PrepU Maternity and Peds Chapter 10
The health care provider prescribes 50 mg daily by mouth of clomiphene for a client having fertility problems. The client cannot swallow pills. Available is 200 mg/5 mL elixir. How many milliliters of the medication would the nurse administer? Record your answer using two decimal points.
1.25mL
What is the main purpose of the chorionic villi? Provide an exchange site for the exchange of nutrients and wastes Produce amniotic fluid Form the tissues that will become the placenta Adhere the blastocyst to the endometrial lining
A.
Cystic fibrosis is an example of which type of inheritance? autosomal dominant multifactorial X-linked recessive autosomal recessive
D.
Which question would be most important for a nurse to ask a G2 P1 client who has a child with sickle cell anemia? A. "When was your last exacerbation?" B. "Have you done well to control your stress?" C. "Do you know the sex of your baby?" D. "Did you and your partner get genetic testing?"
D.
A client who has one child with a genetic disorder tells the nurse, "I told my husband I was ready to have another baby and now he does not want to be intimate with me." What is the mostappropriate nursing diagnosis for this client? A. Altered sexuality pattern related to fear B. Ineffective coping related to personal issues C. Hopelessness related to increased tension D. Risk for loneliness related to lack of communication
A.
A mutligravida client is concerned that she may deliver early. When asking the nurse what is the earliest her baby can be delivered and survive, which time frame would the nurse point out? The end of the second trimester The end of the first trimester The end of the third trimester The end of the fourth trimester
A.
A nurse is caring for a 32-year-old Jewish client who is pregnant with a female baby. The parents are not directly related by blood. The mother reports that her husband's cousin had an infant born with Tay-Sachs disease that died two years ago and she is concerned about her baby. Which information does the nurse need to give the client to help alleviate her concerns regarding her baby having the same disease? There is a risk to the baby based upon the Jewish background, so genetic testing would be recommended. There is no risk of Tay-Sachs disease because the parents are not related by blood. Tay-Sachs disease affects only male infants so there is no poblem with her baby. The age of the client increases the susceptibility of the baby to Tay-Sachs disease.
A.
A nurse is conducting a presentation at a community health center about congenital malformations. The nurse describes that some common congenital malformations can occur and are recognized to be caused by multiple genetic and environmental factors. Which example would the nurse most likely cite? A. spina bifida B. cystic fibrosis C. color blindness D. hemophilia
A.
A nurse is conducting a presentation for a group of nurses at the prenatal clinic on basic genetic information. After teaching the group about genetics, the nurse determines that the teaching was effective based on which statement by the group? A. "My genome is my genetic blueprint." B. "My parents gave me good phenotypes." C. "Your outward characteristics show some interesting genotypes." D. "A secondary goal of determining my genome is to find new treatments."
A.
A nurse is providing care to a woman who has just found out that she is pregnant. The nurse is describing the events that have occurred and the structures that are forming. When describing the trophoblast to the client, the nurse would explain that this structure forms: placenta. fetal membrane. morula. zygote.
A.
A nurse overhears a colleague tell a client that based on the genetic testing results she should terminate the pregnancy. Which action is most appropriate for the nurse to take? A. Immediately stop the nurse. B. Call the client later and apologize. C. Contact the health care provider. D. Tell the unlicensed assistive personal.
A.
A nurse working in the newborn nursery hears an innocent murmur on auscultation of a 24-hour-old infant's chest. The nurse recognizes this as most likely the result of which condition? A. delayed fetal shunt closure B. dysfunctional foramen ovale C. congenital defect D. attached umbilical cord stump
A.
A nursing instructor is explaining the stages of fetal development to a group of nursing students. The instructor determines the session is successful after the students correctly choose which time period as representing the pre-embyonic stage? A. From fertilization and to the end of the second week . B. Approximately 2 weeks after fertilization and to the end of the eighth week. C. Approximately 9 weeks after fertilization and to birth. D. Approximately 6 weeks after fertilization and to the end of 8 weeks.
A.
