N352 EXAM 2 - FA DAVIS PRACTICE
QUESTIONS
Duringfafhealthfassessment,fafclientfwasfaskedftofstatefherflastfmenstrualfperiod.fShefrepl
ied,f"Thisfisfmyfsecondfdayfoffhavingfmyfmenstrualfflow."fWhichfphasefoffthefovarianfcycle
fwouldfthefnursefdeterminefthefclientfisfinfcurrently?f-
fFollicularfphasef(firstfdayfoffmenstruationf-flastsf12-14fdays)
OtherfPhases
Lutealfphasef(beginsfafterfovulationfandflastsfforf14fdays)
Proliferativefphasef(occursfafterfmenstruationfandfendsfwithfovulation)
Ovulatoryfphasef(beginsfwhenfestrogenflevelsfpeakfandfendsfwithfreleasefoffoocyte)
Afmalefclientfisfseenfatfthefprovider'sfofficefforfinfertility.fWhichfissuefwouldfthefnursefdisre
gardfasfafpossiblefcausefoffmalefinfertility?f-fHavingfanfoverweightfBMI
(Cyclingfincreasesfheatftoftesticles,fsmokingfincreasesfinfertility,fCCBfaffectfmaturingfsper
m)
Whenfassessingfthefnewborn,fthefnursefnotesftwofvesselsfinfthefumbilicalfcord.fWhatfsho
uldfthefnursefdofnext?f-fCallfthefpediatricianf(d/tfriskfoffcardiovascularfdisease)
Thefnursefisfrecallingfthefstepsfinfcellfdivision,fbeginningfatfconceptionfandfendingfwithffet
alfdevelopment.fListftheffollowingfstepsfinforderfoffdevelopment:f-
fZygote,fblastocyst,fembryo,ffetus
Afcouplefwasfscheduledfforfanfartificialfinseminationfprocedure.fWhichffertilityfconditionfd
oesfthefnursefexpectftoffindfdocumentedfinfthefcouple'sfmedicalfrecordfasfafreasonfforfne
edingfthisfprocedure?f-fDiminishedfspermfmotility
Ethicalfissuesfarisefwhenfclientsfusefassistedfreproductiveftherapies.fWhichfarefethicalfiss
ues?fSelectfallfthatfapply.f-
fWhofownsfthefembryos,fdofspermfdonorsfhavefrights,fwhofdecidesfwhatfhappensfwithfthe
fsurplusfembryos,fshouldfthefsurrogatefmotherfdofskinftofskinfwithfthefinfantfafterfbirth
(Wrongf-fshouldfthefsurrogatefmotherffundfherfownftreatment)
, Whichfstatementsfindicatefafphenotype?fSelectfallfthatfapply.f-
fThefchildfhasfbrownfhair,fwowfhefsoundsfexactlyflikefhisffather,fshefhasfthefmostfbeautiful
feyes,fhefisfshortflikefhisfmother
(Physical/outwardfcharacteristics!!)
Thefnursefisfrecordingfthefinitialfhistoryfforfafprimiparousfclientfandfherfpartner.fBasedfonft
hefreviewfoffthefinformation,fthefnursefrecognizesftheffetusfisfatfgreatestfriskfforfhavingfwh
ichfofftheffollowingfgeneticfconcerns?f-fDuchenne'sfmuscularfdystrophyf(d/tffamilyfhx)
Afcouplefvisitedfthefclinicfandfwantedftofknowftheirflikelihoodfoffconceivingfafchildfwithfafg
eneticfdisorder.fWhichfriskffactors,fidentifiedfbyfthefnurse,farefcorrect?
