Adhere to the information in the scenario. Concisely answer the…

Adhere to the information in the scenario.
Concisely answer the questions.
Provide at least one paragraph for each question.
Remember a paragraph has at least 5 statements.
Responses must be well researched & provide nursing rationale.
There must be references for each answer.
L.B. and her husband, J.B., come to the clinic, saying they want to become pregnant. L.B. is 29 years old and a self-employed photographer. J.B. is a 31 years old and a dispatcher with a local oil and gas company. They have been married for 4 years and have been trying to become pregnant for just over 2 years. L.B. has not been pregnant previously; J.B. says he has never gotten a girl pregnant “that he knows of.”
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Is this couple infertile? Defend your response.
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2 What type of infertility does the couple have, primary or secondary?
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3 What are the common causes of male infertility?
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4 What are the common causes of female infertility?
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5 Describe the reproductive and sexual history you need to obtain from the couple.
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6 In addition to preforming a general physical examination, what lab tests do you expect the provider to order?
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Chart View
General Assessment
L.B.
29 years old
BMI 26.1
Reproductive structures normal
Slightly irregular menses with a cycle of 28-35 days
Nonsmoker; nondrinker
J.B.
31 years old
BMI 27.4
Reproductive structures normal
No problems with erection or ejaculation
Nonsmoker; drinks 1-2 alcoholic beverages weekly
Both report their spouse has been their only sexual partner for the past 6 years. They engage in intercourse an average of 2 to 3 times per week and deny any sexual problems. L.B. had been using oral contraceptive pills for about 4 years prior to their attempting to conceive. She says her menses were regular before using the oral contraceptives, but once she stopped using them, regular menses did not resume. Both deny any history of urinary tract and sexually transmitted infections. Their general physical assessments are unremarkable except for their BMIs. Neither engages in any regular physical exercise. The provider orders an ultrasound for L.B. and lab testing for both. L.B. is to begin performing basal body temperature (BBT) charting in conjunction with using an ovulation kit.
7 J. B. needs a semen analysis. What instructions will you give him about specimen collection? Write it like you would talk to him.
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8 What information is obtained from semen analysis?
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9 Because lifestyle and sexual practices can affect fertility, what do you encourage the couple to do to enhance their ability to conceive?
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10 As you finish finishing the appointment, L.B. begins to cry and says, “I can’t believe this is happening to us when all of my friends are just popping out babies.” How do you respond?
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