A nursing student is explaining to a newly pregnant woman what happens during each stage of fetal development. At which stage does the nurse inform the woman that the lungs are fully shaped? end of 16 weeks end of 8 weeks end of 12 weeks end of 4 weeks
A.
A pregnant client is scheduled to undergo chorionic villi sampling (CVS) to rule out any birth defects. Ideally, when should this testing be completed? A. 10 to 12 weeks of gestation B. 7 to 9 weeks of gestation C. 5 to 6 weeks of gestation D. 4 to 5 weeks of gestation
A.
A pregnant woman undergoing amniocentesis asks her nurse why the baby needs this fluid. What would be an accurate response from the nurse? A. "Amniotic fluid cushions your baby to prevent injury." B. "Amniotic fluid provides fetal blood circulation." C. "Amniotic fluid supplies the food your baby needs to grow." D. "Amniotic fluid keeps the fetus from moving freely inside it to prevent injury."
A.
A recently married couple come to the prenatal clinic because they are concerned about genetic testing. The husband is of Jewish heritage. What testing should the nurse recommend to the couple? A. Tay-Sachs disease B. Down syndrome C. cystic fibrosis D. Turner syndrome
A.
A woman carries a recessive gene for sickle cell anemia. If her sexual partner also has this recessive gene, the chance that her first child will develop sickle cell anemia is: 1 in 4. 0 in 4. 2 in 4. 3 in 4.
A.
A woman in her 15th week of pregnancy is about to undergo amniocentesis. Which nursing intervention should be made first? A. Obtain a signed consent form. B. Have the client void. C. Place the client in supine position. D. Observe the fetal heart rate monitor.
A.
A woman with both heart disease and osteoarthritis has come to the genetics clinic for genetic screening. What would the nurse know about these two diseases? A. They are multifactorial B. They are direct result of the client's lifestyle C. They are caused by a single gene D. They do not have a genetic basis
A.
An ovum has received chromosomes for both of the parents. What are the odds of the infant being a male? 50% 100% 0% 25%
A.
During the embryonic stage of pregnancy, what changes would the mother note in her body to signal that she is pregnant? A. She will miss her menstrual cycle. B. She will begin to gain weight. C. Constipation often occurs during this time. D. She will have a slower heartbeat.
A.
How does fetal circulation differ from circulation after birth? The umbilical vein carries oxygenated blood, while deoxygenated blood is carried by the umbilical arteries. Fetal blood flow bypasses the right atrium and goes directly to the right ventricle. In utero, blood through the pulmonary artery is only 50% of the post-delivery blood flow. The ductus arteriosus carries the majority of the blood circulating from the left atrium to the left ventricle directly to the aorta.
A.
In developing a plan of care for a 5-year-old child with Down syndrome, what should be a priorityfor the nurse in meeting the expected growth and development outcomes for this child? A. The child is enrolled in kindergarten. B. The child is kept in a daycare setting. C. The child stays at home with a parent. D. The child is placed in a home facility.
A.
The fluid-filled, inner membrane sac surrounding the fetus is which structure? amnion chorion endometrium decidua
A.
The nurse is counseling a couple who are concerned because the woman has achondroplasia in her family. The woman is not affected. Which statement by the couple indicates the need for more teaching? "If the father doesn't have the gene, then his son won't have achondroplasia." "Since neither one of us has the disorder, we won't pass it on." "If the father has the gene, then there is a 50% chance of passing it on." "If the mother has the gene, then there is a 50% chance of passing it on."
A.
The nurse is counseling a couple who are concerned because the woman has achondroplasia in her family. The woman is not affected. Which statement by the couple indicates the need for more teaching? "If the father has the gene, then there is a 50% chance of passing it on." "If the father doesn't have the gene, then his son won't have achondroplasia." "If the mother has the gene, then there is a 50% chance of passing it on." "Since neither one of us has the disorder, we won't pass it on."
A.
The nursing instructor is illustrating the circulatory flow between the mother and fetus. The instructor determines the session is successful when the class correctly chooses which structure with which route? The one umbilical vein carries oxygen-rich blood to the fetus from the placenta. The one umbilical artery carries oxygen-rich blood to the fetus from the placenta. The two umbilical arteries carry waste products from the placenta to the fetus. The two umbilical veins carry waste products from the fetus to the placenta.
