A man smokes two packs of cigarettes a day. He wants to know if smoking is contributing to the difficulty he and his wife are having getting pregnant. The nurse's most appropriate response is:
"Smoking can reduce the quality of your sperm."
"Smoking can give you lung cancer, even though it has no effect on sperm."
"Only marijuana cigarettes affect sperm count."
"Your sperm count seems to be okay in the first semen analysis."
The Correct Answer is A
Smoking has been linked to a variety of health issues, including decreased fertility in both men and women. It can cause damage to sperm DNA and reduce sperm motility, which can make it more difficult for sperm to reach and fertilize an egg. Therefore, smoking can contribute to infertility issues. It's important for the man to quit smoking or at least reduce his cigarette consumption to increase his chances of conception with his wife.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Infants of diabetic mothers (IDM) are at risk of hypoglycemia because they have been exposed to high levels of glucose in utero. The fetus responds to this high glucose level by producing high levels of insulin to regulate the glucose level. After delivery, the glucose supply from the mother is cut off and the infant's insulin levels remain high, leading to hypoglycemia.
Additionally, the infant's ability to produce glucose is immature and may not be sufficient to maintain normal blood glucose levels, especially if the infant is premature or small for gestational age. Therefore, IDM requires close monitoring of their blood glucose levels to prevent and treat hypoglycemia.
Correct Answer is A
Explanation
The nurse's first action should be to massage the woman's fundus. A completely saturated perineal pad within 15 minutes after giving birth indicates excessive bleeding, which is also known as postpartum hemorrhage (PPH). Massaging the uterus (fundus) can help it to contract, reduce bleeding, and prevent further blood loss. Once the fundus has been massaged, the nurse should assess the woman's vital signs and continue to monitor her for signs of continued bleeding. If bleeding persists despite massage, the nurse should begin an intravenous (IV) infusion of Ringer's lactate solution and call the woman's primary healthcare provider.
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