OB Chapter 3 Test Bank
The nurse is teaching a couple who is having trouble conceiving. Which statement shows the couple requires further teaching? -"I know most couples who are having trouble conceiving never learn the reason for their infertility." -"I had all the testing done and nothing is wrong with me. He doesn't need to go get tested." -"If I lose weight, it might help me conceive." -"I should find a new job because working at the polluted factory might be exposing me to bad conditions for getting pregnant."
"I had all the testing done and nothing is wrong with me. He doesn't need to go get tested" Both couples should get tested if there is a problem with infertility
During a teaching session, the nurse had a discussion on the issue of Y-linked inheritance. Which response by the father indicates that learning has taken place? -"The baby inherited the disease from my wife." -"My grand-aunt has the same condition." -"I passed on the condition to my baby." -"We both gave the baby our disease."
"I passed on the condition to my baby" The mutation is located only on the Y chromosome and can be passed only from father to son
The nurse is teaching the new pregnant mother about the placenta and its many roles in fetal development. Which statements show an understanding of the hormones the placenta produces? Select all that apply. -"Progesterone is the hormone that makes you feel bloated." -"Testosterone is produced only if you are having a boy." -"Human chorionic gonadotropin (hCG) doubles or triples the longer you are pregnant." -"Human placental lactogen helps in the production of breast milk." -"Estrogen is the reason for my pregnancy glow." Next
"Progesterone is the hormone that makes you feel bloated" "Human placental lactogen helps in the production of breast milk" "estrogen is the reason for my pregnancy glow" These hormone is produced in the placenta
Which statements indicate a phenotype? Select all that apply. "The child has brown hair." "Wow, he sounds exactly like his father." "She has the most beautiful blue eyes." "I carry the mutation in my genes for diabetes." "He is short like his mother."
"The child has brown hair." "Wow, he sounds exactly like his father." "She has the most beautiful blue eyes." "He is short like his mother."
A couple was recently diagnosed with a genetic disorder in pregnancy. The couple decided to continue with their pregnancy. They asked the nurse where else they could get more information. Which response by the nurse is most appropriate? -"The health team is here if you want to talk about how you feel and have more questions about this disorder." -"Avoid using websites as they do not provide accurate information about the disorder." -"There is no need to worry because I have given you all the information you need to know." -"There is no support group for parents who have children with the same genetic disorder."
"The health team is here if you want to talk about how you feel and have more questions about this disorder" The health team is a source for providing appropriate information on gentic disorders
During a teaching session, the nurse asked the clients to differentiate between the scrotum and the ovaries. Which statement made by the client is correct? -"The scrotum is a muscular gland beneath the urinary bladder that surrounds the first inch of the urethra as it extends from the bladder. The ovaries are the site of egg implantation and expand during pregnancy to accommodate the fetus." -"The scrotum is a loose bag of skin and connective tissue in which the two testes are suspended; the ovaries are two oval-shaped organs, each about 4 cm long, located on either side of the uterus." -"The scrotum, also referred to as the Cowper's glands, is located below the prostate gland; the ovaries are located on the floor of the vestibules and have ducts that open into the mucus of the vaginal orifice." -"The scrotum is a coiled, tube-like structure on the posterior surface of each testis. The ovaries are fringe-like projections that protrude and partially surround the fallopian tubes."
"The scrotum is a loose bag of skin and connective tissue in which the two testes are suspended; the ovaries are tow oval-shaped organ, each about 4 cm long, located on either side of the uterus" The scrotum is a loose bag of skin and connective tissue in which the two testes are suspended; the ovaries are two oval shaped organs, each about 4 cm long, located on either side of the uterus
A pregnant client presents to the clinic after a prenatal test detected that her baby boy had a Y-linked inheritance disorder. The client indicates an understanding of Y-linked inheritance disorder when she makes which statement? "Both my partner and I carry this trait and passed it along to our baby." "I am a carrier, so I passed this disease to my baby." "I understand that I also present with this trait and need to be tested." "This disease was passed from my male partner to my baby."
"This disease was passed from my male partner to my baby." Rationale: Y-linked inheritance is a sex-linked inheritance that is located on the Y-chromosome. Therefore, the disease can only be passed from father to son.
