Nokea
A father and mother are carriers of phenylketonuria (PKU). Their 2-year-old daughter has PKU. The couple tells the nurse that they are planning to have a second baby. Because their daughter has PKU, they are sure that their next baby won't be affected. What response by the nurse is most accurate?
- A. Good planning; you need to take advantage of the odds in your favor.
- B. I think you'd better check with your doctor first.
- C. You are both carriers, so each baby has a 25% chance of being affected.
- D. The ultrasound indicates a boy, and boys are not affected by PKU.
Correct Answer: C
Rationale: Each child produced by this couple has a 25% chance of being affected by PKU disorder.
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Reva Rubin identified several maternal tasks the pregnant person undertakes during pregnancy. What actions by the pregnant person are included in these tasks? Select 4 that apply.
- A. develops attachment to the fetus
- B. schedules a childbirth class
- C. encourages the partner’s attachment to the fetus
- D. acknowledges the fetus as a separate person
Correct Answer: B
Rationale: Maternal tasks include developing attachment, acknowledging the fetus, and placing the fetus's needs above their own.
Fetal circulation includes 3 shunts. Match each shunt to its physiologic action. Foramen ovale
- A. Connects the pulmonary artery and the aorta, bypassing the lungs.
- B. Connects the right and left atria.
- C. Connects the right and left ventricles.
- D. Allows the umbilical vein to bypass the liver to flow into the inferior vena cava.
Correct Answer: B
Rationale: Foramen ovale connects the right and left atria.
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.
In which structure does fertilization usually occur?
- A. the ovary
- B. the uterus
- C. the fallopian tube
- D. the vagina
Correct Answer: C
Rationale: Fertilization typically occurs in the fallopian tube, where the sperm meets the ovum.
A pregnant woman in her first trimester is considering prenatal testing. The nurse is providing patient education regarding prenatal testing in the first trimester. What statement accurately reflects the nurse’s education?
- A. Prenatal testing in the first trimester primarily focuses on determining the gender of the fetus.
- B. Prenatal testing in the first trimester helps assess the risk of abnormalities in the fetus.
- C. Prenatal testing in the first trimester monitors the growth and development of the placenta.
- D. Prenatal testing in the first trimester is primarily performed to detect potential maternal infections.
Correct Answer: B
Rationale: Prenatal testing in the first trimester focuses on assessing the risk of fetal abnormalities, not gender, placenta, or infections.