A couple who has not achieved a successful pregnancy is scheduled ...

[fox]

A couple who has not achieved a successful pregnancy is scheduled to meet with a fertility specialist. Which simple evaluation is usually the first test to be performed?
 
  a. Semen analysis
  b. Testicular biopsy
  c. Endometrial biopsy
  d. Hysterosalpingograp hy

Question 2

A woman undergoing evaluation of infertility states, At least when we're through with all of these tests, we will know what is wrong. The nurse's best response is:
 
  a. I know the test will identify what is wrong.
  b. I'm sure that once you finish these tests, your problem will be resolved.
  c. Even with diagnostic testing, infertility remains unexplained in about 20 of couples.
  d. Once you've identified your problem, you may want to look at the option of adoption.

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Answer to Question 1

ANS: A
Semen analysis is usually the first test to be performed because it is least costly and noninvasive. Endometrial biopsy determines whether the endometrium is responding to ovarian stimulation. A testicular biopsy is an invasive examination using a local anesthetic. Hysterosalpingograp hy uses a contrast medium to evaluate the structure and patency of the uterus and tubes.

Answer to Question 2

ANS: C
Problems with infertility must be approached realistically. Nurses should not make judgments or give false reassurance. Providing accurate information to the couple is the best response. The nurse should not make statements indicating that problems will be resolved, because this gives a false impression. The tests are not always definitive, so the nurse should not give false reassurance. The nurse should not offer her view or opinion but should state the facts.

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TYSM

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