The nurse is collecting data from a couple experiencing infertility. The male partner, age 52, asks why information about his mother's pregnancy is important. How should the nurse respond?
1. "Collecting information about a patient's immediate family is required."
2. "Medication exposure during pregnancy may impact the long-range fertility of the woman's male children."
3. "If your mother experienced infertility, you are at a higher risk for infertility."
4. "Although the greater concerns relate to the female's mother, we collect information on both of you to create a more balanced picture."
Correct Answer: 2
Men born to women treated during pregnancy with diethylstilbestrol (DES), a drug used in the 1940s and 1950s to prevent miscarriage, may have congenital deformities of the urinary tract as well as reduced semen levels. Data is collected to ensure a complete picture of the patient's past and current history and is incorporated into the assessment and subsequent treatment plans. This response, however, does not meet the patient's need for clarification. The possible infertility of the male partner's mother would not impact his current ability to father children. Both the male and female will need to provide a comprehensive history in the assessment period. Neither partner's history is of greater importance at this point.
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