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Exam (elaborations)

N352 EXAM 2 - FA Davis Practice Questions With Complete Solutions

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N352 EXAM 2 - FA Davis Practice Questions With Complete Solutions...

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N352 EXAM 2 - FA Davis Practice Questions
With Complete Solutions

During a health assessment, a client was asked to state her last menstrual
period. She replied, "This is my second day of having my menstrual flow." Which
phase of the ovarian cycle would the nurse determine the client is in currently? -
ANSWER Follicular phase (first day of menstruation - lasts 12-14 days)

Other Phases
Luteal phase (begins after ovulation and lasts for 14 days)
Proliferative phase (occurs after menstruation and ends with ovulation)
Ovulatory phase (begins when estrogen levels peak and ends with release of
oocyte)

A male client is seen at the provider's office for infertility. Which issue would the
nurse disregard as a possible cause of male infertility? - ANSWER Having an
overweight BMI

(Cycling increases heat to testicles, smoking increases infertility, CCB affect
maturing sperm)

When assessing the newborn, the nurse notes two vessels in the umbilical cord.
What should the nurse do next? - ANSWER Call the pediatrician (d/t risk of
cardiovascular disease)

The nurse is recalling the steps in cell division, beginning at conception and
ending with fetal development. List the following steps in order of development: -
ANSWER Zygote, blastocyst, embryo, fetus

A couple was scheduled for an artificial insemination procedure. Which fertility
condition does the nurse expect to find documented in the couple's medical
record as a reason for needing this procedure? - ANSWER Diminished sperm
motility

Ethical issues arise when clients use assisted reproductive therapies. Which are
ethical issues? Select all that apply. - ANSWER Who owns the embryos, do
sperm donors have rights, who decides what happens with the surplus embryos,
should the surrogate mother do skin to skin with the infant after birth

(Wrong - should the surrogate mother fund her own treatment)

, Which statements indicate a phenotype? Select all that apply. - ANSWER The
child has brown hair, wow he sounds exactly like his father, she has the most
beautiful eyes, he is short like his mother

(Physical/outward characteristics!!)

The nurse is recording the initial history for a primiparous client and her partner.
Based on the review of the information, the nurse recognizes the fetus is at
greatest risk for having which of the following genetic concerns? - ANSWER
Duchenne's muscular dystrophy (d/t family hx)

A couple visited the clinic and wanted to know their likelihood of conceiving a
child with a genetic disorder. Which risk factors, identified by the nurse, are
correct? Select all that apply. - ANSWER Their first child was born with a genetic
disorder, there is a family history of genetic disorders, the woman is older than
35, both parents have a genetic disorder

A couple visiting the clinic voiced their concern that their unborn baby might
have trisomy 21 at birth. Which test would the nurse recommend for this couple?
- ANSWER Prenatal testing


(Carrier - fam hx, Newborn - genetic disorders treatable early in life,
Preimplantation - genetic changes in embryos created using assisted
reproductive techniques)

Which is an appropriate assistance the nurse can provide to the couple who
found out during pregnancy that their child has a genetic disorder? Select all
that apply. - ANSWER Provide credible websites containing info specifically
about the genetic disorder, encourage them to communicate with one another,
find a support group for the couple

The nurse is teaching the new pregnant mother about the placenta and its many
roles in fetal development. Which statements show an understanding of the
hormones the placenta produces? Select all that apply. - ANSWER Progesterone
is the hormone that makes you feel bloated, human placental lactogen helps in
the production of breast milk, estrogen is the reason for my pregnancy glow

A client asks the nurse about the importance of preconception counseling. In
response, the nurse states preconception counseling helps women lessen risky
behaviors and eliminate exposure to harmful substances. Which statement
made by the nurse about contraception cessation would be included in the
preconception counseling? - ANSWER It may take several months or up to a
year to conceive after discontinuing Depo-Provera

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