Maternal Newborn Nursing Durham and Chapman Chapter 3
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. Select all the
appropriate nursing care actions.
A. Explaining that they will go through a grieving process over the loss of the child they expected to
have.
B. Explaining that they may benefit from talking to a genetic counselor.
C. Explaining that their child will require a special diet.
D. Explaining that certain actions during pregnancy may have influenced this outcome.
E. Explaining the importance of talking openly about their feelings and concerns. - correct answersA.
Explaining that they will go through a grieving process over the loss of the child they expected to have.
B. Explaining that they may benefit from talking to a genetic counselor.
E. Explaining the importance of talking openly about their feelings and concerns.
When is the developing fetus most vulnerable to teratogens?
A. the last 8 weeks of gestation
B. the first 16 weeks of gestation
C. from the 12th to the 20th week of gestation
D. the first 8 weeks of gestation - correct answers D. the first 8 weeks of gestation
Where does fertilization of the ovum occur?
A. fallopian tube
B. vagina
C. uterus
D. ovary - correct answersA. fallopian tube
You are a nurse working in a prenatal clinic. Your patient, an 18-year-old woman, is in her 10th
gestational week. She wants to know when her baby's heart will start to beat. You inform her that it
usually begins to beat around which week of gestation?
A. 6th week
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. Select all the
appropriate nursing care actions.
A. Explaining that they will go through a grieving process over the loss of the child they expected to
have.
B. Explaining that they may benefit from talking to a genetic counselor.
C. Explaining that their child will require a special diet.
D. Explaining that certain actions during pregnancy may have influenced this outcome.
E. Explaining the importance of talking openly about their feelings and concerns. - correct answersA.
Explaining that they will go through a grieving process over the loss of the child they expected to have.
B. Explaining that they may benefit from talking to a genetic counselor.
E. Explaining the importance of talking openly about their feelings and concerns.
When is the developing fetus most vulnerable to teratogens?
A. the last 8 weeks of gestation
B. the first 16 weeks of gestation
C. from the 12th to the 20th week of gestation
D. the first 8 weeks of gestation - correct answers D. the first 8 weeks of gestation
Where does fertilization of the ovum occur?
A. fallopian tube
B. vagina
C. uterus
D. ovary - correct answersA. fallopian tube
You are a nurse working in a prenatal clinic. Your patient, an 18-year-old woman, is in her 10th
gestational week. She wants to know when her baby's heart will start to beat. You inform her that it
usually begins to beat around which week of gestation?
A. 6th week
