Chapter 14 - PrepU - Before Conception

A 25-year-old woman who recently underwent genetic testing has just learned that she is heterozygous dominant for Huntington disease. Her husband, however, who also underwent the testing, is free from the trait. What are the odds that the couple will have a child who will inherit the disorder? 1- 50% 2- 100% 3- 75% 4- 25%

1

A boy tells you that his family celebrates the Fourth of July by eating out at a local restaurant. He tells you this is a better way to celebrate the holiday than having a picnic like his neighbors. This statement represents which of the following? 1- Ethnocentrism 2- Stereotyping 3- A taboo 4- Cultural assimilation

1

A couple has just learned that their unborn son has a chromosome disorder that results in an extra X chromosome. The primary care provider explains that secondary sex characteristics will not develop in this child at puberty and that his testes will remain small and produce ineffective sperm. The nurse recognizes that this child likely has: 1- Klinefelter syndrome. 2- Turner syndrome. 3- fragile X syndrome. 4- Down syndrome.

1

A nurse is conducting an in-service education program about the female reproductive cycle for a group of nurses working at a women's health clinic. When describing the phases of the endometrial cycle, the nurse would explain that the proliferative phase of the endometrial cycle corresponds to which phase in the ovarian cycle? 1- follicular 2- secretory 3- ischemic 4- menstrual

1

A nurse is preparing a teaching plan for a woman who is planning to become pregnant. Which hormone secreted by the corpus luteum would the nurse include in the discussion when describing how the endometrium is prepped for egg implantation? 1- progesterone 2- estrogen 3- testosterone 4- luteinizing hormone

1

A nurse is putting together educational material for clients who desire to learn about how to get pregnant. Part of this information will explain that fertilization occurs: 1- in the fallopian tubes. 2- in the uterus. 3- in the ovaries. 4- in the vagina.

1

A nurse is teaching a group of women at the local health clinic about reproduction. After describing the various internal structures involved, the nurse determines that the teaching was successful when the group identifies which structure as connecting the external structures with the cervix? 1- vagina 2- uterus 3- rugae 4- fundus

1

A pregnant client in the first trimester asks the nurse about taking medications while she is pregnant. She tells the nurse that she heard that it can be harmful to the fetus if medications are taken at certain times during pregnancy. What is the best response by the nurse? 1- "Exposure to certain substances during the embryonic phase may be harmful to the developing fetus." 2- "As long as you are past 4 weeks of pregnancy, you should be able to take most medications." 3- "There is no need for you to worry; you are not far enough along in your pregnancy for this to be a problem." 4- "You cannot drink alcohol, but you can take some medications, such as cold preparations and over-the-counter medications."

1

A school nurse who is teaching a health course at the local high school is presenting information on human development and sexuality. When talking about the role of hormones in sexual development, which hormone does the nurse teach the class is the most important for developing and maintaining the female reproductive organs? 1- estrogen 2- progesterone 3- androgens 4- follicle-stimulating hormone

1

After completing an assessment, the nurse suspects a woman has confused implantation bleeding with her period. The nurse predicts the woman is at which week in her pregnancy? 1- 4 weeks 2- 3 weeks 3- 2 weeks 4- 1 week

1

After teaching a group of women about reproduction and the structures involved, the nurse determines that the teaching was successful when the group identifies which female reproductive structure as comparable to the male testes? 1- ovaries 2- fallopian tubes 3- clitoris 4- fundus

1

After teaching a health education class on the female reproductive cycle, the nurse determines that the teaching was effective when the group identifies which phase as belonging to the ovarian cycle? 1- follicular phase 2- proliferative phase 3- secretory phase 4- ischemic phase

1

An adolescent tells you that it is taboo in his family to use credit cards. You would interpret this to mean which of the following? 1- His parents do not use credit cards 2- His parents probably have few credit cards 3- The family is wealthy 4- The adolescent is too young to apply for a credit card

1

An adult client currently has low levels of estrogen and progesterone. At this point in the menstrual cycle, the client will likely: 1- shed her uterine lining. 2- ovulate. 3- become pregnant. 4- experience endometrial regeneration.

1

An expectant mother is on heparin for previous blood clots and voicing concerns about how her medications will affect her baby. The nurse would inform the mother that: 1- heparin does not cross the placenta and is safe for her to take. 2- any medication that an expectant mother takes can cause sequelae for the infant. 3- she should discontinue the heparin and change to another anticoagulant. 4- it is recommended to stop taking the heparin while she is pregnant.

