Nokea
A 36-year-old G2P0 patient has been told that she has hydramnios. She asks what might have caused this and if it will cause complications. What is the nurse’s correct response?
- A. It is a decrease in the amount of amniotic fluid that occurs as a result of a neural tube defect.
- B. It is an increase in the amount of amniotic fluid, which can compress the baby’s cord.
- C. It is an increase in amniotic fluid that can occur as a result of having diabetes mellitus.
- D. It is a decrease in the amount of amniotic fluid that can cause preterm labor.
Correct Answer: C
Rationale: Hydramnios involves increased amniotic fluid, often linked to diabetes mellitus and may compress the umbilical cord.
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What term would the nurse use to document the lab results of a patient with a zero sperm count?
- A. azospermia
- B. oligospermia
- C. varicocele
- D. retrograde ejaculation
Correct Answer: A
Rationale: Azoospermia refers to the absence of sperm in the ejaculate, indicating a zero sperm count.
With regard to the estimation and interpretation of the recurrence of risks for genetic disorders, nurses should be aware that:
- A. With a dominant disorder, the likelihood of the second child also having the condition is 100%.
- B. An autosomal recessive disease carries a one in eight risk of the second child also having the disorder.
- C. Disorders involving maternal ingestion of drugs carry a one in four chance of being repeated in the second child.
- D. The risk factor remains the same no matter how many affected children are already in the family.
Correct Answer: D
Rationale: Each pregnancy is an independent event. The risk factor remains the same for each child.
A patient at 34 weeks gestation is undergoing an ultrasound. The nurse notes that the amniotic fluid is estimated at between 500 and 600 mL. Which deduction does the nurse make from this finding?
- A. Oligohydramnios is present.
- B. Fluid is normal for gestation age.
- C. Polyhydramnios has formed.
- D. Follow-up ultrasound is warranted.
Correct Answer: A
Rationale: Oligohydramnios, or low amniotic fluid, is indicated by the reduced volume, requiring close monitoring.
What is the portion of the endometrium beneath the blastocyst known as?
- A. Decidua basalis
- B. Chorionic villi
- C. Decidua vera
- D. Decidua capsularis
Correct Answer: A
Rationale: The decidua basalis is the portion of the endometrium beneath the blastocyst.
What are the number and type of chromosomes in a normal mature gamete?
- A. 22 autosomes
- B. 22 autosomes and one sex chromosome
- C. 46 chromosomes
- D. 23 autosomes
Correct Answer: B
Rationale: Gametes have 22 autosomes and one sex chromosome, resulting in 23 chromosomes in total.