69 Questions
What is the definition of secondary infertility?
The inability to conceive after a previous pregnancy
According to the American Society for Reproductive Medicine (ASRM), what percentage of the reproductive-age population is affected by infertility?
15%
What is the impact of infertility on relationships and partners?
It leads to tension and anger between partners
Who does the text suggest typically bears the social burden of infertility?
Women
What role do nurses have in relation to infertility, according to the text?
They have a central role in supporting women and couples through stressful treatments
How many Americans are affected by infertility according to the given text?
7.4 million
What percentage of all causes does male infertility contribute to?
More than 50%
How long is the duration of regular sexual intercourse unprotected by contraception, as per the definition of infertility provided in the text?
12 months
What is the definition of infertility as per the text?
"The inability to conceive a child after 1 year of regular sexual intercourse unprotected by contraception"
What is the emotional impact of infertility according to the given text?
It leads to severe emotional distress and tension
What is the economic impact of infertility as per the given text?
It results in economic burden on couples
What can nurses do to help women and couples understand the possibilities and limitations of current therapies?
Nurses can play a role in educating and supporting women and couples regarding therapies
What is the purpose of the clomiphene citrate challenge test?
To evaluate the woman's ovarian reserve
What is the primary purpose of home ovulation predictor kits?
To determine the most fertile day of the month
What is the gold standard in assessing fallopian tube patency?
Hysterosalpingography
When is laparoscopy usually performed during the menstrual cycle?
During menstruation
What is the nurse's role in caring for infertile couples?
To provide emotional support and counseling
What is the main purpose of using an opaque oil-based contrast medium during hysterosalpingography?
To assess tubal patency
What are home ovulation predictor kits designed to detect?
LH surge
In which test are FSH levels drawn on cycle day 3 and on cycle day 10 after taking clomiphene citrate?
Clomiphene citrate challenge test
What is visualized during hysterosalpingography if the fallopian tubes are patent?
Contrast extending into uterus, tubes, and peritoneal cavity
For what reason would a laparoscopy be used?
Suspected endometriosis
What risk factors can nurses educate women about to help prevent impaired fertility?
Modifiable risk factors
What is important for nurses to encourage in infertile couples throughout investigation and treatment?
Optimism
What is a key cultural consideration in the context of infertility?
The expectation for couples to reproduce is not a universal norm
How do African Americans and Hispanic individuals typically perceive infertility?
As a test of faith, leading to seeking spiritual counseling
What is the Orthodox Jewish view on procreation?
It is considered a 'mitzvah' or religious good deed
What is the Roman Catholic view on assisted reproductive technologies?
They have a restrictive view due to the belief that procreation cannot be separated from the relationship between parents
Why is it important for nurses to be aware of clients' cultural and religious background when counseling infertile couples?
To include this awareness in counseling and ensure sensitivity to their needs
Which factor is essential for reproduction to occur?
The release of a normal preovulatory oocyte
What are the main causes of infertility?
Female-factor, male-factor, and unexplained causes
Which treatment option might be used for a woman with ovulation problems?
Hormone injections to promote ovulation
What should infertile couples do according to the text?
Seek help and discuss their feelings with professionals
Why is it important for nurses to take a full medical history from both partners?
To understand what problems do not exist
What should be done at the first visit according to the text?
A complete health history should be taken from both partners along with a physical examination
What is the purpose of the clomiphene citrate challenge test?
To assess ovarian reserve
What is visualized during hysterosalpingography if the fallopian tubes are patent?
Contrast dye ascending upward
What are home ovulation predictor kits designed to detect?
LH surge
When is laparoscopy usually performed during the menstrual cycle?
Early in the menstrual cycle
What is the main purpose of using an opaque oil-based contrast medium during hysterosalpingography?
To visualize fallopian tube patency
For what reason would a laparoscopy be used?
To detect endometriosis
What should be done at the first visit according to the text?
Alleviate anxiety associated with diagnostic testing
What impact does spirituality have on infertility, according to recent study findings?
Positively associated with quality of life
What is important for nurses to encourage in infertile couples throughout investigation and treatment?
Optimism and hope
What is a key cultural consideration in the context of infertility?
Cultural beliefs may influence decisions about treatment
What should infertile couples do according to the text?
Be aware of potential modifiable risk factors and seek medical help
What is the definition of infertility based on the given text?
The inability to conceive a child after 1 year of regular sexual intercourse unprotected by contraception
What percentage of the reproductive-age population is affected by infertility according to the given text?
Up to 15%
What is the primary purpose of home ovulation predictor kits?
To detect ovulation
What is the emotional impact of infertility according to the given text?
It leads to depression and anger between partners
Why is it important for nurses to take a full medical history from both partners?
To identify any pre-existing conditions that could affect fertility
What is important for nurses to encourage in infertile couples throughout investigation and treatment?
To maintain open communication and support each other
What is the economic impact of infertility as per the given text?
$10 billion annually
What is the purpose of the clomiphene citrate challenge test?
To evaluate ovarian reserve
What factor is essential for reproduction to occur?
Regular sexual intercourse around ovulation
What role do nurses have in relation to infertility, according to the text?
They play a central role in supporting women and couples through stressful treatments.
What should infertile couples do according to the text?
Maintain open communication and support each other
What are the main causes of infertility?
A combination of male and female factors
What is a cultural consideration regarding infertility discussed in the text?
Infertility may be considered a violation of cultural norm in many cultures
What is the Orthodox Jewish view on procreation?
Procreation is considered to be a religious good deed
What is the main cause of infertility according to the text?
Ovarian failure
What is the impact of infertility on self and relational identities of the couple wishing to become parents?
Presents a risk for both a crisis of identity and of faith
What is the primary therapeutic management method for infertility cases?
Lifestyle changes such as weight loss and smoking cessation
What are infertile couples often beset by according to the text?
Feelings of inadequacy and guilt
Why is it important for nurses to take a full medical history from both partners, as mentioned in the text?
To identify what problems do not exist to better comprehend the problems that may exist
What is the role of nurses in relation to infertility, according to the text?
To provide counseling and awareness about treatment options
What does reproduction require according to the text?
The interaction of female and male reproductive tracts
What are some treatment options mentioned for infertility cases in the text?
Lifestyle changes, hormone injections, intrauterine insemination, and IVF
What might infertile couples feel pressured by according to the text?
Pressure from both family and friends
Explore the challenges of infertility and its impact on women's lives. Learn about the definitions of infertility and secondary infertility, and gain insights into the emotional and psychological aspects of this experience.
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