Author Question: A male patient visits the infertility clinic for the results of his comprehensive exam. The exam ... (Read 74 times)

jwb375 · **on:** Jun 27, 2018

A male patient visits the infertility clinic for the results of his comprehensive exam. The exam indicated oligospermia. The patient asks the nurse which procedure would assist him and his wife to conceive.

The nurse's best response is: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. You might want to consider adoption.
2. An option you might consider is in vitro fertilization.
3. Surrogacy might be your best option.
4. Many couples utilize therapeutic husband insemination.
5. The GIFT procedure has had much success.

Question 2

The nurse manager is planning a presentation on ethical issues in caring for childbearing families. Which example should the nurse manager include to illustrate maternalfetal conflict?

1. A patient chooses an abortion after her fetus is diagnosed with a genetic anomaly.
2. A 39-year-old nulliparous patient undergoes therapeutic insemination.
3. A family of a child with leukemia requests cord-blood banking at this birth.
4. A cesarean delivery of a breech fetus is court-ordered after the patient refuses.

zhanghao · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2,4
Rationale 1: Adoption is not necessarily an immediate option.
Rationale 2: The in vitro fertilization procedure is used in cases in which infertility has resulted from male infertility.
Rationale 3: Surrogacy is not necessarily an immediate option.
Rationale 4: Therapeutic husband insemination is generally indicated for such seminal deficiencies as oligospermia.
Rationale 5: The GIFT procedure is not an immediate option.

Answer to Question 2

4
Rationale 1: Abortion is a different type of ethical situation.
Rationale 2: Achieving pregnancy through the use of therapeutic insemination is a form of reproductive assistance, and is not considered a maternalfetal conflict.
Rationale 3: Cord-blood banking is a different type of ethical situation.
Rationale 4: Maternalfetal conflict is a special ethical situation where the rights of the fetus and the rights of the mother are considered separately. Coercion by court order to undergo operative delivery is one example of a maternalfetal conflict that infringes on the autonomy of the mother.