A.
The results of a woman's quadruple marker screen show that her alpha-fetoprotein (AFP) blood level is more than twice the value of the mean for that gestational age. The nurse recognizes that this finding is most strongly associated with: a neural tube disorder. a chromosomal disorder. Down syndrome. a trisomy disorder.
A.
What physiologic changes occur after birth when the cord is cut and clamped? A. The infant takes its first breath and the lungs expand to increase blood oxygen levels. B. The ductus ovale closes over the next 2 to 3 days. C. The oxygenated blood coming from the placenta is diverted around the liver through the ductus venosus. D. The placenta is immediately expelled.
A.
When assessing newborns for chromosomal disorders, which assessment would be mostsuggestive of a problem? A. low-set ears B. slanting of the palpebral fissure C. short neck D. bowed legs
A.
Which factor suggests that a child's disorder is a X-linked inherited one? Male children of an affected male are free of the disease. One of the parents of the child has the disorder. Male and female children have the disease equally. The disease will have occurred in a female grandparent.
A.
While talking with a pregnant woman who has undergone genetic testing, the woman informs the nurse that her baby will be born with Down syndrome. The nurse understands that Down syndrome is an example of a: A. multifactorial inheritance. B. X-linked recessive inheritance. C. trisomy numeric abnormality. D. chromosomal deletion.
A.
It is important that nurses include a discussion about teratogens in their prenatal discussions to help prevent deformities or abnormalities. Which substances would the nurse include as teratogens? Select all that apply. A. alcohol B. certain medications C. caustic chemicals D. multivitamin supplement
A. B. C.
When educating parents on the incidence of genetically associated childhood cancers, the nurse will discuss which cancers? Select all that apply. A. retinoblasoma B. Wilms tumor C. neuroblastoma D. osteomyloma E. acute myelogenous leukemia
A. B. C.
During a clinical rotation at a prenatal clinic, a client asks a nurse what causes certain birth defects. The nurse replies that they can be caused by teratogens. What does the severity of the defects depend on? Select all that apply. A. When during development the conceptus is exposed to the teratogen B. The age of the father C. The particular teratogen to which the fetus is exposed D. The age of any siblings E. The food prefernces of the father
A. C.
A client at a preconception screening meeting indicates to the nurse that she is a carrier of muscular dystrophy. Which statement made by the client indicates an understanding of the implications? "If I have a female child there is a 25% chance she will be a carrier." "There is a good chance my future children will all be affected." "If I have a male child he will not be affected." "There are more affected females than males."
B
A client is confused concerning her fertile period each month. The nurse would educate the client by providing which information? The female fertility period is from Day 12 to Day 21 of her menstrual cycle. The window of opportunity for conception is from 3 days before to 2 days following ovulation. Fertilization can occur only if intercourse occurs on the day of ovulation. Since a sperm can only live 12 to 24 hours after ejaculation, fertility is limited to 1 day before to 1 day after ovulation.
B
A woman is taking vaginal progesterone suppositories during her first trimester because her body does not produce enough of it naturally. She asks the nurse what function this hormone has in her pregnancy. What should the nurse explain is the primary function of progesterone? ensures the corpus luteum of the ovary continues to produce estrogen maintains the endometrial lining of the uterus during pregnancy regulates maternal glucose, protein, and fat levels contributes to mammary gland development
B
In developing a plan of care for a 5-year-old child with Down syndrome, what should be a priority for the nurse in meeting the expected growth and development outcomes for this child? The child is kept in a daycare setting. The child is enrolled in kindergarten. The child is placed in a home facility. The child stays at home with a parent.
B
A client at a prenatal class requests information on how the gender of a baby is determined. Which statement made by the nurse would be most accurate? "Gender is determined by week 20 of gestation and depends on whether the ovum is fertilized by a Y-bearing or an X-bearing sperm." "Gender is determined at conception and depends on whether the ovum is fertilized by a Y-bearing or an X-bearing sperm." "Gender is determined at conception and depends on whether the sperm is fertilized by a Y-bearing or X-bearing ovum." "Gender is determined as the embryo is fertilized by a Y-bearing or an X-bearing sperm."