1

During the admission assessment, the nurse notes many café-au-lait spots on the client's trunk, back, neck, and legs and suspects that she has neurofibromatosis. The client's chart confirms that she has neurofibromatosis type 1. Based on the nurse's knowledge of neurofibromatosis, the nurse understands that a single family member has a: 1- spontaneous mutation. 2- germline mutation. 3- nondisjunction. 4- monosomy.

1

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: 1- the genetic abnormality occurred after fertilization and during the mitotic cell division. 2- this genetic abnormality is a recessive trait that is familial. 3- this genetic trait is generally passed from the mother to the child. 4- this genetic trait generally occurs when both parents have the recessive trait in their DNA and pass it to their offspring.

1

The nurse is assessing a woman who is pregnant for the first time. Which of the following terms applies to this client? 1- Primigravida 2- Primipara 3- Nulligravida 4- Multipara

1

The nurse is caring for a patient who desires to become pregnant within a few months. Which outcome regarding folic acid intake would be appropriate for this patient? 1- The client will begin taking 400 μg of folic acid every day. 2- The client will begin taking 400 μg of folic acid with every meal. 3- The client will ingest foods high in folic acid to avoid needing to take folic acid supplements. 4- The client will begin taking 400 μg of folic acid immediately after confirmation of pregnancy.

1

The nurse is explaining the phases of the uterine cycle to a client. What action during the proliferative phase of the uterine cycle should the nurse include in the teaching session with the client? 1- While the ovarian follicles are producing increased amounts of estrogen, the endometrium prepares for possible fertilization with pronounced growth. 2- If fertilization does not occur, the corpus luteum degenerates, and hormonal levels fall. 3- Withdrawal of hormones causes the endometrial cells to change, and menstruation begins. 4- An ovum matures and is released.

1

The nurse is teaching a couple trying to conceive about the changes in the cervical mucus near the time of ovulation. The nurse determines the session is successful when the couple correctly choose mucus in which form as indicating ovulation has occurred? 1- Thin and copious 2- Thick and tacky 3- Scant amount 4- Mucus is not visible at ovulation

1

The school nurse is teaching a group of adolescent females about the menstrual cycle. The nurse determines the session is successful when the group correctly chooses which phase as part of the ovarian cycle? 1- luteal 2- proliferative 3- menstrual 4- secretory

1

What should the nurse include when counseling potential parents about genetic disorders? 1- Environmental influences may affect multifactorial inheritance. 2- Genetic disorders primarily follow Mendelian laws of inheritance. 3- All genetic disorders involve a similar number of abnormal chromosomes. 4- The absence of genetic disorders in both families eliminates the possibility of having a child with a genetic disorder.

1

When a woman is admitted to the labor and delivery unit, her husband says he is going to work and asks you to call when the baby is born. Your best response to this husband would be to: 1- ask him if he knows that he can stay with his wife during labor. 2- tell him that all fathers now stay with their wives during labor. 3- tell him he is missing out on the opportunity of a lifetime by leaving. 4- insist he stay with his wife during labor because she will need his support.

1

When caring for a woman in her sixth month of pregnancy, she reports her plans to nurse for at least two to three years like the rest of the women in her family. Based upon your knowledge you: 1- Advise her to be careful who she discusses this with as many will consider that a type of reportable child abuse 2- Document her report but do nothing as this is a cultural belief that should be respected 3- Encourage her to start the baby on formula after the first year as recommended by many physicians 4- Discuss how painful this will be once the baby has teeth

1

Which statement best expresses the role of the corpus luteum? The corpus luteum promotes the increased production of estrogen before ovulation. 1- The corpus luteum secretes progesterone to promote the preparation of the endometrium for implantation. 2- During the luteal phase, the corpus luteum secretes glycogen. 3- Increasing amounts of cervical mucus are produced as a result of 4- the luteinizing hormone produced by the corpus luteum.

