Nokea
The nurse is counseling a female patient diagnosed with anovulation as a cause of infertility. Which information does the nurse provide to the patient? Select all that apply.
- A. Methods for dietary planning
- B. Consultation for myomectomy
- C. Refrain from unprotected sex
- D. Surgical correction of fallopian tubes
Correct Answer: A
Rationale: Methods for dietary planning and clomiphene citrate instructions are crucial for managing anovulation. The other options are unrelated or less effective for this condition.
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The prenatal nurse is discussing the functions of the placenta with a pregnant person at 6 weeks’ gestation. What statement by the pregnant person indicates to the nurse the patient understands the information?
- A. The placenta filters hormones to support the pregnancy.
- B. The placenta is responsible for fetal waste disposal.
- C. The placenta prevents all viruses from harming the fetus.
- D. The placenta regulates glucose levels in the fetus.
Correct Answer: B
Rationale: The placenta facilitates waste disposal and oxygen transfer. It does not filter all viruses or regulate fetal glucose.
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.
When should a woman start having pap smears?
- A. None
- B. At age 21.
- C. None
- D. None
Correct Answer: B
Rationale: Guidelines recommend starting pap smears at age 21.
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.
A pregnant woman at 25 weeks' gestation tells the nurse that she dropped a pan last week and her baby jumped at the noise. Which response by the nurse is most accurate?
- A. That must have been a coincidence; babies can't respond like that.
- B. The fetus is demonstrating the aural reflex.
- C. Babies respond to sound starting at about 24 weeks of gestation.
- D. Let me know if it happens again; we need to report that to your midwife.
Correct Answer: C
Rationale: Babies respond to sound starting at about 24 weeks of gestation.