Semen analysis is a common diagnostic procedure related to infertility.
In instructing a male patient regarding this test, the nurse would tell him to:
Ensure that the specimen arrives at the laboratory within three days of ejaculation.
Obtain the specimen after a period of abstinence from ejaculation for 2-5 days.
Transport the specimen in a container packed with ice.
Obtain the specimen first thing in the morning.
The Correct Answer is B
Choice A rationale
Semen viability and motility are highly time-sensitive. Sperm rapidly lose their viability and motility outside the body. For accurate analysis, the specimen should arrive at the laboratory within 30 to 60 minutes of ejaculation, not three days, to ensure that the assessment reflects the true characteristics of the sperm. Prolonged delays significantly compromise sample integrity.
Choice B rationale
A period of sexual abstinence for 2 to 5 days before semen collection is recommended to ensure optimal sperm concentration and motility. Shorter periods may result in a lower sperm count due to incomplete spermatogenesis, while longer periods can lead to an accumulation of older, less motile sperm and an increase in abnormal forms, thus affecting the accuracy of the fertility assessment.
Choice C rationale
Semen specimens are sensitive to temperature extremes. Transporting the specimen in a container packed with ice would expose the sample to cold shock, which can severely impair sperm motility and viability, leading to inaccurate test results. The specimen should ideally be kept at body temperature (37°C) or room temperature (20-37°C) during transport to maintain sperm integrity.
Choice D rationale
While collecting the specimen first thing in the morning can be convenient, it is not a requirement for accurate semen analysis. The crucial factor is adhering to the recommended abstinence period (2-5 days) to ensure optimal sperm parameters. The time of day for collection does not inherently impact the quality of the semen sample as long as the abstinence guidelines are followed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Dominant genetic diseases are not limited by sex; both males and females have an equal chance of inheriting and expressing the disease if they receive the dominant allele. Therefore, stating that only boys get dominant diseases is scientifically incorrect and does not reflect the principles of Mendelian inheritance for dominant traits.
Choice B rationale
Huntington's chorea is an autosomal dominant disorder. For a child to inherit an autosomal dominant disorder, at least one parent must have the affected gene. Since neither the woman nor her husband have or carry the gene for Huntington's chorea, their child cannot inherit the disease. This negates any 50% chance.
Choice C rationale
Huntington's chorea is an autosomal dominant disorder, meaning only one copy of the affected gene is needed for the disease to manifest. Since the pregnant woman and her husband do not have or carry the gene for Huntington's chorea, there is no possibility for them to pass the gene on to their child. The child will therefore not inherit the disease.
Choice D rationale
For an autosomal dominant disorder like Huntington's chorea, if a person does not have the gene, they cannot be a carrier in the traditional sense of recessive disorders. Carrying implies having a recessive gene without expressing it. Since the parents do not have the gene, the child cannot be affected through parental inheritance.
Correct Answer is D
Explanation
Choice A rationale
Removing eggs for fertilization in the laboratory is a defining characteristic of in vitro fertilization (IVF), not artificial insemination (AI) or intrauterine insemination (IUI). IVF involves a more complex process of external fertilization. This choice describes a different assisted reproductive technology.
Choice B rationale
Assessing the genetic material of the embryo, known as preimplantation genetic testing (PGT), is a procedure performed in conjunction with IVF, not a component of artificial insemination. PGT is used to screen embryos for chromosomal abnormalities or specific genetic disorders before uterine transfer.
Choice C rationale
Putting dye in the uterus to visualize the fallopian tubes describes a hysterosalpingography (HSG), a diagnostic procedure used to assess tubal patency and uterine cavity abnormalities. While HSG may be part of an infertility workup, it is not part of the artificial insemination procedure itself.
Choice D rationale
Artificial insemination (AI) or intrauterine insemination (IUI) involves the direct placement of prepared sperm, either from the partner or a donor, into the woman's uterus, bypassing the cervix. This procedure aims to increase the concentration of motile sperm reaching the fallopian tubes, thereby increasing the likelihood of fertilization.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
