Women's Health/Disorders and Childbearing Health Promotion
A couple seeking genetic counseling are heterozygous carriers of Tay-Sachs disease. They ask the nurse what the chances are that each of their children will inherit the disease. The nurse responds that the probability is what? 1. 0% 2. 25% 3. 50% 4. 100%
2. 25%, Because Tay-Sachs disease is an autosomal-recessive disorder
Which client is most at risk for osteoporosis? 1. A nonsmoking 60-year-old woman, 5 foot, 7 inches (170 cm) tall and 173 lb (78.5 kg) 2. A 66-year-old white woman, 5 foot, 1 inch tall (155 cm) and 100 lb (45 kg), who is a paralegal 3. A 68-year-old black woman, 5 foot, 5 inches tall (165 cm) and 140 lb (63.5 kg), who is a retired receptionist 4. A 62-year-old woman, 5 foot, 4 inches tall (163 cm) and 135 lb (61 kg), who takes calcium carbonate daily
2, A postmenopausal woman who is small-boned, thin, and relatively sedentary is at risk for osteoporosis; other risk factors are family history and white or Asian ethnicity
A client is scheduled for a laparoscopic bilateral tubal ligation. What important information should the nurse include in preoperative teaching? 1. Menstruation will stop after the surgery 2. You'll need to use birth control until your follow-up visit 3. You will be admitted as an outpatient for same-day surgery 4. You can have the operation reversed if you decided to have more children
3, A laparoscopic tubal ligation takes about 20 minutes to perform. The client is admitted as an outpatient
Before teaching a client about breastfeeding, which information regarding hormonal influences should the nurse fully understand? 1. A high level of progesterone stimulates the secretion of oxytocin 2. A high level of estrogen stimulates the secretion of lactogenic hormones 3. Milk secretion is under the control of postpartum hormones starting immediately after birth 4. Suckling stimulates the pituitary gland to release oxytocin, which initiates the let-down reflex
4, Several factors influence the secretion of oxytocin and the let-down reflex; these include suckling; nipple stimulation; sexual activity; and thoughts, sight, and/or odor of the infant
Presenting part floating
A floating fetal head in a primigravida of 42 weeks' gestation who is in early labor is suggestive of cephalopelvic disproportion, because engagement usually occurs 2 to 4 weeks before term in primigravidas.
A client states that she wishes to use the calendar method of birth control. The nurse concludes that the client understands how to calculate the beginning of the fertile period when she makes which statement? 1. I will subtract 11 days from the length of my longest cycle 2. I will subtract 18 days from the length of my shortest cycle 3. I will abstain from having sex after the 10th day of my cycle 4. I will abstain from sex from the 10th day before the middle of my average cycle
2, The fertile period is determined by subtracting 18 days from the length of the shortest cycle to determine the first unsafe day and subtracting 11 days from the length of the longest cycle to determine the last unsafe day
The school nurse is teaching a group of 16-year-old girls about the female reproductive system. One student asks how long after ovulation it is possible for conception to occur. The most accurate response by the nurse is based on the knowledge that an ovum is no longer viable after when? 1. 12 hours 2. 24 hours 3. 48 hours 4. 72 hours
2, The ovum is viable for about 24 hours after ovulation; if not fertilized before this time, it degenerates
A male adolescent with cystic fibrosis (CF) whose parents are both carriers of the disease asks the nurse, "When I have children, could they have cystic fibrosis like me?" What information regarding men with CF should the nurse base the response on? 1. Generally they have a 50% chance of having children w/ the disease 2. Usually they are unable to father children, although sexual function is not affected 3. They have a greater chance of passing the disease to their children if their parents are carriers 4. They do not pass this disease to their children because it is carried on the female sex chromosome
2, sperm production in CF is decreased or absent, and therefore most men with CF are sterile. CF is inherited as an autosomal-recessive trait; it is not sex linked.
