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MATERNAL CHILD NURSING
PRACTICE QUESTIONS WITH
CORRECT ANSWERS 2024
- After teaching a group of students about fertilization, the instructor determines that the teaching was successful when the group identifies which as the usual site of fertilization? a. Fundus of the uterus b. Endometrium of the uterus c. Upper portion of fallopian tube d. Follicular tissue of the ovary: c. Upper portion of fallopian tube
- Working in a reproductive health services clinic, the nurse is aware that the goal of the Human Genome Project was to a. link specific abnormal genes to specific diseases for better treatment. b. map, sequence, and determine the function of all human genes. c. understand the underlying causes of diseases to transform health care. d. measure the impact of certain chromosomes on disease prevention.: b. map, sequence, and determine the function of all human genes.
- The nurse is counseling a couple, one of whom is affected by an autosomal dominant disorder. They express concerns about the risk of
transmitting the disorder. What is the best response by the nurse regarding the risk that their baby may have the disease? a. "You have a one-in-four (25%) chance." b. "The risk is 12.5%, or a one-in-eight chance." c. "The chance is 100%." d. "Your risk is 50%, or a one-in-two chance.": d. "Your risk is 50%, or a one-in-two chance."
- What is the first step in determining a couple's risk for a genetic disorder? a. Observing the client and family over time b. Conducting extensive psychological testing c. Obtaining a thorough family health history d. Completing an extensive exclusionary list: c. Obtaining a thorough family health history
- A nurse is working in a women's health clinic. Genetic counseling would be most appropriate for the woman who a. just had her first miscarriage at 10 weeks. b. is 30 years old and planning to conceive. c. has a history with a close relative with Down syndrome. d. is 18 weeks pregnant with a normal triple screen result.: c. has a history with a close relative with Down syndrome.
- Klinefelter syndrome is caused by a nondisjunction resulting in a genotype of a. YYY. b. XYY. c. XXX. d. XXY.: d. XXY.
- Down syndrome results from the a. absence of one chromosome in position 21. b. presence of an extra chromosome in position 21. c. absence of both chromosomes in position 21. d. crossing over of the chromosomes in position 21.: b. presence of an extra chromosome in position 21.
- A couple desires to undergo genetic testing for Huntington disease. The nurse recognizes that this is which type of genetic disorder? a. X-linked dominant inherited disorder b. autosomal dominant inherited disorder c. X-linked inherited disorder d. autosomal recessive inherited disorder: b. autosomal dominant inherited disorder
- 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: a. placenta. b. morula. c. fetal membrane. d. zygote.: a. placenta.
- A nurse is preparing a presentation on genetic disorders. Which condition would the nurse most likely include as the most common form of male autism spectrum disorder? a. fragile X syndrome b. Down syndrome c. Patau syndrome d. cri du chat syndrome: a. fragile X syndrome
- A newly pregnant 41-year-old woman is requesting genetic testing of the baby. She is concerned that due to her age the baby has an increased risk for which condition? a. Down syndrome b. cystic fibrosis c. muscular dystrophy d. Patau syndrome: a. Down syndrome
- A nurse is counseling a client preconception and describes pregnancy risk factors for genetic disorders. What risk factors would the nurse include?
Select all that apply. a. the pregnant mother has been exposed to teratogens b. the mother has a history of hypothyroidism c. the partner of a pregnant client is 53 years old d. a pregnant client who is 35 years old e. an incestuous relationship resulting in pregnancy: a. the pregnant mother has been exposed to teratogens c. the partner of a pregnant client is 53 years old d. a pregnant client who is 35 years old e. an incestuous relationship resulting in pregnancy
- When describing the characteristics of the amniotic fluid to a pregnant woman, the nurse would include which information? a. It is usually an acidic fluid. b. It limits fetal movement in utero. c. It is composed primarily of organic substances. d. The amount gradually fluctuates during pregnancy.: d. The amount gradually fluctuates during pregnancy.
- The nurse is explaining the process of conception and implantation to a group of women attending a preconception planning education program. When describing the hormones involved in these events, the nurse would identify which hormone as being responsible for ensuring implantation of the embryo at the beginning of conception? a. luteinizing hormone
b. estrogen c. progesterone d. human chorionic gonadotropin (hCG): d. human chorionic gonadotropin (hCG) 15. A nurse is explaining to a pregnant client about the various events associated with pregnancy and its progression. Which placental hormone would the nurse identify as playing a key role in stimulating myometrial contractility? a. human chorionic gonadotropin b. estrogen c. progesterone d. relaxin: b. estrogen
- A woman is to undergo karyotyping. The nurse best explains this testing as: a. a picture-like analysis of the number, form, and size of the woman's chro- mosomes. b. a representation of the observable characteristics of an individual. c. the makeup of the gene pairs inherited from one's parents. d. a picture of a person's genetic blueprint.: a. a picture-like analysis of the number, form, and size of the woman's chromosomes.
- A nurse is teaching a group of pregnant women about fetal development. When describing how the various organs form, the nurse describes the primary germ layers involved. Which organ(s) would the
nurse explain as developing from the mesoderm? Select all that apply. a. Kidneys b. Brain c. Heart d. Bones e. Lungs: a. Kidneys c. Heart d. Bones
- 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. "Your outward characteristics show some interesting genotypes." b. "My genome is my genetic blueprint." c. "My parents gave me good phenotypes." d. "A secondary goal of determining my genome is to find new treatments.": b. "My genome is my genetic blueprint."
