A couple are requesting fertility counseling. The nurse practitioner has identified the factors listed below in the woman's health history, and knows that which of them could be contributing to the couple's infertility?
1. The patient is 38 years old.
2. The patient was 13 years old when she started her menses.
3. The patient works as a dental hygienist 3 days a week.
4. The patient jogs 2 miles a day.
1
Rationale 1: As the eggs of older women age, their fertility is reduced.
Rationale 2: The age of the onset of menses is not a significant factor.
Rationale 3: The patient's employment as a dental hygienist does not affect fertility.
Rationale 4: Strenuous exercise can affect fertility, but 2 miles of jogging daily is not enough to cause a problem.
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