A couple is seeking infertility information from the nurse. Which ...

[Diane]

A couple is seeking infertility information from the nurse. Which statement made by the couple would indicate the need for intervention by the nurse?
 
  1. We have been to two doctors already.
  2. We have intercourse at least three times a week.
  3. We are using temperature tracking for ovulation prediction.
  4. We have been trying to conceive for a year.

Question 2

During the well-child assessment on a toddler-age male client, the nurse notes that the testes are not descended. Based on this data, which action by the nurse is the most appropriate?
 
  1. Report the finding to the healthcare provider.
  2. Ask the parent if the child has had any surgeries.
  3. Proceed with palpation of the scrotum.
  4. Inquire about the child's voiding patterns.

[wilsonbho]

Answer to Question 1

Correct Answer: 4
Couples are not considered for infertility treatment until they have tried to conceive for at least one year. Temperature tracking for ovulation and frequent intercourse are suggested when trying to conceive. The number of healthcare providers the couple has been to is not relevant information in this situation.

Answer to Question 2

Correct Answer: 1
Undescended testes, or cryptochidism, is common in preterm infants, but should resolve spontaneously by one year of age. If unresolved, the condition can lead to infertility in the male and put him at greater risk for testicular cancer. This abnormal finding should be reported to the healthcare provider. Previous surgeries and voiding patterns are not relevant to this situation, and palpation will not be possible.