Nokea
The nurse is discussing genetically linked diseases with a couple planning a pregnancy. The female states, 'I am concerned because there is a history of sickle-cell disease in my family.' Which information from the nurse is correct?
- A. Any offspring will have the disease.
- B. Only male children will have the disease.
- C. The male partner needs genetic testing.
- D. The couple should not become pregnant.
Correct Answer: C
Rationale: The male partner should undergo genetic testing to determine if he is a carrier of the sickle-cell gene. This information guides the couple's reproductive decisions.
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A 34-year-old patient who is 16 weeks pregnant had a multiple markers screening done. The results came back with an increased risk for trisomy 21. You call the patient to go over the results. How should you respond when the patient asks you if the baby is going to have Down syndrome?
- A. Yes, would you like to continue or terminate your pregnancy?
- B. This screening predicts only the risk of your baby having Down syndrome and cannot diagnose it. Additional testing is needed to determine this.
- C. You will need to discuss this with your provider at your next appointment.
- D. Yes, this test shows your baby has Down syndrome. I’d be happy to send you resources about this condition so that you can be prepared for when your baby is born.
Correct Answer: B
Rationale: Screening tests like multiple marker tests indicate risk but do not confirm a diagnosis. Further tests are needed to determine if the baby has Down syndrome.
The nurse is teaching a class about embryonic and fetal development to couples in the early stage of pregnancy. For which reason does the nurse emphasize the first 8 weeks of gestation?
- A. Pregnancies often abort before or at this time of development.
- B. Lack of size and movement prevents confirmation of pregnancy.
- C. All organ systems are developing during this period.
- D. Factors that can interrupt the pregnancy are no longer a concern.
Correct Answer: C
Rationale: The first 8 weeks are critical as all organ systems are developing, making it a sensitive period for any interruptions.
The nurse caring for a pregnant patient knows that her health teaching regarding fetal circulation has been effective when the patient reports that she has been sleeping:
- A. In a side-lying position.
- B. On her back with a pillow under her knees.
- C. With the head of the bed elevated.
- D. On her abdomen.
Correct Answer: A
Rationale: Optimal circulation is achieved when the woman is lying at rest on her side.
What are probable signs of pregnancy? Select all that apply.
- A. amenorrhea
- B. fetal movement
- C. Goodell sign
- D. positive pregnancy test
Correct Answer: B
Rationale: Probable signs include Goodell sign, positive pregnancy test, and skin hyperpigmentation. Amenorrhea and fetal movement are subjective or definitive signs.
How many mature ova result from a single cycle of oogenesis?
- A. 1
- B. 2
- C. 3
- D. 4
Correct Answer: A
Rationale: Oogenesis produces one mature ovum per cycle, along with polar bodies that degenerate.