During the initial visit with the nurse at the fertility clinic, the patient asks what effect cigarette smoking or heavy alcohol intake has on the ability to conceive.
What is the nurse's best response?
"Smoking and a large alcohol intake can affect the quantity of sperm.”.
"Smoking or heavy alcohol use has no effect.”.
"After your first semen analysis, we will see if there will be any difficulty.”.
"Only if you smoke more than one pack a day will you have difficulty.”.
The Correct Answer is A
Choice A rationale
Smoking and heavy alcohol intake can indeed affect the quantity of sperm. Both substances can reduce sperm count and motility, leading to lower fertility rates in men.
Choice B rationale
This statement is incorrect. Both smoking and heavy alcohol use negatively impact fertility by reducing sperm quality and quantity.
Choice C rationale
Waiting for a semen analysis without addressing the known effects of smoking and alcohol is not the best approach. Immediate lifestyle changes can improve fertility outcomes.
Choice D rationale
Any amount of smoking can affect sperm quality and fertility. It's not limited to smoking more than one pack a day. Reducing or eliminating smoking can improve fertility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale
Basal body temperature drops slightly for 24-48 hours before ovulation, indicating the most fertile period.
Choice B rationale
Luteinizing hormone surges just before ovulation, triggering the release of an egg from the ovary.
Choice C rationale
Vaginal acidity does not significantly decrease during ovulation; it remains relatively constant.
Choice D rationale
Libido often rises during ovulation due to hormonal changes, which can increase the chances of conception.
Correct Answer is A
Explanation
Choice A rationale
At 9 weeks gestation, the primary purpose of an ultrasound is to confirm the presence of a fetal heartbeat, which indicates a viable pregnancy.
Choice B rationale
Chromosomal defects are typically assessed using different tests, such as chorionic villus sampling or amniocentesis, rather than an ultrasound at this early stage.
Choice C rationale
Fetal lung maturity cannot be assessed at 9 weeks gestation because the lungs are not yet developed. This assessment is usually done later in pregnancy if preterm delivery is anticipated.
Choice D rationale
The position of the fetus in utero is not a concern at this early stage of pregnancy. Fetal positioning becomes relevant later in pregnancy, closer to delivery.
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