Exam 9: Infertility

Evaluation for infertility should be offered to couples who have failed to become pregnant after 1 year of regular intercourse or after 6 months if the woman is older than 35 years. Impaired fertility in women may be the result of numerous factors. Careful identification of the cause of infertility assists in determining the correct treatment plan. The nurse who chooses to work in the specialty of infertility must have an excellent understanding of these factors and causes. Match each factor affecting female infertility with the likely cause. -Endometrial or myometrial tumors

Evaluation for infertility should be offered to couples who have failed to become pregnant after 1 year of regular intercourse or after 6 months if the woman is older than 35 years. Impaired fertility in women may be the result of numerous factors. Careful identification of the cause of infertility assists in determining the correct treatment plan. The nurse who chooses to work in the specialty of infertility must have an excellent understanding of these factors and causes. Match each factor affecting female infertility with the likely cause. -Endometriosis

Which statement regarding gamete intrafallopian transfer (GIFT)is most accurate?

An infertile woman is about to begin pharmacologic treatment.As part of the regimen,she will take purified FSH (Metrodin).The nurse instructs her that this medication is administered in the form of what?

Evaluation for infertility should be offered to couples who have failed to become pregnant after 1 year of regular intercourse or after 6 months if the woman is older than 35 years. Impaired fertility in women may be the result of numerous factors. Careful identification of the cause of infertility assists in determining the correct treatment plan. The nurse who chooses to work in the specialty of infertility must have an excellent understanding of these factors and causes. Match each factor affecting female infertility with the likely cause. -Anorexia

In vitro fertilization-embryo transfer (IVF-ET)is a common approach for women with blocked fallopian tubes or with unexplained infertility and for men with very low sperm counts.A husband and wife have arrived for their preprocedural interview.Which explanation regarding the procedure is most accurate?

Significant advances have been made with most reproductive technologies.Which improvement has resulted in increased success related to preimplantation genetic diagnosis?

A couple comes in for an infertility workup,having attempted to achieve pregnancy for 2 years.The woman,37 years of age,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 testing is needed?

The nurse is having her first meeting with a couple experiencing infertility.The nurse has formulated the nursing diagnosis,"Deficient knowledge,related to lack of understanding of the reproductive process with regard to conception." Which nursing intervention does not apply to this diagnosis?

Although remarkable developments have occurred in reproductive medicine,assisted reproductive therapies are associated with numerous legal and ethical issues.Nurses can provide accurate information about the risks and benefits of treatment alternatives to enable couples to make informed decisions about their choice of treatment.Which concern is unnecessary for the nurse to address before treatment?

A woman inquires about herbal alternative methods for improving fertility.Which statement by the nurse is most appropriate when informing the client on which herbal preparations may improve ovulation induction therapy?

A couple arrives for their first appointment at an infertility center.Which of the following is a noninvasive test performed during the initial diagnostic phase of testing?

Many factors,male and female,contribute to normal fertility.Approximately 40% of cases of infertility are related to the female partner.Which factors are possible causes for female infertility? (Select all that apply).

An infertility specialist prescribes clomiphene citrate (Clomid,Serophene)for a woman experiencing infertility.She is very concerned about the risk of multiple pregnancies.What is the nurse's most appropriate response?

Evaluation for infertility should be offered to couples who have failed to become pregnant after 1 year of regular intercourse or after 6 months if the woman is older than 35 years. Impaired fertility in women may be the result of numerous factors. Careful identification of the cause of infertility assists in determining the correct treatment plan. The nurse who chooses to work in the specialty of infertility must have an excellent understanding of these factors and causes. Match each factor affecting female infertility with the likely cause. -Thyroid dysfunction or obesity

Which procedure falls into the category of micromanipulation techniques of the follicle? (Select all that apply).

Evaluation for infertility should be offered to couples who have failed to become pregnant after 1 year of regular intercourse or after 6 months if the woman is older than 35 years. Impaired fertility in women may be the result of numerous factors. Careful identification of the cause of infertility assists in determining the correct treatment plan. The nurse who chooses to work in the specialty of infertility must have an excellent understanding of these factors and causes. Match each factor affecting female infertility with the likely cause. -Isoimmunization

Women who have undergone an oophorectomy,have ovarian failure,or a genetic defect may be eligible to receive donor oocytes (eggs).Which statements regarding oocyte donation are accurate? (Select all that apply).

A probable cause for increasing infertility is the societal delay in pregnancy until later in life.What are the natural reasons for the decrease in female fertility? (Select all that apply).

With regard to the assessment of female,male,or couple infertility,the nurse should be aware of which important information?