1

A nurse is teaching a group of adolescent girls about the menstrual cycle. The nurse would integrate information about which hormones as being predominant during the cycle? Select all that apply. 1- GnRH 2- FSH 3- LH 4- prolactin 5- testosterone

1,2,3

It is important that nurses include a discussion about teratogens in their prenatal discussions to help prevent deformities or abnormalities. Whcih substances would the nurse include as teratogens? Select all that apply. 1- alcohol 2- certain medications 3- caustic chemicals 4- multivitamin supplement

1,2,3

When developing a plan of care, the nurse needs to make which assessments for a pregnant client with a BMI of 18.3? Select all that apply. 1- assess for maternal fatigue 2- assess for poor fetal growth 3- assess for preterm labor 4- assess for gestational diabetes 5- assess for eclampsia

1,2,3

The nurse is planning an education session for couples planning to conceive. What should the nurse include to support the 2020 National Health Goals? Select all that apply. 1- Highlight the importance of good nutrition. 2-Include health promotion activities for both men and women. 3- Stress the importance of having coitus every day while trying to conceive. 4- Remind about safe sex practices to reduce sexually transmitted infections. 5- Explain that conception rarely occurs in couples during the first year of trying.

1,2,4

A nurse has been invited to speak at a local high school about adolescent pregnancy. When developing the presentation, the nurse would incorporate information related to which aspects? Select all that apply. 1- peer pressure to become sexually active 2- rise in teen birth rates over the years. 3- Latinas as having the highest teen birth rate 4- loss of self-esteem as a major impact 5- majority of teen pregnancies in the 15- to 17-year-old age group

1,3,4

A 45-year-old man has just been diagnosed with Huntington disease. He and his wife are concerned about their four children. What will the nurse explain about the children's possibility of inheriting the gene for the disease? 1- Each child will have a 25% chance of inheriting the disease. 2- Each child will have a 50% chance of inheriting the disease. 3- Each child will have a 75% chance of inheriting the disease. 4- Each child will have no chance of inheriting the disease.

2

A Spanish-speaking couple comes in for genetic testing. They are planning to start a family and are concerned because the wife's sister has a genetic disorder. The clinic's consent form is in English and the husband is speaks only Spanish. The nurse does not speak Spanish. What should the nurse do? 1- Inform the couple they just needed to sign so the testing could be done 2- Informing the geneticist that the couple cannot give informed consent 3- Let the wife translate for her husband 4- Explain the form to the patient in English and have them sign it

2

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? 1- The mother also has genetic mutation of chromosome 21. 2- The client has a nondisjunction occurring during meiosis. 3- During meiosis, a reduction of chromosomes resulted in 23. 4- The client will have a single X chromosome and infertility.

2

A client arrives to the clinic very excited and reporting a postive home pregnancy test. The nurse cautions that the home pregnancy test is considered a probable sign and will assess the client for which sign to confirm pregnancy? 1- Positive office pregnancy test 2- Fetal movement felt by examiner 3- Hegar sign 4- Chadwick signoptions for birth control in the future knowledge of child development

2

A client has been confirmed to be pregnant. She gives a history of two previous full-term normal pregnancies. How will the nurse classify the client's pregnancy history? 1- G3, P0 2- G3, P2 3- G2, P1 4- G2, P3

2

A client is trying to have a baby and wants to know the best time to have intercourse to increase the chances of pregnancy. Which time for intercourse is ideal to help her chances of conceiving? 1- a week after ovulation 2- one or two days before ovulation 3- any time after ovulation 4- any time during the week before ovulation

2

A couple comes to the clinic asking questions regarding getting pregnant. The nurse explains that that fertilization normally occurs in what structure of the woman's body? 1- Uterine isthmus 2- Fallopian tube 3- Uterine corpus 4- Ovarian surface

2

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? 1- "The insurance company may consider it a preexisting condition since you know." 2- "There are laws in place that prohibit that from happening." 3- "The insurance company may ask you to change policies once the baby is born." 4- "They will charge you a higher premium every month."

2

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? 1- "We have counseling services available, and I recommend them to everyone facing these circumstances." 2- "I will alert your entire family about this so you don't have to." 3- "I will support you in any decision that you make." 4- "I will give you as much information as I can about this condition."

2

A girl comes from a large family that you analyze as being extended. In planning hospital care for her, which factor would be most important for you to consider? 1- Restricting visitors to reduce the noise level. 2- Organizing nursing care at times other than visiting hours. 3- Asking the hospital's visitor program to call on her to prevent loneliness. 4- Spending increased time with her yourself to prevent loneliness.

