Practice Quiz

CNM Certified Nurse Midwife

Category - Gynecology

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A couple visits the facility for a fertility assessment. A semen analysis is ordered. Which of the following suggests a likely fertility problem?

I.Sperm count = 15 million per milliliter of seminal fluid.
II.Sperm motility = 80%
III.Sperm progressive motility = 35%
IV.Ejaculation volume = 1.2 cc
  1. I
  2. I and IV
  3. I, III and IV
  4. All of above
Explanation
Answer: B - A sperm count of 15 million per milliliter of seminal fluid and ejaculation volume of less than 1.2 cc indicate a likely fertility problem. The minimum sperm count that is considered normal is 20 million per milliliter of seminal fluid. A volume less than 1.50 cc decreases fertility. Sperm motility must be at least 60%, and the sperm progressive motility must be at least 25%.
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