A client undergoing infertility treatment states that her partner ...

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A client undergoing infertility treatment states that her partner is angry all of the time since beginning treatment and is very negative in comments made about the likelihood of their achieving pregnancy. The client states, I was angry and depressed, but now I am dedicated to following through with treatment and hoping we get pregnant. What statements best describe the partner's behavior? Select all that apply.
 
  1. Showing that he will not be a good parent
  2. In a different stage of grief than the client
  3. Feeling guilty about not being able to father a child
  4. Having difficulty accepting the reality of their infertility
  5. Exhibiting signs of the anger stage of grieving the loss of their dreams of having children

Question 2

A client calls his urologist's office to clarify instructions about semen analysis. What should the nurse instruct the client to do?
 
  1. Use a lubricant while obtaining the semen specimen.
  2. Remain abstinent for 3 days prior to collecting the specimen.
  3. Immediately refrigerate the specimen for a maximum of 8 hours.
  4. Deliver the specimen to the laboratory within 1 hour of collection.

[zacnyjessica]

Answer to Question 1

2, 5
Explanation:
1. Being in the anger stage of grief is expected and normal and has no bearing on parenting ability.
2. The client is in the acceptance stage of grief, while the partner is in the anger stage. It is common and normal for families to be in different stages of the grieving process.
3. Guilt would manifest as feelings that it is his fault that pregnancy has not yet occurred. The client is describing anger.
4. The partner is in the anger stage of grief. Lack of acceptance would manifest as not believing that the diagnosis is correct.
5. The client's description of her partner correlates with the anger stage of grief. Couples often experience the stages of grief when infertility is diagnosed because childbearing is an expected outcome in marriage; the inability to become pregnant is the loss of the dream of parenthood.

Answer to Question 2

2
Explanation:
1. Most lubricants also are spermicidal and should not be used unless approved by the andrology laboratory.
2. To obtain accurate results of a semen analysis, the specimen is collected after 3 days of abstinence.
3. If the specimen is obtained at home, it needs to be kept at body temperature and delivered to the laboratory within 1 hour so as not to impair motility.
4. If the specimen is obtained at home, it needs to be delivered to the laboratory within 1 hour so as not to impair motility.