(Select all that apply): A nurse is educating a group of patients with infertility about lifestyle modifications.
Which lifestyle changes should the nurse recommend to improve fertility? Select all that apply.

Choice A rationale:

Responding with "Decreased libido is unrelated to infertility." is not an appropriate response because infertility and libido can be interconnected due to the emotional stress and anxiety associated with infertility.

Infertility can lead to decreased sexual desire in some individuals.

Choice B rationale:

This is the correct answer.

It acknowledges the potential impact of infertility on sexual desire.

It's essential to validate the client's feelings and concerns and let them know that it's common for infertility to affect sexual desire.

This response shows empathy and understanding.

Choice C rationale:

Responding with "Infertility always leads to increased libido." is inaccurate and unrealistic.

There is no direct correlation between infertility and increased libido.

Such a statement would not be truthful and could cause confusion or frustration for the client.

Choice D rationale:

Suggesting that the client consult a urologist for libido issues may be premature and not within the scope of the nurse's role in this situation.

It's more appropriate to address the client's concerns about decreased libido in the context of their infertility counseling and explore potential emotional and psychological factors contributing to this issue.

Choice A rationale:

The patient's dental health is not a priority assessment when evaluating infertility.

Dental health is not directly related to infertility concerns.

While overall health is important, focusing on dental health during an infertility assessment would not address the primary issues that need to be evaluated and addressed.

Choice B rationale:

While the patient's mental health history is an important aspect of their overall well-being, it is not the primary focus of an infertility assessment.

The nurse should certainly consider the patient's emotional well-being, but in the context of infertility, assessing menstrual cycle and ovulation patterns is more relevant to identifying potential causes of infertility.

Choice C rationale:

Cardiovascular fitness is not a primary concern during an infertility assessment.

While maintaining a healthy lifestyle can positively impact overall health, including reproductive health, assessing cardiovascular fitness is not a specific priority when evaluating infertility.

Menstrual and ovulation patterns are more directly related to fertility concerns.

Choice D rationale:

Assessing the patient's menstrual cycle and ovulation patterns is a critical aspect of evaluating infertility.

Irregular menstrual cycles or anovulation (lack of ovulation) can be indicators of underlying fertility issues.

Understanding the regularity of the patient's menstrual cycles, the presence of ovulation, and any associated symptoms like pain or heavy bleeding can provide valuable information for diagnosing and addressing infertility.