A man smokes two packs of cigarettes a day. He wants to know if smoking is contribut-ing to the difficulty he and his wife are having getting pregnant. The nurse's most appro-priate response is:
a. "Your sperm count seems to be okay based on the first semen analysis."
b. "Only marijuana cigarettes affect sperm count."
c. "Smoking can give you lung cancer, even though it has no effect on sperm."
d. "Smoking can reduce the quality of your sperm."
D
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A This statement is inaccurate. Sperm counts vary from day to day and depend on emotional and physical status and sexual activity. Therefore a single analysis may be inconclusive. A minimum of two analyses must be performed several weeks apart to assess male fertility.
B The use of alcohol and marijuana may affect sperm counts.
C The use of tobacco may affect sperm counts.
D The use of tobacco may reduce the quality of the sperm.
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