Author Question: A couple is undergoing an infertility workup. The semen analysis indicates a decreased number of ... (Read 21 times)

NguyenJ · **on:** Jun 28, 2018

A couple is undergoing an infertility workup. The semen analysis indicates a decreased number of sperm and immature sperm. Which of the following factors can have a potential effect on sperm maturity? (Select all that apply.)

a. The man rides a bike to and from work each day.
b. The man takes a calcium channel blocker for the treatment of hypertension.
c. The man drinks 6 cups of coffee a day.
d. The man was treated for prostatitis 12 months ago and has been symptom free since treatment.

Question 2

The clinic nurse recognizes that pregnant women who are in particular need of support are those who (select all that apply):

a. Are experiencing a second pregnancy
b. Are awaiting genetic testing results
c. Are experiencing a first pregnancy
d. Are trying to conceal this pregnancy as long as possible

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

Answer to Question 1

ANS: a, b
The daily riding of a bike can be the cause of prolonged heat exposure to the testicles. Prolonged heat exposure is a gonadotoxin. A number of medications, such as calcium channel blockers, can have an effect on sperm production. Coffee has not been associated with low sperm counts. Prostatitis or other infections within the last 3 months may have an effect on the sperm analysis. This man's episode of prostatitis was 12 months prior.
KEY: Integrated Process: Teaching and Learning Cognitive Level: Application Content Area: Maternity Client Need: Health Promotion and Maintenance Difficulty Level: Moderate

Answer to Question 2

ANS: b, d
A second pregnancy is not an indication of a woman in need of additional support. A support system may be lacking for women who are trying to conceal a pregnancy or for women who are trying to keep the news of their pregnancy from relatives or friends until results from genetic tests are known. These individuals may need additional support from their nurses and other health-care providers, as they are placed in a powerless situation while awaiting results and face a pregnancy that may be in jeopardy.