B.
A client calls the nurse in a panic after a home pregnancy test indicates she is pregnant. She reports that that she consumed a lot of alcohol on the night that she thinks the pregnancy occurred. The next day she had taken several acetaminophen. For the past 3 weeks, she has had her usual nightly glass of wine with dinner but no other alcohol. What is an appropriate response for the nurse to make when the client questions if she has caused irreversible damage to the fetus? A. "Why did you have unprotected sex if you had been drinking? Exposure to alcohol can cause facial deformities, low birth weight, and underdeveloped brains." B. "The fetus is not exposed to the mother's blood until after it implants about 6 days after fertilization, so the first night is not an issue. But it is best to avoid alcohol while you are pregnant." C. "The wedding night is not an issue because the fetus is not exposed to the mother's blood at first, but I hope this last week of drinking has not caused any problems." D. "Alcohol is very damaging to the growing fetus, so you had better be sure to stop drinking. Do you need any support for that?"
B.
A nurse is interviewing the family members of a pregnant client to obtain a genetic history. While asking questions, which information would be most important? socioeconomic status of the family members avoidance of questions on race or ethnic background if couples are related to each other or have blood ties specific physical characteristics of family members
C
A couple has just been notified that their unborn child carries a genetic disorder. The couple expresses concern that the insurance company will not cover the costs associated with the medical bills for the child. What is the most appropriate response by the nurse? A. "The insurance company may consider it a preexisting condition since you know." B. "There are laws in place that prohibit that from happening." C. "The insurance company may ask you to change policies once the baby is born." D. "They will charge you a higher premium every month."
B.
A couple has just learned that their son will be born with Down syndrome. The nurse shows a lack of understanding when making which statement? A. "We have counseling services available, and I recommend them to everyone facing these circumstances." B. "I will alert your entire family about this so you don't have to." C. "I will support you in any decision that you make." D. "I will give you as much information as I can about this condition."
B.
A fertilized ovum is known as which structure? A. fetus B. zygote C. embryo D. chorion
B.
A group of nursing students are preparing a presentation depicting the fetal circulation. The instructor determines the presentation is successful when the students correctly illustrate which route for the ductus arteriosus? The right ventricle to the aorta The pulmonary artery to the aorta The left to right heart atria The aorta to the pulmonary veins
B.
A mother has come to the clinic with her 13-year-old daughter to find out why she has not started her menses. After a thorough examination and history, genetic testing is prescribed to rule out which abnormality? Klinefelter's syndrome Turner syndrome fragile X syndrome cri du chat syndrome
B.
A pregnant client who is planning to have genetic testing asks the nurse when she should schedule her amniocentesis. What should the nurse tell the client? 10 weeks 16 weeks 30 weeks 24 weeks
B.
A pregnant woman undergoes a triple/quadruple screen at 16 to 18 weeks' gestation. What would the nurse suspect if the woman's level is decreased? cardiac defects Down syndrome respiratory disorders sickle-cell anemia
B.
A student nurse is preparing an illustration for a health fair depicting the various types of twins. Which format will the student use to depict identical twins? Two separate eggs and different sperm One egg and one sperm One egg and two different sperm Two separate eggs and one sperm
B.
A woman is confused after finding out the ultrasound results predict a different due date for the birth of her baby. Which factor should the nurse point out is most likely the reason for the miscalculation of the fetal age? not seeking prenatal care in the beginning mistaking implantation bleeding for LMP amount of weight gain of mother in early weeks of pregnancy an error in math when calculating
B.
Cystic fibrosis is an example of which type of inheritance? A. autosomal dominant B. autosomal recessive C. X-linked recessive D. multifactorial
B.