In a teaching session with a group of adolescents, the nurse notes that the vulva is comprised of the clitoris, labia majora, labia minora, and the Bartholin's glands. Which statement made by the nurse is true of the Bartholin's glands? -"The Bartholin's glands make up the labia majora and minora and cover the urethral and vaginal openings." -"The Bartholin's gland is a muscular tube approximately 4 inches long, extending from the cervix to the perineum." -"The Bartholin's glands are small masses of erectile tissues anterior to the urethral orifice that respond to sexual stimulus." -"Bartholin's glands are located in the floor of the vestibule; they keep the mucous membranes moist and lubricate the vagina during sexual intercourse."
"the bartholin's glans make up the labia majora and minora and cover the urethral and vaginal openings" The labia majora and minora are paired folds of skin that cover the urethral and vaginal openings
The nurse is reviewing a client's chart and comes across genetic testing results. When answering questions from the family, which statement would prompt the nurse to provide further education? -"The human cell has 46 chromosomes." -"The human cell has 22 homologous pairs." -"The human cell has two pairs of sex chromosomes." -"The human cell has XX or XY chromosomes."
"the human cell has two pairs of sex chromosomes" The human cell has one pair of sex chromosomes. It is abnormal to have two pairs. The normal result is one pair of chromosomes, female or male
A woman who is being prepped for preimplantation testing worries because she is unsure of what the procedure entails. Which statement by the nurse best describes preimplantation testing? -"A cell from the developing fetus will be removed for genetic testing before the transferring of the in vitro embryo into your uterus." -"Both you and your partner will be tested to identify who carries one copy of a gene mutation." -"Screening will be done to detect genetic disorders that can be treated early in life." -"This test allows for the early detection of genetic disorders, such as hemophilia."
-"A cell from the developing fetus will be removed for genetic testing before the transferring of the in vitro embryo into your uterus." Rationale: Preimplantation testing detects genetic changes in embryos that were created using assisted reproductive techniques.
While counseling a couple diagnosed with infertility, the nurse documented "social isolation" on the chart. Which statement made by the woman would have caused the nurse to come to this conclusion? -"I feel pressure having to adhere to a prescribed sexual routine as part of our treatment." -"I do not want to be a part of my family reunion this year. I am not ready to meet my sister's baby." -"My husband should be blamed. He was promiscuous in his early years." -"Are you sure that I am really pregnant? I want to repeat the test."
-"I do not want to be a part of my family reunion this year. I am not ready to meet my sister's baby." Rationale: Neglecting relationships with family members can cause social isolation.
After assessing a woman who had an in vitro fertilization done, the nurse documented "readiness for enhanced knowledge." Which statement made by the woman would have prompted the nurse to document "readiness for enhanced knowledge"? -"My eggs were harvested and fertilized in a laboratory before being inserted into my uterus." -"Sperm that was removed from the semen was deposited directly into my cervix via a catheter." -"A zygote was placed into my fallopian tube via laparoscopy 1 day after the oocyte was retrieved from me." -"The sperm and my oocytes were mixed outside of my body and then placed into the fallopian tube via laparoscopy."
-"My eggs were harvested and fertilized in a laboratory before being inserted into my uterus." Rationale: In vitro fertilization is a procedure in which eggs are harvested and fertilization occurs outside the body in a laboratory.
Ethical issues arise when clients use assisted reproductive therapies. Which are ethical issues? Select all that apply. -Who owns the embryos? -Do sperm donors have rights? -Who decides what happens with the surplus embryos? -Should the surrogate mother do skin-to-skin with the infant after birth?
-Who owns the embryos -do sperm donors have rights -who decides what happens with the surplus embryos -should the surrogate mother do skin-to skin with the infant after birth these are ethical questions
After assessing a couple that was referred to have a gamete intrafallopian transfer (GIFT) done, the nurse documented "knowledge deficit." Which statement(s) made by the couple would have prompted the nurse to document "knowledge deficit"? Select all that apply. -"GIFT allows fertilization to take place inside the fallopian tube." -"Through in vitro fertilization, our embryo will be placed in the uterine cavity via a catheter." -"Our oocytes will be harvested and fertilization will occur outside the female body in a laboratory." -"The sperms that were aspirated directly from the testicles will be injected into the harvested eggs." -"During GIFT our sperm and oocytes will be mixed outside of the woman's body and then placed in the fallopian tube via laparoscopy."
