OB-Maternity Exam Updated questions and answers graded A 2024

A client at a prenatal class requests information on how the gender of a baby is determined. Which statement made by the nurse would be most accurate? - Gender is determined at conception and depends on whether the ovum is fertilized by a Y-bearing or an X-bearing sperm Rationale: Sex determination is also determined at fertilization and depends on whether the ovum is fertilized by a Y-bearing sperm or an X-bearing sperm. Approximately half of sperm carry the XX chromosome and the other half carries XY. An XX zygote will become a female and an XY zygote will become a male. That is why it is scientifically correct to say that the sex of the infant is determined by the father and not by the mother. Gender is determined before the embryo stage and at conception by sperm carrying Y or X bearing chromosomes. A client comes to the clinic with abdominal pain. Based on her history the nurse suspects endometriosis. The nurse expects to prepare the client for which evaluatory method to confirm this suspicion? - transvaginal ultrasound Rationale: The only certain method of diagnosing endometriosis is by seeing it. Therefore, the nurse would expect to prepare the client for a laparoscopy to confirm the diagnosis. A pelvic examination and transvaginal ultrasound are done to assess for endometriosis but do not confirm its presence. Hysterosalpingography aids in identifying tubal problems resulting in infertility. A client who ha