2

A nurse is classifying the pregnancy history of a woman who has had five pregnancies: three full-term, one preterm, and one abortion. How would the nurse document this information on the patient chart? 1- G4 P3115 2- G5 P3114 3- G5 P3115 4- G5 P1135

2

A nurse is discussing menstruation with a female client. The nurse describes a normal amount of blood loss is approximately: 1- 5 to 20 mL 2- 25 to 60 mL 3- 75 to 100 mL 4- 120 to 150 mL

2

A pregnant client tells the nurse that she has a 2-year-old child at home who was born at 38 weeks; she had a miscarriage at 9 weeks; and she gave birth to a set of twins at 34 weeks. Which documentation would be appropriate for the nurse? 1- gravida 2, para 1 2- gravida 4, para 2 3- gravida 5, para 4 4- gravida 5, para 4

2

A pregnant woman comes to the clinic for a prenatal visit for her third pregnancy. She reveals she had a previous miscarriage at 12 weeks and her 3-year-old son was born at 32 weeks. How should the nurse document this woman's obstetric history? 1- G3, T1, P0, A2, L1 2- G3, T0, P1, A1, L1 3- G2, T1, P2, A1, L2 4- G2, T0, P1, A1, L1

2

A school nurse is talking to an adolescent, who asks her about why she has monthly menstrual cycles. The best explanation that the nurse can offer the adolescent regarding the menstrual phase is to tell her that: 1- her uterus fills up with blood each month and is passed during the menstrual cycle. 2- the uterine lining is being shed due to lowering of hormone levels. 3- her hormones cause her to accumulate blood in the uterus from ovulation. 4- each month, her uterine lining thins out and vessels close to the surface begin to fill with blood.

2

A woman has come to the clinic for her first prenatal visit. Which method would be the mosteffective way for the nurse to initiate data gathering for a health history? 1- Ask her to complete a written questionnaire concerning her past and present status. 2- Conduct an interview in a private room to obtain her health history. 3- Wait until she is in the examining room and prepared for her physical examination. 4- Ask her some basic questions in the waiting room before taking her to the examining room.

2

Cystic fibrosis is an example of which type of inheritance? 1- autosomal dominant 2- autosomal recessive 3- X-linked recessive 4- multifactorial

2

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? 1- "There are more than 100 million sperm in ejaculated semen." 2- "There are more than 200 million sperm in ejaculated semen." 3- "There are more than 500 million sperm in ejaculated semen." 4- "There are more than 750 millon sperm in ejaculated semen."

2

During which stage of fetal development is exposure to teratogens most damaging? 1- Pre-embryonic stage 2- Embryonic stage 3- Fetal stage 4- Mitosis stage

2

Genetics-related health care is basic to the holistic practice of nursing. What should nursing practice in genetics include? 1- identifying genetic markers 2- gathering relevant family and medical history information 3- providing advice on termination of pregnancy 4- discouraging females to conceive after the age of 40 years

2

The nurse is conducting a presentation for a young adult community group about fetal development and pregnancy. The nurse determines that the teaching was successful when the group identifies that the sex of offspring is determined at which time? 1- during meiosis cell division 2- at fertilization 3- when the morula forms 4- during oogenesis

2

The nurse is reviewing the functions of the ovaries, uterus, clitoris, and vagina with a group of nursing students. What would be the best response by a nursing student about the function of the uterus? 1- It produces female gametes or ova and secretes female sex hormones. 2- It receives the fertilized ovum and provides housing and nourishment for a fetus. 3- It receives sperm, provides an exit for menstrual flow, and serves as the birth canal. 4- It is a small erectile structure that responds to sexual stimulation.

2

When describing the hormones involved in the menstrual cycle, a nurse identifies which hormone as responsible for initiating the cycle? 1- Estrogen 2- Luteinizing hormone 3- Progesterone 4- Prolactin

2

Which hormone is secreted from the hypothalamus in a pulsatile manner throughout the reproductive cycle? 1- follicle-stimulating hormone (FSH) 2- gonadotropin-releasing hormone (GnRH) 3- leutinizing hormone (LH) 4- estrogen

2

A nurse is assessing a child with Klinefelter syndrome. What would the nurse expect to assess? Select all that apply. 1- gross intellectual disability 2- long arms 3- profuse body hair 4- gynecomastia 5- enlarged testicles

2,4

A client is at the clinic for her yearly physical and is found to be anemic. What information from her history would most likely be a contributory factor to this finding? 1- She eats chicken and spinach salads three times a week. 2- She has been on a weight loss plan, counting calories. 3- She reports that her menstrual cycle is irregular and often lasts 7 to 10 days. 4- She exercises 1 hour every day at the gym.