- A couple has come in for genetic testing. The nurse is explaining the different types of numerical abnormalities that may occur within the chromosome pairs. The nurse determines that additional explanation is necessary when the couple identifies which trisomy as common? a. 21
b. 10 c. 18 d. 13: b. 10
- A woman who is 16 weeks' pregnant asks the nurse, "I am curious about how my fetus is growing. What is happening now?" Which information would the nurse include in the response? Select all that apply. a. "Your baby has some fine hair on the head." b. "Your fetus's fingernails and toenails are present." c. "Your fetus is making sucking movements." d. "Your fetus has eyebrows now." e. "Your fetus's eyelids can open and close.": a. "Your baby has some fine hair on the head." b. "Your fetus's fingernails and toenails are present." c. "Your fetus is making sucking movements."
- A woman with sickle cell anemia has just found out that she is 6 weeks' pregnant. The woman is being scheduled for chorionic villus testing to determine her child's risk for sickle cell anemia. The nurse would inform the woman that the earliest time she may undergo this test would be at which week of gestation? a. 16 weeks b. 18 weeks c. 15 weeks
d. 10 weeks: d. 10 weeks
- After a teaching an in-service presentation on genes and genetics, the nurse determines that additional teaching is needed when the group identifies which component as a source of gene mutation? a. spontaneous b. chemical c. inherited d. acquired: b. chemical
- A client has given birth to an infant with Patau syndrome, or trisomy
- Based on the nurse's understanding of this condition, the nurse would counsel this couple that the care of this infant is: a. long-term. b. therapeutic. c. complicated. d. supportive.: d. supportive.
- 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. color blindness b. hemophilia c. spina bifida d. cystic fibrosis: c. spina bifida
- When preparing a presentation for a group of pregnant women about fetal circulation, the nurse would point out which structure is primarily responsible for ensuring that highly oxygenated blood reaches the fetal brain? a. umbilical vein b. ductus arteriosus c. ductus venosus d. foramen ovale: d. foramen ovale
- The nurse educator describes the key changes that happen to the newborn's heart and lungs at birth. Which information would the nurse likely include? Select all that apply. a. The ductus arteriosus opens in response to the oxygen levels after the first breaths. b. The ductus venosus closes with the clamping of the umbilical cord. c. With the newborn's first breaths, the lungs inflate, increasing blood flow to the lungs. d. The foramen ovale closes within 1 to 2 hours after birth and permanently by 6 months. e. The ductus arteriosus opens in response to the increase in oxygen levels with the first breaths.: b. The ductus venosus closes with the clamping of the umbilical cord. c. With the newborn's first breaths, the lungs inflate, increasing blood flow to the lungs.
d. The foramen ovale closes within 1 to 2 hours after birth and permanently by 6 months.
- A nurse is conducting a class for a group of women who are planning on becoming pregnant. As part of the class, the nurse describes how teratogens can affect a pregnancy. The nurse determines that the teaching was successful when the class identifies which effects that may result with the use of cocaine? Select all that apply. a. microcephaly b. premature birth c. limb malformations d. intrauterine growth restriction e. abruptio placenta: a. microcephaly b. premature birth e. abruptio placenta
- A woman is to undergo quad screening testing. The nurse would anticipate that this test would be done at which time? a. 24 weeks gestation b. 20 weeks gestation c. 12 weeks gestation d. 16 weeks gestation: d. 16 weeks gestation
- A nurse is conducting an in-service program for a group of perinatal nurses. After teaching the group about autosomal dominant and recessive inheritance patterns, the nurse determines that the group needs additional
teaching when they identify which condition as an example of an autosomal dominant disorder? a. neurofibromatosis b. Tay-Sachs disease c. Huntington disease d. achondroplasia: b. Tay-Sachs disease
- A woman at 15 weeks' gestation asks the nurse what the fetus looks like. Which response by the nurse would be most accurate? a. The fetus is about 15 in (38 cm) in length. b. Rhythmic breathing movements are occurring. c. Fingernails are present. d. The fetus is covered with a white, greasy film called vernix.: c. Fingernails are present.
- It is important that nurses include a discussion about teratogens in their prenatal discussions to help prevent deformities or abnormalities. Which substance(s) would the nurse include as a teratogen(s)? Select all that apply. a. multivitamin supplement b. alcohol c. caustic chemicals d. certain medications: b. alcohol c. caustic chemicals d. certain medications
- 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 ectoderm? a. stomach b. bones c. lungs d. ears: d. ears
- 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: a. this genetic trait is generally passed from the mother to the child. b. this genetic trait generally occurs when both parents have the recessive trait in their DNA and pass it to their offspring. c. this genetic abnormality is a recessive trait that is familial. d. the genetic abnormality occurred after fertilization and during the mitotic cell division.: d. the genetic abnormality occurred after fertilization and during the mitotic cell division.
- A nurse is providing prenatal care to a pregnant woman. Understanding a major component of this care, the nurse would conduct a risk assessment for: a. family dynamics. b. cultural differences. c. infant nutritional needs.
d. genetic conditions and disorders.: d. genetic conditions and disorders.
- 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? a. Klinefelter's syndrome b. cri du chat syndrome c. Turner syndrome d. fragile X syndrome: c. Turner syndrome
- 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. congenital defect b. attached umbilical cord stump c. delayed fetal shunt closure d. dysfunctional foramen ovale: c. delayed fetal shunt closure
- Some chromosomal abnormalities of number often result because of the failure of the chromosome pair to correctly separate during cell division. One type is referred to as polyploidy. The nurse recognizes that this type usually results in: a. Edward syndrome. b. early spontaneous abortion. c. Patau syndrome. d. Down syndrome.: b. early spontaneous abortion.