-"Through in vitro fertilization, our embryo will be placed in the uterine cavity via a catheter." -"Our oocytes will be harvested and fertilization will occur outside the female body in a laboratory." -"The sperms that were aspirated directly from the testicles will be injected into the harvested eggs." Rationale: Embryo transfer is when an embryo is placed in the uterine cavity via a catheter. Rationale: In vitro fertilization is a procedure in which oocytes are harvested and fertilization occurs outside the female body in a laboratory. Rationale: Artificial insemination is a procedure in which the sperm that were aspirated directly from the testicles will be injected into the harvested eggs.
A pregnant client states, "I am afraid to have sex with my husband because I don't want the baby to get infected with anything." Which is the nurse's best response to help the client understand the safety of the fetus? -"If your husband doesn't use a condom, your baby will contract an infection your husband has." -"Your baby can get sick if you get a yeast infection during the pregnancy." -"Unless you or your husband has a sexually transmitted infection, your infant is protected within the amniotic sac during the pregnancy." -"Having intercourse can break the amniotic sac; therefore, couples should not engage in intercourse while pregnant."
-"Unless you or your husband has a sexually transmitted infection, your infant is protected within the amniotic sac during the pregnancy." Rationale: This answer is correct because the amniotic sac provides a sterile environment for the fetus that prevents bacteria from entering the amniotic fluid through the vagina.
A pregnant mother who was exposed to teratogens is now admitted with a diagnosis of fetal growth restriction. In order for this medical diagnosis to be made, the nurse would determine the mother was most likely exposed to teratogens during which period? -Before getting pregnant -After 13 weeks of gestation -During the period of organogenesis -During the first 8 weeks of gestation
-After 13 weeks of gestation Rationale: Exposure to teratogens after 13 weeks of gestation may cause fetal growth restriction.
The nurse is seeing a woman at 18 weeks' gestation for an assessment due to an increased risk for intrauterine growth restriction (IUGR). To which drug or chemical should the nurse be concerned the mother has been exposed? Select all that apply. -Alcohol -Angiotensin-converting enzyme (ACE) inhibitors -Carbamazepine (anticonvulsants) -Cocaine -Warfarin (Coumadin)
-Angiotensin-converting enzyme (ACE) inhibitors -Carbamazepine (anticonvulsants) -Cocaine Rationale: Taking ACE inhibitors during pregnancy increases the risk for intrauterine growth restriction, as well as renal tubular dysplasia or neonatal death. Rationale: Taking anticonvulsants while pregnant increases the risk for IUGR, as well as neural, tubal, and craniofacial defects. Rationale: Taking cocaine while pregnant increases the risk for placental abnormalities, which may also include IUGR.
When assessing the newborn, the nurse notes two vessels in the umbilical cord. What should the nurse do next? -Call the pediatrician. -Start an IV on the infant. -Check the infant's pulse oximetry. -Listen to the infant's heart sounds.
-Call the pediatrician Due to the risk of cardiovascular disease, calling the pediatrician is important in order to let the doctor know what is going on
A newly pregnant client is seen in the clinic for her first prenatal appointment. She states she has a family history of an autosomal recessive disease. Which disease has an autosomal recessive pattern of inheritance? Select all that apply. -Cystic fibrosis -Hemophilia -Huntington's disease -Sickle-cell anemia -Tay-Sachs disease
-Cystic fibrosis -hemophilia -huntington's disease -sickle cell anemia -tay-sachs disease
In genetic testing, which role would the nurse question performing? -Diagnosing a fetus with a genetic disorder -Identifying at-risk clients and families -Providing emotional support for the client and family -Providing a referral to support groups and genetic counseling services
-Diagnosing a fetus with a genetic disorder Rationale: Diagnosis of a disorder comes through genetic testing ordered by a provider or genetic counselor.