3

A female patient had a diagnostic laparoscopy and is now reporting a sharp pain in her shoulder. What response is a priority by the nurse? 1- The patient is probably having a pulmonary embolus and should be administered anticoagulation drugs immediately. 2- The patient may be having a myocardial infarction from the stress of the procedure and the nurse should begin cardiac protocols. 3- Some of the carbon dioxide that was used to insufflate the abdomen has likely escaped under the diaphragm and this will resolve on its own. 4- The patient has possibly developed aspiration from stomach contents related to anesthesia.

3

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? 1- Call the couple and tell them the truth. 2- Do nothing; it is not the nurse's decision. 3- Report it to the nursing supervisor. 4- Call the medical review board.

3

A pregnant woman has a rubella titer drawn on her first prenatal visit. The nurse explains that this test measures: 1- platelet level. 2- Rh status. 3- immunity to German measles. 4- red blood cell count.

3

How should the nurse record the obstetric history for a newly pregnant client who previously delivered two live infants at term and had one abortion at 12 weeks' gestation? 1- Gravida 3, para 2 2- Gravida 3, para 3 3- Gravida 4, para 2 4- Gravida 4, para 3

3

The nurse is preparing an educational session about menstruation for a group of adolescents. Which hormone should the nurse instruct as initiating ovulation? 1- Estrogen 2- Progesterone 3- Luteinizing hormone 4- Follicle-stimulating hormone

3

The nurse is providing teaching to an adolescent girl on the function of the female reproductive system. Which statement by the client best reflects understanding of the material presented? 1- "I will always count from the end of my last menstrual cycle to determine when I will ovulate." 2- "A vaginal discharge that is thick, scanty and white in color indicates that I am ovulating." 3- "My menstrual cycle lasts about 4 to 6 days each month but varies sometimes, which is normal." 4- "During ovulation, the egg is released directly into my uterus to help with fertilization."

3

The nurse is reviewing the structure and function of various organs in the female reproductive system. Which information should the nurse include about the ovum in the review with the client? 1- It consists of protoplasm enclosed within a three-layered cell wall. 2- It contains a small nucleus, within which is a nucleolus called the germinal spot. 3- All the ova a female will ever have are present at birth. 4- The ovum is smaller than the sperm cell.

3

The nursing student correctly identifies what information about oogenesis? 1- It begins at puberty in the male. 2- It is the process by which gametes undergo two sequential cellular divisions of the nucleus. 3- It begins in the ovaries before birth but is not fully complete until the childbearing years. 4- It is the process by which somatic cells give birth to daughter cells.

3

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? 1- "We will be able to determine the sex of the baby today with transvaginal ultrasound." 2- "We will have to wait until the baby is 8 weeks' gestation to be able to determine what the sex is." 3- "We will have to wait until the baby is 16 weeks' gestation to determine what the sex is." 4- "We will have to wait until the baby is 20 weeks' gestation to determine the sex of the baby."

3

To prepare his 4-year-old son for a new baby, a father should use which statement? 1- "The new baby will need your bed so we're buying you a new one." 2- "It will be fun to have a sister or brother to give your old toys to." 3- "A new baby will make our family bigger but not change our love for you." 4- "Mother will need to spend a lot of time with the new baby."

3

Which disease process would the nurse screen for under potential genetic disorders? 1- Tuberculosis 2- Rheumatic fever 3- Cystic fibrosis 4- Asthma

3

Which hormone stimulates the release of the follicle-stimulating hormone (FSH) from both male and female glands? 1- growth hormone-releasing hormone (GHRH) 2- thyrotropin-releasing hormone (TRH) 3- gonadotropin-releasing hormone (GnRH) 4- prolactin-releasing hormone (PRH)

3

Which hormone would the nurse explain as being primarily responsible for maturation of the ovarian follicle? 1- luteinizing hormone 2- gonadotropin-releasing hormone 3- follicle-stimulating hormone 4- estrogen

3

You care for a woman in a prenatal clinic who thinks she might be pregnant. Which of the following assessments is a probable sign of pregnancy? 1- Fatigue 2- Nausea and vomiting 3- A positive pregnancy test 4- Amenorrhea

3

Which characteristics of a female client would likely warrant intervention? Select all that apply. 1- The client typically loses around 30 mL of blood during menstruation. 2- A peak in luteinizing hormone levels occurs prior to the client's ovulation. 3- Each of the client's fallopian tubes is approximately 6 cm long. 4- The client's vaginal environment is alkaline. 5- The client's clitoris is covered by the prepuce.

