause of infertility.
Page Ref: 194
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Health
Promotion/Disease Prevention
Standards: QSEN Competencies: I. B. 10. Engage patients or designated
surrogates in active partnerships that promote health, safety and well-being, and
self-care management. | AACN Essentials Competencies: IX. 7. Provide
appropriate patient teaching that reflects developmental stage, age, culture,
spirituality, patient preferences, and health literacy considerations to foster
patient engagement in their care. | NLN Competencies: Relationship-
Centered Care: Communicate information effectively; listen openly and
cooperatively. | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1 Compare the essential components of fertility with the
possible causes of infertility.
MNL LO: 1.3.1 Explain infertility and its associated risk factors.
2
Copyright 2016 Pearson Education, Inc.
4) A client and her husband have contacted their physician about fertility
problems. At the initial visit, the nurse instructs them about the infertility
workup. Which statement by the client would indicate that the instructions have
been successful?
1. The first test that we need to schedule is a semen analysis.
2. We need to schedule the Pap smear test first.
, 3. We need to schedule an appointment with the social worker in order to adopt.
4. We need to schedule an appointment with a marriage counselor.
Answer: 1
Explanation: 1. A semen analysis is one of the first diagnostic tests, prior to
doing invasive procedures.
Page Ref: 195
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Health
Promotion/Disease Prevention
Standards: QSEN Competencies: I. B. 10. Engage patients or designated
surrogates in active partnerships that promote health, safety and well-being, and
self-care management. | AACN Essentials Competencies: IX. 7. Provide
appropriate patient teaching that reflects developmental stage, age, culture,
spirituality, patient preferences, and health literacy considerations that foster
patient engagement in their care. | NLN Competencies: Relationship-
Centered Care: Communicate information effectively; listen openly and
cooperatively. | Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 2 Describe the elements of the preliminary investigation
of infertility and the nurses role in supporting/teaching patients during this
phase.
MNL LO: 1.3.2 Examine the assessment process for male and female infertility.
5) A nurse working in an infertility clinic should include which information
in her discussions with the clients?
1. It is important to know the statistics surrounding couples who never learn
why they are infertile.
2. Couples should understand the legal controversy concerning therapeutic
insemination.
3. Couples should seek marriage counseling before undergoing fertility
treatments.
4. Couples should discuss therapeutic insemination and in vitro fertilization
as alternatives.
