An infertile couple has used at-home ovulation testing using basal body temperature without conceiving.
The nurse understands that what will be used first to treat this infertile couple?
Selective estrogen receptor modulator clomiphene
Surgery to reduce endometriosis.
Intrauterine insemination with sperm from the husband
Assisted reproductive technologies (e.g. invitro fertilization)
The Correct Answer is A
If a couple has used at-home ovulation testing with basal body temperature and has not conceived, the first treatment option may depend on the underlying cause of infertility. However, the most common first-line treatment for infertility is selective estrogen receptor modulator clomiphene. This medication stimulates ovulation and can increase the chances of conception.
Surgery to reduce endometriosis may be considered if endometriosis is the underlying cause of infertility. However, surgery is not always successful and may not be the first option.
Intrauterine insemination (IUI) with sperm from the husband is another option that may be considered if the male partner has mild to moderate sperm abnormalities or if there is unexplained infertility. IUI involves placing washed sperm directly into the uterus during ovulation.
Assisted reproductive technologies (ART), such as in vitro fertilization (IVF), may be considered if other treatments have been unsuccessful or if there are more severe fertility issues. ART involves combining eggs and sperm outside of the body and transferring the resulting embryo(s) into the uterus.
The choice of treatment will depend on the underlying cause of infertility, the age of the couple, and other factors that may impact fertility. It is important for the couple to consult with a healthcare provider who specializes in fertility treatments to determine the best course of action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. Intense itching and dysuria
d. Thick white cottage cheese-like discharge
Common symptoms of a yeast infection may include itching, burning, and redness in the vaginal area. Some women may also experience pain or discomfort during sexual intercourse or while urinating. It is important for the nurse to conduct a thorough assessment and obtain a detailed history from the student to determine the appropriate course of action, such as recommending over-the-counter treatments or referring the student to a healthcare provider for further evaluation and treatment.
Correct Answer is B
Explanation
Endometriosis is a condition in which tissue like the lining of the uterus grows outside of the uterus, causing pain and discomfort. Acute pain is a common symptom of endometriosis and can be severe enough to interfere with daily activities and quality of life. Therefore, pain management should be a priority in the care of clients with endometriosis.
While anxiety related to risk of transmission (option a) and excess fluid volume related to abdominal distention (option d) may also be concerns for some clients with endometriosis, they are generally not the most urgent priorities. Ineffective tissue perfusion related to hemorrhage (option c) may be a concern in rare cases of severe endometriosis, but it is not a common or typical complication.
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