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A nurse is counseling a couple about genetic testing options. What should the nurse include in the discussion?
- A. Genetic testing is only available for known hereditary conditions.
- B. Preimplantation genetic testing is performed after embryo transfer.
- C. Genetic counseling is recommended for couples with a history of genetic disorders.
- D. Genetic testing cannot determine the risk of inherited infertility.
Correct Answer: C
Rationale: The correct answer is C because genetic counseling is crucial for couples with a history of genetic disorders to assess risks and make informed decisions. It helps in understanding inheritance patterns, potential risks to offspring, and available testing options. Choice A is incorrect as genetic testing is not limited to known hereditary conditions. Choice B is incorrect as preimplantation genetic testing is done before embryo transfer. Choice D is incorrect as genetic testing can indeed assess the risk of inherited infertility through various genetic tests.
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A nurse is caring for several women in labor. The nurse determines that which woman is the latent phase of labor?
- A. contractions every 5 minutes, cervical dilation 3 cm
- B. contractions every 3 minutes, cervical dilation 6 cm
- C. contractions every 2 1/2 minutes, cervical dilation 8 cm
- D. contractions every 1 minute, cervical dilation 9 cm
Correct Answer: A
Rationale: Contractions every 5 minutes with cervical dilation of 3 cm is typical of the latent phase of labor. This phase is characterized by early labor with mild contractions and slow cervical dilation. The other scenarios describe more advanced stages of labor with faster contractions and greater cervical dilation, indicating the active phase.
The nurse is instructing a client on taking her basal body temperature. The nurse understands that this test is used to determine which of the following?
- A. If the client's cervical mucus contains enough estrogen to support sperm motility
- B. If the client's temperature rises 1 to 5 days after the midcycle
- C. If surgical correction of uterine pathology is needed
- D. If the client is experiencing blockage of the uterine cavity and the fallopian tubes
Correct Answer: B
Rationale: The correct answer is B: If the client's temperature rises 1 to 5 days after the midcycle. Basal body temperature is used to detect ovulation, which occurs when there is a rise in temperature after the midcycle. This rise indicates that ovulation has occurred. Monitoring basal body temperature is a natural family planning method.
A: Checking cervical mucus for estrogen levels is typically done to assess fertility but not related to basal body temperature.
C: Basal body temperature does not provide information on the need for surgical correction of uterine pathology.
D: Basal body temperature does not assess blockages in the uterine cavity or fallopian tubes.
A nurse is evaluating the effectiveness of preconception education. Which statement by the client indicates that additional education is needed?
- A. I know smoking is harmful in pregnancy, so I plan to quit soon. My husband has agreed to avoid smoking in my presence.
- B. I have started taking a daily prenatal vitamin with folic acid.
- C. My husband bought a small desk for his laptop computer.
- D. We plan to avoid the use of chemicals in our garden this year.
Correct Answer: C
Rationale: The correct answer is C because the statement about the husband buying a small desk for his laptop computer is irrelevant to preconception education. The focus of preconception education is on optimizing health before pregnancy, such as quitting smoking, taking prenatal vitamins, and avoiding harmful chemicals. The other choices (A, B, and D) all demonstrate an understanding of preconception health needs. Choice A shows awareness of the risks of smoking in pregnancy and a plan to quit. Choice B indicates the initiation of prenatal vitamin intake, particularly folic acid, which is crucial for preventing birth defects. Choice D highlights a proactive approach to environmental health by planning to avoid harmful chemicals in the garden.
A client, G4 P4004, states that her husband has just been diagnosed with polycystic kidney disease (PKD), an autosomal dominant disease. The husband is heterozygous for PKD, while the client has no PKD genes. The client states, 'I have not had our children tested because they have such a slim chance of inheriting the disease. We intend to wait until they are teenagers to do the testing.' The nurse should base her reply on which of the following?
- A. Because affected individuals rarely exhibit symptoms before age 60
- B. the children should be allowed to wait until they are adults to be tested.
- C. The woman may be exhibiting signs of denial since each of the couple's children has a 50/50 chance of developing the disease.
- D. Because the majority of the renal cysts that develop in affected individuals are harmless
Correct Answer: B
Rationale: Each child of a heterozygous parent has a 50% chance of inheriting the gene.
A patient has been diagnosed with an incompetent cervix (the cervix will not remain closed). What treatment option will be incorporated into the plan of care for this patient?
- A. Bed rest throughout the pregnancy.
- B. Wait and see approach to determine if the patient goes into preterm labor.
- C. Preparation for cerclage procedure at 32 weeks' gestation.
- D. More frequent ultrasounds to assess progression of pregnancy.
Correct Answer: D
Rationale: The correct answer is D because more frequent ultrasounds are necessary to monitor the progression of the pregnancy in a patient with an incompetent cervix. This allows healthcare providers to assess the cervix's condition and the risk of preterm labor.
A: Bed rest is not the primary treatment for an incompetent cervix as it does not address the underlying issue.
B: A wait and see approach may lead to missed opportunities for preventive interventions.
C: Preparation for cerclage at 32 weeks is too late as cerclage is typically done earlier to provide support to the cervix.