Genetic testing has revealed that a couple's unborn child shows the possibility of mosaicism. When counseling this couple, the nurse explains this means that: this genetic abnormality is a recessive trait that is familial. the genetic abnormality occurred after fertilization and during the mitotic cell division. this genetic trait generally occurs when both parents have the recessive trait in their DNA and pass it to their offspring. this genetic trait is generally passed from the mother to the child.
B.
Genetic testing has revealed that a couple's unborn child shows the possibility of mosaicism. When counseling this couple, the nurse explains this means that: this genetic trait generally occurs when both parents have the recessive trait in their DNA and pass it to their offspring. the genetic abnormality occurred after fertilization and during the mitotic cell division. this genetic trait is generally passed from the mother to the child. this genetic abnormality is a recessive trait that is familial.
B.
Genetics-related health care is basic to the holistic practice of nursing. What should nursing practice in genetics include? A. identifying genetic markers B. gathering relevant family and medical history information C. providing advice on termination of pregnancy D. discouraging females to conceive after the age of 40 years
B.
On what day during pregnancy does the embryo implant on the uterine surface? A. the 14th day of a "typical" menstrual cycle B. eight days after ovulation C. ten days after the start of the menstrual flow D. four days after ovulation
B.
The nurse prepares a couple to have a karyotype performed. What describes a karyotype? A. a blood test that will reveal an individual's homozygous tendencies B. a visual presentation of the chromosome pattern of an individual C. the gene carried on the X or Y chromosome D. the dominant gene that will exert influence over a correspondingly located recessive gene
B.
Two parents carry the recessive gene for six toes. What is the chance that they will have a child with six toes? 50% 25% 100% 75%
B.
Which genetic condition is caused by a small gene mutation that affects protein structure, producing hemoglobin S? Tay-Sachs disease sickle cell anemia hemophilia Marfan syndrome
B.
During a preconception class on healthy conception and pregnancy awareness, a couple asks the nurse for information on conception. Which response made by the nurse is correct? "There are more than 500 million sperm in ejaculated semen." "There are more than 750 millon sperm in ejaculated semen." "There are more than 200 million sperm in ejaculated semen." "There are more than 100 million sperm in ejaculated semen."
C
The nursing instructor is preparing a class presentation covering the various hormones and their functions during pregnancy. The instructor determines the class is successful when the class correctly matches which function with hCG? sustains life of placenta provides rich blood supply to decidua continues progesterone production by corpus luteum maintains nutrient-rich decidua
C
Which event will result in zygote formation? The nucleus of the ovum carries forth the genetic information at implantation. The nucleus of the sperm carries forth the genetic information at implantation. The nucleus of the ovum and sperm make contact and combine chromosomes. The nucleus of the sperm and the fallopian tube make contact and combines chromosomes.
C
Nondisjunction of a chromosome results in which diagnosis? A. Huntingon disease B. Duchenne muscular dystrophy C. Marfan syndrome D. Down syndrome
D.
A community health nurse is visiting a 16-year-old new mother. The nurse explains to the client and her mother the genetic screening that is required by the state's law. The client asks why it is important to have the testing done on the infant. What is the nurse's best response? A. "Genetic testing is a way to determine the rate of infectious disease." B. "It is important to test newborns for PKU, congenital hypothyroidism, and galactosemia." C. "PKU, congenital hypothyroidism, and galactosemia are conditions that could result in disability or death if untreated." D. "This testing is required and you will not be able to refuse it. It usually is free so there is no reason to refuse it."
C.
A nurse is present when a health care provider tells a couple that the results of their genetic testing came back normal. Later, the nurse notes that the completed genetic report identifies the couple positive for a genetic disorder. What is the most appropriate action by the nurse? A. Call the couple and tell them the truth. B. Do nothing; it is not the nurse's decision. C. Report it to the nursing supervisor. D. Call the medical review board.
C.
A pregnant client has heard about Down syndrome and wants to know about the risk factors associated with it. What would the nurse include as a risk factor? A. advanced paternal age B. recurrent miscarriages C. advanced maternal age D. family history of condition
C.
