Chapter 09- Infertility Lowdermilk- Maternity &
Women's Health Care, 12th Edition Latest Update
Solution Solved 2022
1. Which test is performed
... [Show More] around the time of ovulation to diagnose the basis of
infertility?
a. Hysterosalpingogram
b. Vaginal ultrasonography
c. Laparoscopy
d. Follicle-stimulating hormone (FSH) level - ANS: B
Ultrasonography is performed around the time of ovulation to assess pelvic structures
for abnormalities, to verify follicular development, and to assess the thickness of the
endometrium. A hysterosalpingogram is scheduled 2 to 5 days after menstruation to
avoid flushing a potentially fertilized ovum out through a uterine tube into the peritoneal
cavity. Laparoscopy is usually scheduled early in the menstrual cycle. Hormone
analysis is performed to assess endocrine function of the hypothalamic-pituitary-ovarian
axis when menstrual cycles are absent or irregular.
2. 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. Which guidance
should the nurse provide?
a. "Your sperm count seems to be okay in the first semen analysis."
b. "Only marijuana cigarettes affect sperm count."
c. "Although smoking has no effect on sperm count, it can give you lung cancer."
d. "Smoking can reduce the quality of your sperm." - ANS: D
Cigarette smoking has detrimental effects on sperm and has been associated with
abnormal sperm, a decreased number of sperm, and chromosomal damage. The nurse
may suggest a smoking cessation program to increase the fertility of the male partner.
Sperm counts vary from day to day and are dependent 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. Marijuana use
may depress the number and motility of sperm. Smoking is indeed a causative agent for
lung cancer.
3. 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?
a. Testicular biopsy
b. Antisperm antibodies
c. Serum prolactin level
d. Examination for testicular infection - ANS: C. CONTINUES... [Show Less]