Nokea
In presenting to obstetric nurses interested in genetics, the genetic nurse identifies the primary risk(s) associated with genetic testing as:
- A. Anxiety and altered family relationships.
- B. Denial of insurance benefits.
- C. High false-positive results associated with genetic testing.
- D. Ethnic and socioeconomic disparity associated with genetic testing.
Correct Answer: B
Rationale: Some types of genetic testing are expensive and are not covered by insurance benefits.
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The nurse is answering a phone call from a pregnant person. The pregnant person informs the nurse she has had several sharp pains in the right lower abdomen this week. What is the priority question the nurse should ask the pregnant person?
- A. How many weeks pregnant are you?
- B. How much water are you drinking every day?
- C. When was your last bowel movement?
- D. Are you lactose intolerant?
Correct Answer: A
Rationale: The correct answer is A: How many weeks pregnant are you? This is the priority question because sharp pains in the right lower abdomen could indicate an ectopic pregnancy or appendicitis, both of which are serious conditions requiring immediate medical attention. Knowing the gestational age will help the nurse determine the likelihood of these complications.
Choice B: How much water are you drinking every day? is not the priority question as it is unlikely to be related to the sharp pains in the right lower abdomen.
Choice C: When was your last bowel movement? is not the priority question as it is not directly related to the sharp pains in the right lower abdomen.
Choice D: Are you lactose intolerant? is not the priority question as it is not likely to be the cause of sharp pains in the right lower abdomen for a pregnant person.
The nurse is providing prenatal education to a pregnant person who is 10 weeks pregnant. The nurse informs the pregnant person the placenta supports continual gestation until term by producing what?
- A. glucose
- B. hormones
- C. oxygen
- D. waste
Correct Answer: B
Rationale: The correct answer is B: hormones. The placenta produces hormones such as progesterone and estrogen, which are crucial for maintaining the pregnancy and supporting fetal development. These hormones help regulate the menstrual cycle, support the growth of the fetus, and prepare the body for childbirth. Glucose (A) is essential for fetal growth but is not the primary function of the placenta. Oxygen (C) is carried through the placenta to the fetus but is not produced by the placenta itself. Waste (D) products are removed by the placenta, but they are not produced to support continual gestation.
What are functions of the placenta?
- A. Produces the hormones estrogen, progesterone, and relaxin.
- B. None
- C. Feeds the foetus.
- D. None
Correct Answer: A
Rationale: The placenta produces hormones and stores nutrients for fetal use.
Which student statement requires further instruction?
- A. It protects against cervical cancer and genital warts.
- B. It is recommended for boys and girls, age 11-12.
- C. It is an effective treatment for precancerous cervical changes.
- D. It requires 2-3 doses.
Correct Answer: C
Rationale: The HPV vaccine is preventive, not a treatment for existing conditions.
What condition would the nurse suspect in a patient with irregular menstrual cycles, obesity, and abnormal hair growth on the face?
- A. endometriosis
- B. hyperprolactinemia
- C. polycystic ovary syndrome
- D. hydrosalpinx
Correct Answer: C
Rationale: The correct answer is C: polycystic ovary syndrome (PCOS). Irregular menstrual cycles, obesity, and abnormal hair growth are common symptoms of PCOS. PCOS is a hormonal disorder that affects women of reproductive age. Irregular menstrual cycles occur due to anovulation. Obesity is often associated with insulin resistance, a common feature of PCOS. Abnormal hair growth, known as hirsutism, is a result of elevated levels of male hormones (androgens). Endometriosis (A) is characterized by the presence of endometrial tissue outside the uterus, causing pelvic pain and infertility. Hyperprolactinemia (B) is an excess of prolactin hormone, leading to irregular menstrual cycles and milk production. Hydrosalpinx (D) is the accumulation of fluid in a fallopian tube, causing infertility but not the symptoms described.