Chapter 09: Infertility Lowdermilk: Maternity & Women's Health Care, 12th Edition Rated A+

1. Which test is performed around the time of ovulation to diagnose the basis of infertility? a. Hysterosalpingogram b. Vaginal ultrasonography c. Laparoscopy d. Follicle-stimulating hormone (FSH) level ANS: B Ultrasonography is performed around the time of ovulation to assess pelvic structures for abnormalities, to verify follicular development, and to assess the thickness of the endometrium. A hysterosalpingogram is scheduled 2 to 5 days after menstruation to avoid flushing a potentially fertilized ovum out through a uterine tube into the peritoneal cavity. Laparoscopy is usually scheduled early in the menstrual cycle. Hormone analysis is performed to assess endocrine function of the hypothalamic-pituitary-ovarian axis when menstrual cycles are absent or irregular. 2. 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. Which guidance should the nurse provide? a. "Your sperm count seems to be okay in the first semen analysis." b. "Only marijuana cigarettes affect sperm count." c. "Although smoking has no effect on sperm count, it can give you lung cancer." d. "Smoking can reduce the quality of your sperm." ANS: D