Nokea
A student nurse is learning about prenatal testing for fetal genetic disorders and neural tube defects. What prenatal tests are screening tests in the second trimester? Select all that apply.
- A. amniocentesis
- B. multiple marker
- C. cell-free DNA
- D. chorionic villus sampling (CVS)
Correct Answer: B
Rationale: Screening tests include multiple markers and alpha-fetoprotein, while amniocentesis and CVS are diagnostic.
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A man's wife is pregnant for the third time. One child was born with cystic fibrosis, and the other child is healthy. The man wonders what the chance is that this child will have cystic fibrosis. This type of testing is known as:
- A. Occurrence risk.
- B. Recurrence risk.
- C. Predictive testing.
- D. Predisposition testing.
Correct Answer: B
Rationale: The couple already has a child with a genetic disease so they will be given a recurrence risk test.
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 is the purpose of cell-free DNA screening done in the first trimester?
- A. to determining the gender of the fetus
- B. to check for multiple fetuses
- C. to assess the risk of chromosomal abnormalities in the fetus
- D. to measure the growth and development of the fetus
Correct Answer: C
Rationale: Cell-free DNA is used to assess the risk of chromosomal abnormalities. It does not determine gender or measure growth and development.
Many parents-to-be have questions about multiple births. Maternity nurses should be able to tell them that:
- A. Twinning and other multiple births are increasing because of the use of fertility drugs and delayed childbearing.
- B. Dizygotic twins (two fertilized ova) have the potential to be conjoined twins.
- C. Fraternal twins are same gender, usually male.
- D. Identical twins are more common in white families.
Correct Answer: A
Rationale: Twinning and other multiple births are increasing due to fertility drugs and delayed childbearing.
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.