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.
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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.
The nurse is providing second trimester education on self-care measures to a group of pregnant persons and their support persons. What information is most important for the nurse to include at this time? Select 3 that apply.
- A. good hygiene
- B. wearing maternity clothing
- C. limiting fluid near bedtime
- D. leg cramps
Correct Answer: C
Rationale: Hygiene, sexuality, and rest are key aspects of self-care during the second trimester.
Choose appropriate client teaching related to maternal serum alpha-fetoprotein (MSAFP) analysis.
- A. Abnormal MSAFP levels should be followed by more specific tests.
- B. High MSAFP levels are usually associated with chromosome abnormalities.
- C. Having MSAFP testing eliminates the need to perform an ultrasound examination.
- D. The initial MSAFP testing will be performed at 12 weeks of gestation.
Correct Answer: A
Rationale: Abnormal MSAFP levels require further investigation with more specific tests.
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.
A pregnant adolescent tells the nurse she is taking isotretinoin (Accutane). Which statement is correct?
- A. Isotretinoin is teratogenic and associated with major fetal malformations, so the client should stop the medication immediately.
- B. None
- C. None
- D. None
Correct Answer: A
Rationale: Isotretinoin is known to cause severe fetal abnormalities.
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