A 31-year-old woman and her husband have presented to their family physician due to their inability to conceive a child after trying for the last 18 months
Which of the following will the nurse practitioner want to specifically rule out as potential contributing factors? Select all that apply.
A)
Cryptorchidism in the husband
B)
Slow maturation of the endothelial lining after ovulation
C)
Low levels of LH and FSH in the wife
D)
Large amounts of clear, stretchy cervical mucus
E)
Sexually transmitted diseases like gonorrhea or chlamydial infection.
Ans:
A, B, C, E
Feedback:
Cryptorchidism, luteal phase defects, low pituitary hormone levels, and an inability of the tubes to pick up an ovum can all contribute to infertility. A large amount of clear, stretchy cervical mucus is a normal finding. Cervical cultures for gonorrhea, chlamydial infection, and mycoplasmal infection should be obtained and treatment instituted as needed.
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