Care Core Concepts
Practice Questions
Chapter 4 Updated
2026
, A clinic nurse is planning a teaching session for childbearing-age female patients. Which information should
k k k k k k k k k k k k k k k
the nurse include in the teaching session with regard to avoiding exposing a fetus to teratogens?
k k k k k k k k k k k k k k k
A: eliminate use of acne medication
k k k k k
B: immunizations should be updated during the first rimester of pregnancy
k k k k k k k k k k
C: use of saunas and hot hubs during pregnancy should be during the winter months only
k k k k k k k k k k k k k k k
D: alcoholic beverages can be consumed in the first and third trimesters of pregnancy - correct answerA:
k k k k k k k k k k k k k k k k k
eliminate use of acne medication k k k k
Elimination of non therapeutic drugs is the best action to avoid teratogen exposure. Acne medication is not
k k k k k k k k k k k k k k k k k
essential during pregnancy. Immunizations for diseases such as rubella are contraindicated during
k k k k k k k k k k k k
pregnancy. Use of saunas and hot tubs are not recommended because maternal hyperthermia is a significant
k k k k k k k k k k k k k k k k
teratogen. Alcohol is an environmental substance known to be teratogenic and should not be consumed
k k k k k k k k k k k k k k k
during pregnancy. k
The parents of a child with a karyotype of 47, XY, +21 ask the nurse what this means. Which is the most accurate
k k k k k k k k k k k k k k k k k k k k k k k
response by the nurse? k k k
A: this karyotype is for a normal male
k k k k k k k
B: this karyotype is for a normal female
k k k k k k k
C: this karyotype is for a male with Down syndrome
k k k k k k k k k
D: this karyotype is for a female with Turner's syndrome - correct answerC: this karyotype is for a male with
k k k k k k k k k k k k k k k k k k k k
Down syndrome k
This child is male because his chromosomes are XY. He has one extra copy of chromosome 21 (for a total of 47,
k k k k k k k k k k k k k k k k k k k k k k
instead of 46), resulting in Down syndrome. A normal female would have 46 chromosomes and XX for the sex
k k k k k k k k k k k k k k k k k k k
chromosomes. A normal male would have 46 chromosomes. A female with Turner's syndrome would have 45 k k k k k k k k k k k k k k k k
chromosomes; the sex chromosome would have just one X. k k k k k k k k
People who have two copies of the same abnormal autosomal dominant gene are generally:
k k k k k k k k k k k k k
A: mildly affected with the disorder
k k k k k
B: infertile and unable to transmit the gene
k k k k k k k