CNM Certified Nurse Midwife

Category - Gynecology

A series of laboratory tests reveals that a male client’s spermatozoa are immobilized by vaginal secretions due to an immunological factor. The following interventions are appropriate for the client except:
  1. Administer clomiphene citrate to the male client.
  2. Administer corticosteroids to the client’s female partner.
  3. Instruct the couple abstain from sex for the next 6 months.
  4. Instruct the man to wear a condom for the next 6 months.
Explanation
Answer: A - Administration of clomiphene citrate is more appropriate for a man with a low sperm count. Corticosteroid may be administered to the woman to decrease her immune response and antibody production. Instructing the couple to abstain from sex or to use a condom for the next 6 months is an appropriate intervention.
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