The nurse is speaking with a couple trying to conceive a child. What will the nurse remind the couple is a factor that can decrease sperm production?

The testes being too warm

The penis and testes being small

Infrequent sexual intercourse

The man not being circumcised

Answer and Explanation

The Correct Answer is A

A. Sperm production is temperature-sensitive, and the testes require a slightly cooler environment than the rest of the body. Increased warmth, such as from tight clothing, prolonged sitting, or heat exposure, can impair spermatogenesis.

B. The size of the penis and testes is not directly correlated with sperm production. The functionality of the testes, not their size, determines sperm output.

C. Infrequent sexual intercourse can affect fertility by decreasing opportunities for conception but does not directly decrease sperm production.

D. Circumcision status does not affect sperm production, as it primarily pertains to hygiene and the prevention of certain infections.

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Correct Answer is C

Explanation

A. Glycerin suppositories can be used for occasional constipation, but they should not be used regularly during pregnancy as they can cause irritation or dependency.

B. Laxatives should be avoided during pregnancy unless recommended by the healthcare provider, as some laxatives can stimulate uterine contractions or cause dehydration.

C. Increased cellulose and fluid in the diet is the most appropriate recommendation. A high-fiber diet (e.g., fruits, vegetables, whole grains) combined with plenty of fluids helps soften stools and relieve constipation, a common issue during pregnancy due to hormonal changes.

D. Posture has minimal impact on constipation, so it's not a primary intervention for this issue.

A. Blood pressure values 10% above pre-pregnancy values B. Heart rate increases by 10 to 15 above pre-pregnancy values C. Increased blood viscosity D. Decreased cardiac workload

Correct Answer is B

Explanation

A. Blood pressure typically decreases slightly during the second trimester due to hormonal effects causing vasodilation, and it generally does not rise above pre-pregnancy levels in healthy pregnancies.

B. The heart rate increases by about 10 to 15 beats per minute to meet the increased oxygen demands of the growing fetus and placenta.

C. Blood viscosity does not increase during pregnancy; rather, the plasma volume expands significantly, leading to hemodilution and a decrease in blood viscosity.

D. Cardiac workload increases during pregnancy due to the expanded blood volume and increased cardiac output required to support maternal and fetal needs.

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The nurse is speaking with a couple trying to conceive a child. What will the nurse remind the couple is a factor that can decrease sperm production?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is pregnant and reports constipation. Which of the following recommendations should the nurse make?

Correct Answer is C

Explanation

A nurse is discussing cardiovascular changes during pregnancy with a newly licensed nurse. Which of the following information should the nurse include?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who is pregnant and has a body mass index (BMI) of 26.5. She asks the nurse how much weight she should gain over the course of her pregnancy. Which of the following statements is an appropriate response by the nurse?

A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination. Which of the following information should the nurse include?

A nurse is assisting with the planning of a presentation about the impact of hyperemesis gravidarum on client health. Which of the following statements should the nurse include?

A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day. The nurse should use which of the following terms to document this finding?

A nurse in a prenatal clinic is caring for a client who is at 12 weeks of gestation. The client asks about the cause of her heartburn. Which of the following responses should the nurse make?

The nurse is educating a class of expectant parents about fetal development. What is considered fetal age of viability?

A nurse is caring for a client who is at 12 weeks of gestation during an initial prenatal visit. The client asks, "What is a normal fetal heart rate?" Which of the following ranges should the nurse provide?