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Ch.2: Infertility
Maternity ATI
20
Nursing
Undergraduate 3
04/07/2013

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Cards

Term
Infertility
Definition
inability to conceive despite engaging in unprotected sexual intercourse for a period of at least 12 months
Term
Common factors assoc w/ infertility
Definition
decreased sperm production, endometriosis, ovulation disorders, and tubal occlusions
Term
Partners who experience infertility may experience stress r/t
Definition
physical inability to conceive
expense
impact on relationship
lack of family support
Term
Age
Definition
older than 35 may affect fertility
Term
Duration of Infertility
Definition
more than 1 year of coitus without contraceptives
Term
Medical History
Definition
atypical secondary sexual characteristics such as abnormal body fat distribution or hair growth, which is indicative of an endocrine disorder
Term
Surgical HIstory
Definition
Particularly - pelvic and abdom procedures
Term
Obstretric History
Definition
past episodes of spontaneous abortions
Term
Gynecologic History
Definition
Abnormal uterine contours or any history of disorders that may contribute to formation of scar tissue that can cause blockage of ovum or sperm
Term
Sexual History
Definition
intercourse frequency , number of partners across lifespan, and any hx stds
Term
Occupational/environmental exposure risk assessment
Definition
exposure to hazardous teratogenic materials in the home or at a place of employment
Term
Weight
Definition
women who are overwt or underwt
Term
Semen Collection
Definition
Semen is collected from man in sterile collection devide and evaluated and analyzed. In 40% couples who are infertile, inability to conceive is due to male infertility. Preferred starting point in evaluating couple. It costs less and is less invasive compared to female infertility testing. More than one sample may bee needed
Term
Pelvic Exam
Definition
Assess uterine or vaginal anomalies. The nurse should position a pt on the exam table and have equipment and supplies prepared for the primary care provider.
Term
Ultrasonography
Definition
transvaginal or abdominal ultrasound performed to visualize female reproductive organs
Term
Hysterosalpingography
Definition
radiological procedure that is outpatient where dye is used to assess patency of fallopian tubes. Obtain allergies of seafood and iodine prior.
Term
Hysteroscopy
Definition
Radiographic procedure where uterus is examined for signs of defect, distortion, or scar tissue that may impair successful impregnation.
Term
Laparoscopy
Definition
gis insufflation is used to observe internal organs. May cause postprocedural pain. General anesthesia required.
Term
Genetic Counseling
Definition
May be recommended by PCP if there is a family hx of birth defects. Age of mother may also play a role in this decision - a maternal age less than 16 or older than 35 may be risk factor.
Term
ID PTs in need of genetic counseling!
Definition
Example - has a sickle cell trait or sickle cell anemia or pt older than 35
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