Infertility, Contraception, & Abortion NCLEX Questions with Answers and Rationale for guaranteed pass
Which test used to diagnose the basis of infertility is done during the luteal or secretory phase of the menstrual cycle?
a. Hysterosalpingogram
b. Endometrial biopsy
c. Laparoscopy
d. Follicle-stimulating hormone (FSH) level
D
Rationale
(Use of tobacco, alcohol, and marijuana may affect sperm counts. "Your sperm count seems to be okay in the first semen analysis" is inaccurate. Sperm counts vary from day
to day and depend on emotional and physical status and sexual activity. Therefore a single analysis may be inconclusive. A minimum of two analyses must be performed several weeks apart to assess male fertility. Use of tobacco, alcohol, and marijuana may
affect sperm counts.)
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. The nurse's most appropriate response is:
a. "Your sperm count seems to be okay in the first semen analysis."
b. "Only marijuana cigarettes affect sperm count."
c. "Smoking can give you lung cancer, even though it has no effect on sperm."
d. "Smoking can reduce the quality of your sperm."
C
Rationale
(The woman has irregular menstrual cycles. The scenario does not indicate that she has had any testing related to this irregularity. Hormone analysis is performed to assess
endocrine function of the hypothalamic-pituitary-ovarian axis when menstrual cycles are
absent or irregular. Determination of blood levels of prolactin, FSH, luteinizing hormone (LH), estradiol, progesterone, and thyroid hormones may be necessary to diagnose the cause of irregular menstrual cycles. A testicular biopsy would be indicated only in cases of azoospermia (no sperm cells) or severe oligospermia (low number of sperm cells). Antisperm antibodies are produced by a man against his own sperm. This is unlikely to be the case here, because the husband has already produced children. Examination for
testicular infection would be done before semen analysis. Furthermore, infection would affect spermatogenesis.)
A couple comes in for an infertility workup, having attempted to get pregnant for 2 years.
The woman, 37, has always had irregular menstrual cycles but is otherwise healthy. The
man has fathered two children from a previous marriage and had a vasectomy reversal 2 years ago. The man has had two normal semen analyses, but the sperm seem to be clumped together. What additional test is needed?
a. Testicular biopsy
b. Antisperm antibodies
c. Follicle-stimulating hormone (FSH) level
d. Examination for testicular infection
C
Rationale
(Venting negative feelings may unburden the couple. A support group may provide a safe haven for the couple to share their experiences and gain insight from others' experiences. Although talking about their feelings may unburden them of negative feelings, infertility can be a major stressor that affects the couple's relationships with family and friends. Limiting their interactions to other infertile couples may be a beginning point for addressing psychosocial needs, but depending on where the other couple is in their own recovery process, this may or may not help them. The statement about adoption proceedings is not supportive of the psychosocial needs of this couple and may be detrimental to their well-being)
A couple is trying to cope with an infertility problem. They want to know what they can do to preserve their emotional equilibrium. The nurse's most appropriate response is:
a. "Tell your friends and family so they can help you."
b. "Talk only to other friends who are infertile because only they can help."
c. "Get involved with a support group. I'll give you some names."
d. "Start adoption proceedings immediately because it is very difficult to obtain an infant."
B
(Herbs that a woman should avoid while trying to conceive include licorice root, yarrow, wormwood, ephedra, fennel, golden seal, lavender, juniper, flaxseed, pennyroyal, passionflower, wild cherry, cascara, sage, thyme, and periwinkle. Nettle leaf, dong quai,
