A client desiring to become pregnant is concerned because the opening of her spouse's penis is below the tip. How should the nurse respond to this client?

1. "This is epispadias and it will cause infertility."
2. "This is hypospadias and it will cause infertility."
3. "This is epispadias and is not likely to impact fertility."
4. "This is hypospadias and is not likely to impact fertility."


4
Explanation:
1. Epispadias is the condition where the urethral opening is on the upper aspect of the penis. The client is describing hypospadias, when the urethral opening is on the lower side of the penis. Mild hypospadias, when the urethral opening is on the glans of the penis, does not impact fertility.
2. The client is describing hypospadias, where the urethral opening is on the lower side of the penis. Mild hypospadias, where the urethral opening is on the glans of the penis, does not impact fertility.
3. Epispadias is the condition where the urethral opening is on the upper aspect of the penis. The client is describing hypospadias, when the urethral opening is on the lower side of the penis. Mild hypospadias, when the urethral opening is on the glans of the penis, does not impact fertility.
4. The client is describing hypospadias, which is the urethral opening on the lower aspect of the penis. Mild hypospadias, when the urethral opening is on the glans of the penis, does not impact fertility.

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