Which action involves both legal and ethical issues for the ...

[karen]

Which action involves both legal and ethical issues for the nurse?
 
  a. Abortion c. Assisted suicide
  b. Informed consent d. Fetal surgery

Question 2

If only a small volume of sperm is discharged into the vagina, an insufficient amount of enzymes might be released when they encounter the ovum. In that case, pregnancy would probably not result, because:
 
  1. Peristalsis of the fallopian tube would decrease, making it difficult for the ovum to enter the uterus.
  2. The block to polyspermy (cortical reaction) would not occur.
  3. The fertilized ovum would be unable to implant in the uterus.
  4. Sperm would be unable to penetrate the zona pellucida of the ovum.

[babybsemail]

Answer to Question 1

B
Informed consent has both legal and ethical bases. Abortion is dictated by law, but may have ethical considerations depending on the individual nurse's point of view. Assisted suicide is illegal, even though it may be considered by some health care providers as ethical behavior. Fetal surgery is grounded in standards of care.

Answer to Question 2

4
Rationale:
1. Peristalsis of the fallopian tube would decrease, making it difficult for the ovum to enter the uterus is an incorrect statement.
2. The block to polyspermy (cortical reaction) would not occur is incorrect because a block to polyspermy indicates the ovum has been penetrated by a fertilizing sperm.
3. The fertilized ovum would be unable to implant in the uterus is incorrect because fertilization is unlikely to occur with a low sperm count.
4. Sperm would be unable to penetrate the zona pellucida of the ovum because it takes hundreds of acrosomes (the result of the acrosomal reaction) to rupture and release enough hyaluronic acid to clear the way for a single sperm to penetrate the ovum's zona pellucida successfully.