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If a quad screen shows high AFP, and normal hCG, uE3 and INH-A, this indicates
- A. neural tube defect
- B. trisomy 21
- C. multiple gestation
Correct Answer: A
Rationale: Elevated AFP suggests open neural tube defects or abdominal wall defects.
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The chromosomal disorder CORRECTLY matched with its karyotype is:
- A. Turner’s syndrome – 45X0
- B. Klinefelter’s syndrome – XYY
- C. Patau’s syndrome – Trisomy 21
- D. Edward’s syndrome – Trisomy 13
Correct Answer: A
Rationale: Step-by-step rationale:
1. Turner's syndrome is characterized by a missing X chromosome, resulting in a karyotype of 45X0.
2. Klinefelter's syndrome involves an extra X chromosome, leading to a karyotype of 47XXY.
3. Patau's syndrome is Trisomy 13, not Trisomy 21.
4. Edward's syndrome is Trisomy 18, not Trisomy 13.
Therefore, the correct answer is A because Turner's syndrome is correctly matched with a karyotype of 45X0.
Findings of a Pap smear exam denote atypical cells of undetermined significance (ASCUS).
- A. Which therapeutic treatment option would the nurse expect the practitioner to order?
- B. Mammography
- C. Bone scan
- D. Transvaginal ultrasound
Correct Answer: E
Rationale: The correct answer is missing from the choices provided. For a finding of ASCUS on a Pap smear, the next step would typically be to perform HPV testing to determine if further evaluation or treatment is needed. HPV testing helps to identify high-risk strains of the virus that may lead to cervical cancer. Based on the results of the HPV test, the healthcare provider would decide on the appropriate management plan, which could include colposcopy, repeat Pap smear, or other interventions. Therefore, the correct answer should involve HPV testing or further diagnostic procedures rather than therapeutic treatment options or imaging studies like mammography, bone scan, or transvaginal ultrasound.
If the fundal height is halfway between the woman's symphysis pubic and umbilicus, the approximate weeks of gestation are
- A. 8
- B. 12
- C. 16
Correct Answer: B
Rationale: Fundal height correlates roughly with weeks of gestation, with 12 weeks corresponding to midway between the symphysis and umbilicus.
Which of the following does not contribute to the increase in the thickness of the endometrium during the endometrial cycle?
- A. Growth of the endometrium
- B. Fluid retention in the endometrium
- C. Endometrial gland growth
- D. All of the above contribute to the increase in the thickness of the endometrium during the endometrial cycle.
Correct Answer: D
Rationale: All listed factors contribute to the increase in the thickness of the endometrium.
The dark red uterine discharge expelled in the first 2-3 days postpartum is
- A. lochia rubra
- B. lochia serosa
- C. lochia alba
Correct Answer: A
Rationale: Lochia rubra is the dark red uterine discharge that occurs in the first few days postpartum, consisting mainly of blood and uterine tissue.