A couple was scheduled for an artificial insemination procedure. Which fertility condition does the nurse expect to find documented in the couple's medical record as a reason for needing this procedure? -Unexplained infertility -Diminished sperm motility -Bilaterally blocked fallopian tubes -Unsuccessful vasectomy reversal
-Diminished sperm motility Artificial insemination is done when there is diminished sperm motility
The nurse is conducting an investigation on the effects of teratogenic agents on the newborn. The nurse found that exposure to some viruses and substances during pregnancy may result in blindness in the newborn. Which of the following teratogenic agents would the nurse have identified as increasing the risk of blindness in newborns? -Cocaine -Zika -Carbamazepine -Angiotensin-converting enzyme (ACE) inhibitors
-Zika The zika virus increases a newborns risk of blindness, microcephaly, hearing defects, and impaired growth
After assessing a couple planning to terminate their pregnancy based on the results of the genetic test, the nurse documented "anticipatory grieving." What is the nurse's appropriate plan of care for this couple? -Reiterating to the couple that grieving is abnormal -Advising the couple to separate from each other for a week -Discussing with the couple the stages of grief they will experience -Warning the couple that thinking about their "dream child" is of concern
-Discussing with the couple the stages of grief they will experience The stages of grieving should be included in the plan of care for a couple wanting to terminate a pregnancy
The nurse is recording the initial history for a primiparous client and her partner. Based on the review of the information, the nurse recognizes the fetus is at greatest risk for having which of the following genetic concerns? -Hypothyroidism -Duchenne's muscular dystrophy -Trisomy 21 -Death at delivery
-Duchenne's muscular dystrophy Because of the maternal family history of Duchene's muscular dystrophy, the mother may be a carrier. If the fetus is a male, the child will develop muscular dystrophy because it is an X-linked genetic disease
The nurse is reviewing a client's chart, noting the client has been diagnosed with blocked fallopian tubes. Which procedure does the nurse know will probably be performed to create a pregnancy? -Embryo transfer (ET) -Testicular sperm aspiration -Hysterosalpingogram -Laparoscopy
-Embryo transfer (ET) ET is when an embryo is placed in the uterine cavity with a catheter and is used when fallopian tubes are blocked
The nurse is preparing the necessary equipment for a client to have a hysterosalpingogram done. Which equipment is the nurse expected to have prepared for this procedure? -Fluoroscope -Laparoscope -Biopsy needle -Basal thermometer
-Fluoroscope Rationale: A fluoroscope is used to observe the dye injected through the cervical canal into the uterus during a hysterosalpingogram.
A male client is seen at the provider's office for infertility. Which issue would the nurse disregard as a possible cause of male infertility? -Attending daily cycling classes at the local gym -Having an overweight body mass index (BMI) -Smoking two to three cigarettes a day -Taking a calcium channel blocker for hypertension
-Having an overweight body mass index (BMI) obesity is a risk factor for women with infertility
A client is asking for a clomiphene (Clomid) prescription for infertility because she heard "it works." Which would the nurse evaluate before suggesting medication for infertility? -Did the client and her partner have hormone testing? -Does she have a history of uterine fibroids? -Has she had surgery to clear her fallopian tubes? -How long has the couple been trying to conceive?
-How long has the couple been trying to conceive? This is a question to ask first before invasive testing and an evaluation of infertility
A male partner was diagnosed with infertility and a determination is to be made as to which treatment is best. Which nursing assessment is an indication for a surgical intervention to treat his condition? -Overproduction of sperm antibodies -Infections of the genitourinary tract -Inguinal hernia -Poor nutrition
-Inguinal hernia Surgical intervention is used to correct an inguinal hernia
A neonate was admitted shortly after birth with a history of a mother who consumed at least six alcoholic beverages per day during pregnancy. For which feature of fetal alcohol syndrome (FAS) should the nurse expect to assess? Select all that apply. -Microcephaly -Cardiac defects -Cerebral infarction -Neural tubal defects -Unusual facial features
-Microcephaly -Cardiac defects -Unusual facial features Rationale: Microcephaly is a characteristic of FAS. Rationale: Cardiac defects are characteristics of FAS. Rationale: Unusual facial features are characteristics of FAS.
A pregnant client in her second trimester is in the provider's office for an ultrasound. Her provider finds that the fetus has a congenital heart defect. Which condition is the client at risk for during pregnancy? Select all that apply. -Oligohydramnios -Polyhydramnios -One-vessel umbilical cord -Two-vessel umbilical cord -Three-vessel umbilical cord
-Polyhydramnios -Two-vessel umbilical cord An excess amount of amniotic fluid is associated with chromosomal disorders and gastrointestinal, cardiac, and neural tube defects An umbilical cord should have three vessels: two arteries and a vein. When a two-vessel cord is found, it is indicative of cardiac defects
A couple visiting the clinic voiced their concern that their unborn baby might have trisomy 21 at birth. Which test would the nurse recommend for this couple? -Carrier testing -Prenatal testing -Newborn screening -Preimplantation testing
-Prenatal testing Prenatal testing allows for the early detection of genetic disorders such as trisomy 21
Which is an appropriate assistance the nurse can provide to the couple who found out during pregnancy that their child has a genetic disorder? Select all that apply. -Provide credible websites containing information specifically about the genetic disorder. -Leave the couple be. They have time to learn about it later on in the pregnancy or when the child is born. -Encourage them to communicate with one another. -Find a support group for the couple. -Ask the couple closed-ended questions.
