NCM 109: Module 2: Nursing Care of the
Subfertile Couple Exam Questions and
Answers Graded A+
Subfertility is said to exist when - Correct answer-a pregnancy has not occurred
after AT LEAST 1 YEAR of engaging in unprotected coitus
Primary subfertility - Correct answer-No previous conceptions
Secondary subfertility - Correct answer-There was/were previous viable
pregnancy/pregnancies but the couple is unable to conceive at present
Sterility - Correct answer-Is the inability to conceive because of a known condition
such as the absence of a uterus.
• In about 40% of couples with a subfertility problems, the cause of which is
MULTIFACTORIAL.
• In about 30% of couples it is the MAN who is subfertile.
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,• In women seen for a fertility concern 20-25% experience ovulatory failure.
• Another 20% experience tubal, vaginal, cervical or uterine problems.
- The chance of subfertility INCREASES WITH AGE because of this gradual
decline on fertility, women who defer pregnancy to their late 30s are apt to have
more difficulty conceiving than their younger counterpart.
Female Subfertility Factors - Correct answer-• ANOVULATION (faulty or
inadequate production of ova/absence of ovulation)
- problems of ova transport through the fallopian tubes to the uterus,
- MOST COMMON CAUSE OF SUBFERTILITY IN WOMEN
- may occur from a genetic abnormality such as Turner's syndrome
(hypogonadism) in which there are no ovaries to produce ova.
• More often it results from a hormonal imbalance caused by a condition such as
hypothyroidism that interferes with hypothalamus pituitary-ovarian interaction.
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, • Ovarian tumors may also produce anovulation because of feedback stimulation
on the pituitary.
• Chronic or excessive exposure to x-rays or radioactive substances, general ill
health, poor diet, and stress may all contribute to poor ovarian function.
• UTERINE FACTORS such as tumors or poor endometrial development
• CERVICAL & VAGINAL that immobilize spermatozoa. In addition, nutrition,
body weight, and exercise may be responsible.
• Nutrition, body weight, and exercise all influence the blood glucose/insulin
balance. When either glucose or insulin levels are too high, they can disrupt the
production of Follicle-Stimulating Hormone (FSH) and Luteinizing Hormone (LH)
leading to subfertility from ovulation failure.
- Women should try to maintain an ideal body weight and height, as represented
by a body mass index (BMI) of 20 to 24. This ideal BMI may also apply to men, as
excessive weight may alter testosterone production and sperm production.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
Subfertile Couple Exam Questions and
Answers Graded A+
Subfertility is said to exist when - Correct answer-a pregnancy has not occurred
after AT LEAST 1 YEAR of engaging in unprotected coitus
Primary subfertility - Correct answer-No previous conceptions
Secondary subfertility - Correct answer-There was/were previous viable
pregnancy/pregnancies but the couple is unable to conceive at present
Sterility - Correct answer-Is the inability to conceive because of a known condition
such as the absence of a uterus.
• In about 40% of couples with a subfertility problems, the cause of which is
MULTIFACTORIAL.
• In about 30% of couples it is the MAN who is subfertile.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,• In women seen for a fertility concern 20-25% experience ovulatory failure.
• Another 20% experience tubal, vaginal, cervical or uterine problems.
- The chance of subfertility INCREASES WITH AGE because of this gradual
decline on fertility, women who defer pregnancy to their late 30s are apt to have
more difficulty conceiving than their younger counterpart.
Female Subfertility Factors - Correct answer-• ANOVULATION (faulty or
inadequate production of ova/absence of ovulation)
- problems of ova transport through the fallopian tubes to the uterus,
- MOST COMMON CAUSE OF SUBFERTILITY IN WOMEN
- may occur from a genetic abnormality such as Turner's syndrome
(hypogonadism) in which there are no ovaries to produce ova.
• More often it results from a hormonal imbalance caused by a condition such as
hypothyroidism that interferes with hypothalamus pituitary-ovarian interaction.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, • Ovarian tumors may also produce anovulation because of feedback stimulation
on the pituitary.
• Chronic or excessive exposure to x-rays or radioactive substances, general ill
health, poor diet, and stress may all contribute to poor ovarian function.
• UTERINE FACTORS such as tumors or poor endometrial development
• CERVICAL & VAGINAL that immobilize spermatozoa. In addition, nutrition,
body weight, and exercise may be responsible.
• Nutrition, body weight, and exercise all influence the blood glucose/insulin
balance. When either glucose or insulin levels are too high, they can disrupt the
production of Follicle-Stimulating Hormone (FSH) and Luteinizing Hormone (LH)
leading to subfertility from ovulation failure.
- Women should try to maintain an ideal body weight and height, as represented
by a body mass index (BMI) of 20 to 24. This ideal BMI may also apply to men, as
excessive weight may alter testosterone production and sperm production.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
