Nokea
The nurse is counseling a patient regarding pregnancy. The patient lost her first two pregnancies in the second trimester of gestation for undetermined reasons. Which initial advice does the nurse provide for this patient?
- A. Consider adoption.
- B. Seek genetic studies.
- C. Plan for fertility tests.
- D. Attend grief counseling.
Correct Answer: B
Rationale: Following two spontaneous abortions, the nurse initially suggests genetic studies to identify any genetic factors causing the loss of previous pregnancies.
You may also like to solve these questions
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.
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.
A father and mother are carriers of phenylketonuria (PKU). Their 2-year-old daughter has PKU. The couple tells the nurse that they are planning to have a second baby. Because their daughter has PKU, they are sure that their next baby won't be affected. What response by the nurse is most accurate?
- A. Good planning; you need to take advantage of the odds in your favor.
- B. I think you'd better check with your doctor first.
- C. You are both carriers, so each baby has a 25% chance of being affected.
- D. The ultrasound indicates a boy, and boys are not affected by PKU.
Correct Answer: C
Rationale: Each child produced by this couple has a 25% chance of being affected by PKU disorder.
Choose appropriate client teaching related to maternal serum alpha-fetoprotein (MSAFP) analysis.
- A. Abnormal MSAFP levels should be followed by more specific tests.
- B. High MSAFP levels are usually associated with chromosome abnormalities.
- C. Having MSAFP testing eliminates the need to perform an ultrasound examination.
- D. The initial MSAFP testing will be performed at 12 weeks of gestation.
Correct Answer: A
Rationale: Abnormal MSAFP levels require further investigation with more specific tests.
What term would the nurse use to document the lab results of a patient with a zero sperm count?
- A. azospermia
- B. oligospermia
- C. varicocele
- D. retrograde ejaculation
Correct Answer: A
Rationale: Azoospermia refers to the absence of sperm in the ejaculate, indicating a zero sperm count.