A pregnant client is undergoing an amniocentesis in her third trimester and is worried why she is undergoing this procedure. Which statement by the nurse would best alleviate this client's anxieties? "This procedure is not very dangerous and you should not worry about it." "The doctor can explain everything to you when we are done with the procedure." "We are concerned that your baby may have some genetic disorder." "We want to be sure your baby's lungs are mature and this measures the development of the baby's lungs.
C.
A pregnant woman has a child at home who has been diagnosed with neurofibromatosis. She asks the nurse what she should look for in the new baby that would indicate that it also has neurofibromatosis. What sign should the nurse instruct the woman to look for in the new baby? Xanthoma Projectile vomiting Café-au-lait spots Increased urination
C.
A pregnant woman of Jewish descent comes to the clinic for counseling and tells the nurse that she is worried her baby may be born with a genetic disorder. Which disease does the nurse identify to be a risk for this client's baby based on the family's ancestry? A. sickle cell anemia B. b-thalassemia C. Tay-Sachs D. Down syndrome
C.
A young couple expecting their first child comes to the clinic concerned that their baby will be born with Down syndrome. The nurse informs the couple that the incidence of Down syndrome is highest in women older than what age? A. 25 years B. 30 years C. 35 years D. 20 years
C.
After teaching a class on the various structures formed by the embryonic membranes, the nurse determines that the teaching was successful when the class identifies which structure as being formed by the mesoderm? lungs ears bones stomach
C.
An 18-year-old pregnant woman asks the nurse why she has to have a routine alpha-fetoprotein serum level drawn. The nurse explains that this: is a screening test for placental function. measures the fetal liver function. may reveal chromosomal abnormalities. tests the ability of her heart to accommodate the pregnancy.
C.
The placenta is the site where antibodies in the mother's blood pass into the fetal circulation. These antibodies give passive immunity to the fetus for several common childhood diseases. There are some infections for which the mother does not provide antibodies to the fetus. What infection is the fetus not protected from? Smallpox Diphtheria Rubella Rubeola
C.
The pregnant client at 6 weeks' gestation asks the nurse if an ultrasound will reveal the sex of the fetus yet. What is the best response by the nurse? A. "We will be able to determine the sex of the baby today with transvaginal ultrasound." B. "We will have to wait until the baby is 8 weeks' gestation to be able to determine what the sex is." C. "We will have to wait until the baby is 16 weeks' gestation to determine what the sex is." D. "We will have to wait until the baby is 20 weeks' gestation to determine the sex of the baby."
C.
The nurse is creating an educational pamphlet for pregnant mothers. Which is the bestdescription of fetal development for the nurse to emphasize? sex and systems developed length, weight, sex age in weeks and systems developed gestational age, length, weight, and systems developed
D.
The primary care provider has prescribed a karyotype for a newborn. The mother questions what the type of information that will be provided by the test. What information should be included in the nurse's response? A. The karyotype will provide information about the severity of your baby's condition. B. A karyotype is useful in determining the potential complications the baby may face as a result of its condition. C. The karyotype will assess the baby's chromosomal makeup. D. The karyotype will determine the treatment needed for the infant.
C.
Which body system is most affected throughout the embryonic and fetal period by teratogens? A. Gastrointestinal system B. Genitourinary system C. Central nervous system D. Musculoskeletal system
C.
A nurse is providing genetic counseling to a pregnant client. Which are nursing responsibilities related to counseling the client? Select all that apply. instructing the client on the appropriate decision to be taken avoiding explanation of ethical or legal issues and concentrating on genetic issues knowing basic genetic terminology and inheritance patterns explaining basic concepts of probability and disorder susceptibility ensuring complete informed consent to facilitate decisions about genetic testing
CDE
A 4-year-old child is recently diagnosed with Wilms tumor. The health care provider suggests that the child's siblings have genetic testing performed. What is the best response by the nurse when explaining this to the parents? "The health care provider just wants to make sure there are not any other diseases in the family genes." "The tumor is a collection of fat cells in the body that just collect in that one spot. The testing will see if the other children will develop that as well." "Your child has a benign tumor. The testing is not necessary, and I would suggest that you don't put your children through it." "Wilms tumor is associated with a genetic link to chromosome 11; with early detection and treatment there are better outcomes."
