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Nurse Hailey is providing genetic counseling for an Which of the following statements would the nurse

expectant couple who already have a child with include when providing a client education regarding
trisomy 18.The nurse should:  self testicular exam?
A. Tell the couple they need to have an abortion within 2 to 3 weeks. a. Smooth, rounded and firm testicle
b. Explain that the fetus has a 50% chance of having the disorder. B. Lumps on the nodules or testicles
c. Discuss options with the couple, including amniocentesis to C. Enlarged testicles
determine whether the fetus is affected. D. Rectangular testicles
d. Refer the couple to a psychologist for emotional support.
 
  An obstetric client at 8 weeks’ gestation asked the
What best describes the pattern of genetic nurse if her heart is already beating at this time.
transmission known as autosomal recessive Thecorrect answer of the nurse is that:
inheritance? A. Fetal heartbeat can first be heard at 12 weeks’ gestation using a
Disorders in a. which the abnormal gene for the trait is expressed even Doppler.
when the other member of the pair is B. They have to perform an ultrasound to see if her baby’s heart is
b. Disorders in which both genes of a pair must be abnormal for beating.
the disorder to be expressed C. Fetal heart beats as early as one month.
c. Disorders in which a single gene controls the particular trait At this time, the signs and symptoms of pregnancy that she experiences
d. Disorders in which the abnormal gene is carried on the X chromosome are the indicators that her baby is
alive
   
Jena, 36 year old female just had an amniocentesis Fetal structure that carries blood from the umbilical
to determine whether or not her baby has an vein to the inferior vena cava:
inheritablegenetic disease. Which of the following a. Foramen ovale
B. Ductus arteriosus
intervention is highest priority at this time? C. Ductus venosus
a. Assess the fetal heart rate
D. Aorta
b. Check the client’s temperature
c. Answer questions regarding the genetic abnormality
d. Acknowledge the client’s anxiety about the possible findings
A woman during her first trimester questions how
much longer she will have urinary frequency. Which
shouldthe nurse advise her regarding urinary
A woman’s temperature has just risen 0.4°F and will frequency?
remain elevated during the remainder of hercycle. 0/1
She expects to menstruate in about 2 weeks. Which a. It is a common complaint during the first trimester and again later in
of the following hormones is responsible for the the third trimester.
change? B. It is a common concern reported during the entire pregnancy.
Estrogen C. It will subside after the first trimester.
B. Follicle-stimulating hormone (FSH). D. It is a concern until the last trimester of pregnancy.
C. Luteinizing hormone (LH).
D. Progesterone.  
The rebounding of fetus on the examiner’s fingers
on palpation is known as:
When scheduling an annual pelvic examination and A. Braxton Hicks contractions
Pap test, the client asks if she should abstain from B. Hegar’s Sign
C. Ballottement
intercourse before the test. Which is the nurse's D. Goodell’s sign
best response?
a. "Yes. Avoid having intercourse for 24 hours before the test."
b. "Yes. Avoid having intercourse for 2 hours before the test."
 
c. "No. Intercourse does not interfere with this test." Ariane, a pregnant woman at 34 weeks’ gestation
d. "No. Intercourse can actually enhance the test results." complains of feeling dizzy and lightheaded while her
fundalheight is being measured. Her skin is pale
  and moist. The nurse’s initial response would be to:
Suppose Dana, 27 years old, tells you she wants to a. Assess the woman’s blood pressure and pulse
use fertility awareness method of B. Have the woman breathe into a paper bag
C. Raise the woman’s legs
contraception.How will she determine her fertile D. Turn the woman on her left side.
days?
a. She will notice that she feels hot, as if she has elevated temperature
B. She should assess whether her cervical mucus is thin and
 
watery During a natural labor, the client is tolerating her
C. She should monitor her emotions for sudden anger or crying contractions well. The nurse know this is a result of:
D. She should assess whether her breast feels sensitive to cool air A relative reduction in pain fibers on the uterus at the time of labor.
b. Endogenous endorphins help block the pain of labor
c. Her breathing distracts the pain of labor.
d. She has probably hypnotized herself.
Suppose Kevin Matthews tells you that he is
considering vasectomy after the birth of his new
child.Vasectomy is the incision of which organ?
a. The testes
B. The vas deferens
C. The epididymis
D. The scrutom

The nurse would provide which instructions to a


male patient when teaching him how to perform a
testicular self-examination?
A. Perform the exam immediately after awakening.
B. Gently feel each testicle with one finger for abnormal growths.
C. A testicular exam should be performed once every six (6) months.
D. The best time to examine the testicles is during or
immediately after a warm shower.

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