-Provide credible websites containing information specifically about the genetic disorder -Encourage them to communicate with one another -Find a support group for the couple When a client starts to search the internet , they come across inaccurate information Many couples have a hard time communicating when they dont have the "dream" child. it is important to be a team in this because it can lead to stress on both parents Finding support groups can help when the parents are feeling alone. Encourage them to go an share their situation with others who are going through it
An evaluation of a client's sperm shows that the sperm are immature due to hormonal imbalance. Which hormone does the nurse determine caused the sperm to be immature? -Follicle-stimulating hormone (FSH) -Luteinizing hormone (LH) -Testosterone -Estrogen
-Testosterone Testosterone stimulates the sperm production
A client reported that her menstrual period started 14 days ago and she is unsure of when ovulation will be taking place. Based on the client's history, the nurse notes that the client is ovulating. Which activity does the nurse expect to be happening with this client at this time? Select all that apply -She is unable to get pregnant. -The endometrial tissue is about to be sloughed off. -The empty Graafian follicles morph to form the corpus luteum. -The client's estrogen levels will peak and decrease with the release of the oocyte. -Before the surge of luteinizing hormone (LH) estrogen levels decrease and progesterone levels increase.
-The clients estrogen levels will peak and decrease with the release of the oocyte -Before the surge of luteinizing hormone (LH) estrogen levels decrease and progesterone levels increase The clients estrogen levels will peak and decrease with the release of the oocyte during the ovulatory phase Before the surge of luteinizing hormone, estrogen levels decrease and progesterone's levels increase during the ovulatory phase
A couple visited the clinic and wanted to know their likelihood of conceiving a child with a genetic disorder. Which risk factors, identified by the nurse, are correct? Select all that apply. -Their first child was born with a genetic disorder. -There is a family history of genetic disorders. -Both partners are younger than 35 years old. -The woman is older than 35 years old. -Both parents have a genetic disorder.
-Their first child was born with a genetic disorder. -There is a family history of genetic disorders. -The woman is older than 35 years old. -Both parents have a genetic disorder. Rationale: A previous pregnancy that resulted in a genetic disorder puts the couple at risk of having a baby with a genetic disorder. Rationale: Family history of genetic disorder passes on the genes to the parents. Rationale: Women who are older than 35 years old are at a greater risk of having a baby with a genetic disorder. Rationale: If both parents have a genetic disorder, there is a greater risk of conceiving a child with a genetic disorder.
The nurse assessing a neonate determines that the neonate was born at 36 weeks' gestation because the testes are in the upper portions of the scrotum. Which other features of a neonate born at 36 weeks' gestation does the nurse expect to find? -Weighs 2,100 grams, is 30 cm long, and has an increased amount of adipose tissue -Weighs 2,900 grams, is 34 cm long, and lanugo begins to disappear -Weighs 820 grams, is 23 cm long, and lungs begins to develop surfactant -Weighs 1,300 grams, is 27 cm long, and lungs are not fully mature
-Weighs 2,900 grams, is 34 cm long, and lanugo begins to disappear A neonate who is born at 26 weeks gestation is expected to weigh 2900 grams, be 34 cm long and their lanugo should begin to disappear
The nurse is visiting the home of a woman who recently had a fetal demise. Toxoplasmosis is suspected. Which finding would confirm the possibility of toxoplasmosis exposure? Select all that apply. -History of having a sexually transmitted infection (STI) -History of frequently smoking marijuana -Having poor air quality at home -Having many cats at home -Consuming uncooked beef
-having many cats at home -Consuming uncooked beef Getting contaminated with cat feces exposes pregnant women to toxoplasmosis Consuming uncooked beef exposes pregnant women to toxoplasmosis