Maternity exam 5..docx

Maternity exam 5.
A young couple who underwent preconceptual genetic counseling and testing have learned that they
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are at high risk for having a child with Down syndrome. They have decided not to have children. What
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would be the most appropriate response for the nurse to give?
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"I understand. In case you would like to discuss this further with a genetic counselor, here is the
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contact information for the genetic counseling center."
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"I appreciate your decision, but I urge you to think through this further. Having a child, even one with
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Down syndrome, is so rewarding."
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"I understand and support your decision. The risk is just not worth it."
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"I think you made the right decision. After all, I never had children, and I'm perfectly happy." - ANS >>
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"I understand. In case you would like to discuss this further with a genetic counselor, here is the
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contact information for the genetic counseling center."
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After teaching a class about conception, the nursing instructor asks the attendees to explain the
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process of fertilization. Which statements indicate the students need additional teaching? Select all
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that apply.
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"I understand. In case you would like to discuss this further with a genetic counselor, here is the
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contact information for the genetic counseling center."
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"I appreciate your decision, but I urge you to think through this further. Having a child, even one with
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Down syndrome, is so rewarding."
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"I understand and support your decision. The risk is just not worth it."
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"I think you made the right decision. After all, I never had children, and I'm perfectly happy." - ANS >>
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-Sperm are viable for only about 48 hours after ejaculation.
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-Sperm are able to fertilize the ovum up to 12 hours after ejaculation, and the ovum remains fertile for
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bat least 24 hours after ovulation.
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At a prenatal class, the nurse educator describes the function of the placenta. What information would
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the nurse likely include? Select all that apply.
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, The placenta makes hormones to control the way the fetus is supplied with nutrients and oxygen.
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The placenta ensures that the fetus is protected from all teratogens.
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The placenta removes the waste products that the fetus produces.
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The placenta stimulates the mother to bring more food to the placenta.
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The placenta produces hormones that ready fetal organs for life outside the uterus.
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The placenta acts as a barrier between the mother and fetus. - ANS >> -The placenta makes hormones
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to control the way the fetus is supplied with nutrients and oxygen.
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-The placenta removes the waste products that the fetus produces.
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-The placenta stimulates the mother to bring more food to the placenta.
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-The placenta produces hormones that ready fetal organs for life outside the uterus
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A woman visits the prenatal clinic and is noted to have oligohydramnios. The client asks, "Why is this
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fluid important anyway?" Which statements would be included in the nurse's response? Select all that
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apply. - ANS >> "Amniotic fluid helps maintain your baby's body temperature."
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"Too little amniotic fluid is linked with placental problems."
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"It is associated with having babies with low birth weight."
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"It acts like a cushion protecting your baby from trauma that may occur."
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The nursing instructor is teaching a class on the structures vital to the development of the fetus. The
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instructor determines the class is successful when the class correctly chooses which fact concerning
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amniotic fluid? - ANS >> Produced by fetal membranes
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After teaching a group of pregnant women about fetal development and the events of each stage, the
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nurse determines that the teaching was successful when the women identify which stage? Select all
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that apply. - ANS >> preembryonic
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umbilical

fetal

The nurse educator describes the key changes that happen to the newborn's heart and lungs at birth.
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Which information would the nurse likely include? Select all that apply. - ANS >> -With the newborn's
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first breaths, the lungs inflate, increasing blood flow to the lungs.
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-The foramen ovale closes within 1 to 2 hours after birth and permanently by 6 months.
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-The ductus venosus closes with the clamping of the umbilical cord.
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