Nokea
A woman in her 40th week of pregnancy calls the nurse at the clinic and says she is not sure whether she is in true or false labor. Which statement by the client would lead the nurse to suspect that the woman is experiencing false labor?
- A. I'm feeling contractions mostly in my back.
- B. My contractions are about 6 minutes apart and regular.
- C. The contractions slow down when I walk around.
- D. If I try to talk to my partner during a contraction, I can't.
Correct Answer: C
Rationale: The statement The contractions slow down when I walk around indicates that the contractions are irregular and weak, which is characteristic of false labor. In true labor, contractions are regular, strong, and do not slow down with movement.
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A client is to have a hysterosalpingogram. Which of the following information should the nurse provide the client prior to the procedure?
- A. The test will be performed through a small incision next to your belly button.
- B. You will be on bed rest for a full day following the procedure.
- C. An antibiotic fluid will be instilled through a tube in your cervix.
- D. You will be asked to move from side to side so that x-ray pictures can be taken.
Correct Answer: C
Rationale: Contrast dye is instilled through the cervix during a hysterosalpingogram.
Based on the karyotype shown below, which of the following conclusions can the nurse make about the female baby?
- A. She has a genetically normal karyotype.
- B. She has trisomy 21.
- C. She has fragile X syndrome.
- D. She has an autosomal monosomy.
Correct Answer: B
Rationale: Trisomy 21 (Down syndrome) is indicated by three copies of chromosome 21.
During a consultation, a patient asks about the role of antioxidants in fertility. What should the nurse emphasize?
- A. Antioxidants only benefit male fertility by improving sperm motility.
- B. Antioxidants help reduce oxidative stress, improving egg and sperm quality.
- C. Antioxidants guarantee successful fertilization and implantation.
- D. Antioxidants are not relevant to reproductive health.
Correct Answer: B
Rationale: The correct answer is B because antioxidants can help reduce oxidative stress, which is beneficial for both egg and sperm quality in fertility. Antioxidants neutralize harmful free radicals, protecting reproductive cells from damage. Choice A is incorrect because antioxidants benefit both male and female fertility. Choice C is incorrect as antioxidants do not guarantee successful fertilization and implantation, but they can support the process. Choice D is incorrect as antioxidants do play a role in reproductive health by improving fertility outcomes.
A client's basal body temperature (BBT) chart for one full month is shown below. Based on the temperatures shown, what can the nurse conclude?
- A. It is likely that she has not ovulated.
- B. The client's fertile period is between 12 and 18 days.
- C. The client's period is abnormally long.
- D. It is likely that her progesterone levels rose on day 15.
Correct Answer: D
Rationale: A biphasic BBT pattern indicates ovulation, with rising temperatures reflecting progesterone elevation.
The nurse is providing genetic counseling for an expectant couple who just found out that their child has Down syndrome. Which is the best way for the nurse to handle this?
- A. Be supportive by answering questions and clarifying information and options.
- B. Inform the parents that they should not tell anyone until they have made a decision concerning termination of the pregnancy.
- C. Refer the couple to another specialist for a second opinion.
- D. Tell the couple that there are a lot of parents who have children with Down syndrome and they all do fine.
Correct Answer: A
Rationale: The correct answer is A because the nurse should be supportive, answer questions, and clarify information and options to help the couple make informed decisions. This approach shows empathy and respect for the couple's autonomy.
Choice B is incorrect as it is not the nurse's role to dictate when the parents should disclose the information. Choice C is not the best option as the nurse should continue to provide support rather than immediately referring the couple for a second opinion. Choice D is incorrect because generalizing outcomes for all parents of children with Down syndrome may not be helpful or accurate for this specific couple.