Maternal-Newborn chapter 3 Test bank 2024-2025, Exams of Nursing

Download Maternal-Newborn chapter 3 Test bank 2024-2025 and more Exams Nursing in PDF only on Docsity! Maternal-Newborn chapter 3 Test bank 2024-2025 A couple has decided to terminate their pregnancy based on the results of genetic testing, which showed that the fetus has the genetic disorder trisomy 21. Which of the following are appropriate nursing actions? 1. Explain the stages of grief the couple will experience 2. Persuade the couple to reconsider their decision, as a human life is at stake 3. Encourage the couple to communicate with each other and share emotions 4. Refer the couple to a support group available in their community 5. Praise the couple for their decision and explain how difficult it is to raise a child with Down syndrome - correct answer ☑ ☑ 1. Explain the stages of grief the couple will experience 3. Encourage the couple to communicate with each other and share emotions 4. Refer the couple to a support group available in their community A nurse is explaining to a young woman who is trying to become pregnant about the process of conception. Which organ should the nurse mention as the site at which fertilization takes place? 1. Ovaries Maternal-Newborn chapter 3 Test bank 2024-2025 2. Fallopian tubes 3. Vagina 4. Uterus - correct answer ☑ ☑ 2. Fallopian tubes Ovaries produce the ovum, or egg. From there, the ovum travels to the fallopian tubes, where fertilization takes place. Fertilization occurs in the fallopian tubes. The vagina is the muscular tube about 4 inches in length that extends from the cervix to the perineum. It receives the sperm during sexual intercourse, but fertilization occurs in the fallopian tubes. After fertilization of the ovum in the fallopian tubes, the resulting zygote travels into the uterus and implants on the uterine wall. A nurse observes a patient, who has recently given birth, interacting with her mother, who is visiting her and the baby. The patient and her mother both share the same eye and hair color and are about the same height. The nurse knows that these traits are examples of which of the following? Maternal-Newborn chapter 3 Test bank 2024-2025 recognize that this patient is currently in which phase of her ovarian cycle? 1. Ovulatory 2. Luteal 3. Follicular 4. Secretory - correct answer ☑ ☑ 3. Follicular The ovulatory phase of the ovarian cycle follows the follicular phase and begins about 12 to 14 days after the first day of menstruation, when estrogen levels peak, and ends with the release of the oocyte from the mature graafian follicle. The luteal phase of the ovarian cycle begins after ovulation and lasts approximately 14 days. The follicular phase of the ovarian cycle begins on the first day of menstruation and lasts 12 to 14 days. Thus, this patient is currently in the follicular phase. The secretory phase occurs in the endometrial cycle, not the ovarian cycle, and begins after ovulation and ends with the onset of menstruation. Maternal-Newborn chapter 3 Test bank 2024-2025 A patient who is pregnant comments to the nurse that her breasts have begun to enlarge recently. She asks the nurse what causes this. Which of the following hormones should the nurse mention as being responsible for stimulating this change? 1. Progesterone 2. Estrogen 3. Human chorionic gonadotropin 4. Human placental lactogen - correct answer ☑ ☑ 2. Estrogen Progesterone facilitates implantation and decreases uterine contractility. Estrogen stimulates the enlargement of the breasts and uterus. Human chorionic gonadotropin stimulates the corpus luteum so that it will continue to secrete estrogen and progesterone until the placenta is mature enough to secrete these hormones. Human placental lactogen promotes fetal growth by regulating glucose available to the developing human and Maternal-Newborn chapter 3 Test bank 2024-2025 stimulates breast development in preparation for lactation. A male patient who is undergoing fertility testing has just been informed by his urologist that he will need to provide a masturbated semen sample at his next office visit. Which of the following instructions should the nurse give the patient regarding this procedure? 1. Bring the sample to the office within 3 hours of collection 2. Engage in sexual activity at least daily the week before collecting the sample 3. Take your temperature immediately before collecting the sample 4. Abstain from any sexual activity for 2 to 3 days before producing the sample - correct answer ☑ ☑ 4. Abstain from any sexual activity for 2 to 3 days before producing the sample Semen samples, when collected outside of the office, should be brought to the office within an hour of collection, not 3 hours. The patient should abstain from sexual activity for 2 to 3 days before providing the sample. Maternal-Newborn chapter 3 Test bank 2024-2025 A nurse is working with a woman in labor who has sickle cell anemia. The nurse understands that this patient must have which of the following combinations of genes related to this disorder? 1. Two dominant genes 2. A recessive gene and a dominant gene 3. Only one dominant gene, with the other gene missing 4. Two recessive genes - correct answer ☑ ☑ 4. Two recessive genes Genetic diseases or disorders, such as sickle cell anemia, are usually related to a defective recessive gene and present in the developing human when both pairs of the gene have the same defect. Your patient delivered a full-term baby 12 hours ago.The woman and her husband, who are in their early 20s,have just been informed by their pediatrician that their baby has trisomy 21 (Down syndrome). This is their first child and they did not have prenatal genetic testing. Your nursing care will include (select all of the correct nursing actions): A. Explaining that they will go through a grieving process over the loss of their "dream" child. Maternal-Newborn chapter 3 Test bank 2024-2025 B. Explaining the importance of talking openly to each other about their feelings and concerns regarding their child. C. Explaining they will benefit from seeing a genetic counselor. D. Explaining that they should direct questions regard-ing the baby's diagnosis to their pediatrician. - correct answer ☑ ☑ A. Explaining that they will go through a grieving process over the loss of their "dream" child. B. Explaining the importance of talking openly to each other about their feelings and concerns regarding their child. C. Explaining they will benefit from seeing a genetic counselor. The developing human is most vulnerable to teratogens during A. The first 4 weeks of gestation B. The first 8 weeks of gestation C. The first 12 weeks of gestation D. The first 16 weeks of gestation - correct answer ☑ ☑ B. The first 8 weeks of gestation Fertilization takes place in the _____________. Maternal-Newborn chapter 3 Test bank 2024-2025 A. Ovaries B. Fallopian tube C. Uterus - correct answer ☑ ☑ B. Fallopian tube You are a nurse working in a prenatal clinic. Yourpatient, an 18-year-old woman, is in her 10th gesta-tional week. She wants to know when her baby's heartwill start to beat. You inform her that it usually begins to beat around: A. The 2nd week of gestation B. The 3rd week of gestation C. The 4th week of gestation D. The 5th week of gestation - correct answer ☑ ☑ C. The 4th week of gestation Which placental hormone is responsible for regulating glucose availability to the fetus? A. Progesterone B. Estrogen C. hCG D. hPL - correct answer ☑ ☑ D. hPL You are a nurse in a family planning clinic. Your patienthas been married for 5 years. She used an IUD, whichwas