D
While in utero, a fetus swallows many substances that are deposited in the fetal intestinal system as meconium. What problem can arise from this occurrence? The fetus can become constipated following birth. Meconium-stained fluids cause an increased risk of jaundice. Abdominal distension occurs and infection can set in. If the fetus becomes stressed, the meconium is released into the amniotic fluid, placing the fetus at risk for pneumonia.
D
The nursing student is preparing a presentation which will illustrate the various stages of fetal development. The student will label which stage as the time when the various tissues of the growing embryo begin to assume specific functions? fetal pre-embryonic post-embryonic embryonic
D.
When educating parents on recessive genetic disease statistics, the nurse understands that which statement by the parents indicates an accurate understanding of genetic inheritance? A. "My children will have a 50/50 chance of having a genetic disease." B. "If I have four children, only one will have the disease." C. "With each child the odds of inheritance decrease significantly." D. "Each child will have a 25% chance of developing the disease."
D.
A baby is born with what the primary care provider believes is a diagnosis of trisomy 21. This means that the infant has three number 21 chromosomes. What factor describes this genetic change? The client will have a single X chromosome and infertility. The mother also has genetic mutation of chromosome 21. During meiosis, a reduction of chromosomes resulted in 23. The client has a nondisjunction occurring during meiosis.
D.
A couple wants to start a family. They are concerned that their child will be at risk for cystic fibrosis because they each have a cousin with cystic fibrosis. They are seeing a nurse practitioner for preconceptual counseling. What would the nurse practitioner tell them about cystic fibrosis? A. It is an autosomal dominant disorder. B. It is passed by mitochondrial inheritance. C. It is an X-linked inherited disorder. D. It is an autosomal recessive disorder.
D.
A nurse is caring for a 37-year-old pregnant client who is expecting twin boys. The client smoked prior to conception but has stopped during the pregnancy. A relative of the client has Klinefelter syndrome, and the client wants to find out more about the disorder. Which information will the nurse provide to the client during genetic counseling? Having twins increases the risk of Klinefelter syndrome. Klinefelter syndrome occurs only in girls and not boys. The client's previous smoking habit will increase the risk of a genetic disorder. There is a greater risk of Klinefelter syndrome due to the client's age.
D.
A nurse is caring for a client who has just been told that her unborn baby carries a genetic disorder associated with significant health related issues. The client asks, "Should I kill the baby?" What is the most appropriate nursing diagnosis for this client? A. Fear related to birth of a baby B. Situational low self-esteem C. Deficient knowledge related to inheritance pattern D. Decisional conflict related to continuation of pregnancy
D.
A nurse is counseling a couple who have a 5-year-old daughter with Down syndrome. The nurse recognizes that their daughter's genome is represented by which chromosone combination? 47XY21+ 46XX 46XX5p- 47XX21+
D.
A nurse is interviewing a couple who has come for a preconception visit. The couple asks the nurse about inheritance and how it occurs, When describing the concept of genes and inheritance, the nurse explains that a gene that is expressed when paired with another gene for the same trait is called: recessive. heterozygous. homozygous. dominant.
D.
A young couple who underwent preconceptual genetic counseling and testing have learned that they are at high risk for having a child with Down syndrome. They have decided not to have children. What would be the most appropriate response for the nurse to give? "I understand and support your decision. The risk is just not worth it." "I appreciate your decision, but I urge you to think through this further. Having a child, even one with Down syndrome, is so rewarding." "I think you made the right decision. After all, I never had children, and I'm perfectly happy." "I understand. In case you would like to discuss this further with a genetic counselor, here is the contact information for the genetic counseling center."
D.
Fetal circulation differs from the circulatory path of the newborn infant. In utero the fetus has a hole connecting the right and left atria of the heart. This allows oxygenated blood to quickly pass to the major organs of the body. What is this hole called? A. Foramen venosus B. Foramen magnum C. Foramen arteriosus D. Foramen ovale
D.
