Author Question: A patient who has been unable to conceive asks the nurse if it is her fault or her husband's fault ... (Read 47 times)

cagreen833 · **on:** Jun 28, 2018

A patient who has been unable to conceive asks the nurse if it is her fault or her husband's fault that they have not been able to become pregnant. The best response by the nurse is:

1. The male infertility factors are more common than female.
2. Female infertility issues are more common than male issues.
3. The testing the doctor will order will determine who is at fault.
4. We will know more about what is causing your infertility after some tests are done.

Question 2

Which of the following diagnostic tests would the nurse question when ordered for a patient diagnosed with pelvic inflammatory disease (PID)?

1. CBC (complete blood count) with differential
2. Vaginal culture for Neisseria gonorrhoeae
3. Throat culture for Streptococcus A
4. RPR (rapid plasma reagin)

jaymee143 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: This statement is not true. Because of the complexity of ovulation and maintaining a pregnancy, it is more likely that a female issue is causing the infertility. Regardless, using the term at fault is blaming and should be avoided.
Rationale 2: Although this statement is true because of the complexity of ovulation and maintaining a pregnancy, using the term at fault is blaming and should be avoided.
Rationale 3: Testing will determine what the infertility issue is, but using the term at fault is blaming and should be avoided.
Rationale 4: This is a factual answer that avoids using the term at fault. This statement is therapeutically worded and therefore is the best answer.

Answer to Question 2

Correct Answer: 3
Rationale 1: CBC with differential will give an indication of the severity of the infection.
Rationale 2: Gonorrhea is a common cause of PID, and the patient should be tested for this.
Rationale 3: Streptococcus of the throat is not associated with PID.
Rationale 4: RPR is a test for syphilis, another cause of PID.