Nokea
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.
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What is the purpose of cell-free DNA screening done in the first trimester?
- A. to determining the gender of the fetus
- B. to check for multiple fetuses
- C. to assess the risk of chromosomal abnormalities in the fetus
- D. to measure the growth and development of the fetus
Correct Answer: C
Rationale: Cell-free DNA is used to assess the risk of chromosomal abnormalities. It does not determine gender or measure growth and development.
Along with gas exchange and nutrient transfer, the placenta produces many hormones necessary for normal pregnancy, including which of the following? (Select all that apply.)
- A. Insulin
- B. Estrogen
- C. Progesterone
- D. Testosterone
Correct Answer: B
Rationale: - Estrogen: The placenta secretes estrogen during pregnancy, which plays a crucial role in maintaining the pregnancy and preparing the body for childbirth. Estrogen helps regulate the menstrual cycle, supports fetal development, and stimulates the growth of the uterus and breasts.
A patient who has just received confirmation that she is pregnant is distressed because she has a seizure disorder that she manages with carbamazepine. Which is the nurse’s greatest concern?
- A. The carbamazepine may be discontinued.
- B. The pregnancy is likely to end with fetal demise.
- C. The fetus will experience loss of vision and hearing.
- D. Carbamazepine is teratogenic and causes neural and facial defects.
Correct Answer: D
Rationale: Carbamazepine is a teratogenic drug that poses risks of neural tube defects and craniofacial abnormalities, making this the greatest concern.
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.
An infertile couple learns that the female is unable to produce viable eggs. The male partner suggests the use of a surrogate as a means of having a child. The female states, 'I don’t want your baby with another woman!' The nurse is aware of which psychosocial issue with this couple?
- A. The male blames the female for the infertility
- B. The female is jealous of the surrogate’s fertility
- C. The male needs to have a child with his genes
- D. The female is experiencing self-esteem issues
Correct Answer: D
Rationale: The female is experiencing self-esteem issues due to infertility and the suggestion of a surrogate. The other choices either misinterpret the scenario or are less likely explanations for her reaction.