3,4

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? 1- It is an autosomal dominant disorder. 2- It is passed by mitochondrial inheritance. 3- It is an X-linked inherited disorder. 4- It is an autosomal recessive disorder.

4

A group of nursing students are comparing the male and female reproductive organs. The instructor determines the class is successful when the students correctly deduce the male glans penis is complementary to which female structure? 1- vulva 2- vagina 3- labia majora 4- clitoris

4

A nurse assesses that a 15-year-old female client has not developed secondary sexual characteristics, is short in stature, and has a webbed neck. The nurse identifies this as being mostlikely related to which diagnosis? 1- Edwards syndrome 2- Klinefelter syndrome 3- Patau syndrome 4- Turner syndrome

4

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? 1- Tay-Sachs disease affects only male infants so there is no poblem with her baby. 2- The age of the client increases the susceptibility of the baby to Tay-Sachs disease. 3- There is no risk of Tay-Sachs disease because the parents are not related by blood. 4- There is a risk to the baby based upon the Jewish background, so genetic testing would be recommended.

4

A nurse is caring for a pregnant adolescent client, who is in her first trimester, during a visit to the maternal child clinic. Which important area should the nurse address during assessment of the client? 1- sexual development of the client 2- whether sex was consensual 3- options for birth control in the future 4- knowledge of child development

4

How should the nurse document a pregnant patient's gestational status using the GTPAL system after collecting the following data?Currently 18 weeks pregnantPatient's fourth pregnancyDelivered one nonviable fetus at 26 weeksExperienced one miscarriageDelivered one viable fetus at 38 weeks' gestation 1- 3, 2, 1, 2, 1 2- 4, 2, 2, 1, 1 3- 3, 2, 1, 1, 1 4- 4, 1, 1, 1, 1

4

The nurse is conducting the first prenatal assessment on a new client. She shares with the nurse she has 3 children, 2 born at full-term and one at 34 weeks' gestation. Her last pregnancy ended in a miscarriage. How should the nurse document this client's obstetrical history? 1- G3 T2 P1 A1 L3 2- G4 T3 P0 A1 L3 3- G4 T2 P1 A1 L3 4- G5 T2 P1 A1 L3

4

The nurse is examining a pregnant female in her third trimester and measuring to determine if fetal growth has increased. Where would the nurse place the measuring tape? 1- Just below the pubis symphysis 2- At the uterine isthmus 3- At the level of the corpus 4- At the top of the fundus

4

The nurse is explaining about the function of the mons pubis to a client. Which explanation describes the function of the mons pubis? 1- To enhance sexual pleasure 2- To serve as the receptacle for sperm 3- To allow for stretching during childbirth 4- To protect the pelvic bones during sexual intercourse

4

The nurse is meeting with a young couple who desire to get pregnant to teach them how to determine the best times for intercourse. During which time frame should the nurse encourage them to engage in intercourse to increase their chances of getting pregnant? 1- 2 days before to 1 day after ovulation 2- 1 day before ovulation to 2 days after ovulation 3- 3 days before or the day of ovulation 4- 3 days before to 2 days after ovulation

4

The nurse is teaching a couple about the pros and cons of genetic testing. Which statement by the nurse best describes the limits of genetic testing? 1- "Various genetic tests help the primary care provider choose appropriate treatments." 2- "Genetic testing helps couples avoid having children with fatal diseases." 3- "Genetic tests identify people at high risk for preventable conditions." 4- "Some genetic tests can give a probability for developing a disorder."

4

The nursing instructor is teaching a group of nursing students about the menstrual cycle. The instructor determines the session is successful when the students correctly choose which action as responsible for the increased thickness of the endometrium? 1- the level of the FSH 2- the decreasing level of the progesterone 3- the dropping level of LH 4- the increasing level of estrogen

4

Klinefelter syndrome

A chromosomal disorder in which males have an extra X chromosome, making them XXY instead of XY.

There are many steps in the process of genetic counseling and testing. Put these steps in the correct chronological order from first to last. All options must be used.

assessment of family history physical examination of parents nuchal translucency screening amniocentesis explain results of genetic testing support couple in adjusting to diagnosis

Klinefelter Syndrome (XXY)

underdeveloped sex organs, breast development, large hands, and long arms and legs