fSelectfallfthatfapply.f-
fTheirffirstfchildfwasfbornfwithfafgeneticfdisorder,ftherefisfaffamilyfhistoryfoffgeneticfdisorde
rs,fthefwomanfisfolderfthanf35,fbothfparentsfhavefafgeneticfdisorder
Afcouplefvisitingfthefclinicfvoicedftheirfconcernfthatftheirfunbornfbabyfmightfhaveftrisomyf2
1fatfbirth.fWhichftestfwouldfthefnursefrecommendfforfthisfcouple?f-fPrenatalftesting
(Carrierf-ffamfhx,fNewbornf-fgeneticfdisordersftreatablefearlyfinflife,fPreimplantationf-
fgeneticfchangesfinfembryosfcreatedfusingfassistedfreproductiveftechniques)
Whichfisfanfappropriatefassistancefthefnursefcanfprovideftofthefcouplefwhoffoundfoutfduri
ngfpregnancyfthatftheirfchildfhasfafgeneticfdisorder?fSelectfallfthatfapply.f-
fProvidefcrediblefwebsitesfcontainingfinfofspecificallyfaboutfthefgeneticfdisorder,fencoura
gefthemftofcommunicatefwithfonefanother,ffindfafsupportfgroupfforfthefcouple
Thefnursefisfteachingfthefnewfpregnantfmotherfaboutfthefplacentafandfitsfmanyfrolesfinffet
alfdevelopment.fWhichfstatementsfshowfanfunderstandingfoffthefhormonesfthefplacentafp
roduces?fSelectfallfthatfapply.f-
fProgesteronefisfthefhormonefthatfmakesfyouffeelfbloated,fhumanfplacentalflactogenfhelp
sfinfthefproductionfoffbreastfmilk,festrogenfisfthefreasonfforfmyfpregnancyfglow
Afclientfasksfthefnursefaboutfthefimportancefoffpreconceptionfcounseling.fInfresponse,fth
efnursefstatesfpreconceptionfcounselingfhelpsfwomenflessenfriskyfbehaviorsfandfeliminat
efexposureftofharmfulfsubstances.fWhichfstatementfmadefbyfthefnursefaboutfcontracepti
onfcessationfwouldfbefincludedfinfthefpreconceptionfcounseling?f-
fItfmayftakefseveralfmonthsforfupftofafyearftofconceivefafterfdiscontinuingfDepo-Provera
Afpregnantfwomanfaskedfthefnursefwhyfit'sfimportantftofknowfwherefshefandfherfpartnerfh
aveftraveledfbeforefbecomingfpregnant.fThefnursefrespondedfbyfsaying,f"Byfknowingfwh
erefyou'veftraveled,fwe'llfknowfaboutfspecificfrisksfyoufandfyourfbabyfmayfhave."fWhichfot
herfreasonsfgivenfbyfthefnursefarefcorrect?fSelectfallfthatfapply.f-
fYourfspousefmayfhavefthefZikafvirusfandfcanftransmitfitftofyoufduringfsexualfintercoursefif
fhe'sftraveledftofcertainfhigh-
QUESTIONS
Duringfafhealthfassessment,fafclientfwasfaskedftofstatefherflastfmenstrualfperiod.fShefrepl
ied,f"Thisfisfmyfsecondfdayfoffhavingfmyfmenstrualfflow."fWhichfphasefoffthefovarianfcycle
fwouldfthefnursefdeterminefthefclientfisfinfcurrently?f-
fFollicularfphasef(firstfdayfoffmenstruationf-flastsf12-14fdays)
OtherfPhases
Lutealfphasef(beginsfafterfovulationfandflastsfforf14fdays)
Proliferativefphasef(occursfafterfmenstruationfandfendsfwithfovulation)
Ovulatoryfphasef(beginsfwhenfestrogenflevelsfpeakfandfendsfwithfreleasefoffoocyte)
Afmalefclientfisfseenfatfthefprovider'sfofficefforfinfertility.fWhichfissuefwouldfthefnursefdisre
gardfasfafpossiblefcausefoffmalefinfertility?f-fHavingfanfoverweightfBMI
(Cyclingfincreasesfheatftoftesticles,fsmokingfincreasesfinfertility,fCCBfaffectfmaturingfsper
m)
Whenfassessingfthefnewborn,fthefnursefnotesftwofvesselsfinfthefumbilicalfcord.fWhatfsho
uldfthefnursefdofnext?f-fCallfthefpediatricianf(d/tfriskfoffcardiovascularfdisease)
Thefnursefisfrecallingfthefstepsfinfcellfdivision,fbeginningfatfconceptionfandfendingfwithffet
alfdevelopment.fListftheffollowingfstepsfinforderfoffdevelopment:f-
fZygote,fblastocyst,fembryo,ffetus
Afcouplefwasfscheduledfforfanfartificialfinseminationfprocedure.fWhichffertilityfconditionfd
oesfthefnursefexpectftoffindfdocumentedfinfthefcouple'sfmedicalfrecordfasfafreasonfforfne
edingfthisfprocedure?f-fDiminishedfspermfmotility
Ethicalfissuesfarisefwhenfclientsfusefassistedfreproductiveftherapies.fWhichfarefethicalfiss
ues?fSelectfallfthatfapply.f-
fWhofownsfthefembryos,fdofspermfdonorsfhavefrights,fwhofdecidesfwhatfhappensfwithfthe
fsurplusfembryos,fshouldfthefsurrogatefmotherfdofskinftofskinfwithfthefinfantfafterfbirth
(Wrongf-fshouldfthefsurrogatefmotherffundfherfownftreatment)
, Whichfstatementsfindicatefafphenotype?fSelectfallfthatfapply.f-
fThefchildfhasfbrownfhair,fwowfhefsoundsfexactlyflikefhisffather,fshefhasfthefmostfbeautiful
feyes,fhefisfshortflikefhisfmother
(Physical/outwardfcharacteristics!!)
Thefnursefisfrecordingfthefinitialfhistoryfforfafprimiparousfclientfandfherfpartner.fBasedfonft
hefreviewfoffthefinformation,fthefnursefrecognizesftheffetusfisfatfgreatestfriskfforfhavingfwh
ichfofftheffollowingfgeneticfconcerns?f-fDuchenne'sfmuscularfdystrophyf(d/tffamilyfhx)
Afcouplefvisitedfthefclinicfandfwantedftofknowftheirflikelihoodfoffconceivingfafchildfwithfafg
eneticfdisorder.fWhichfriskffactors,fidentifiedfbyfthefnurse,farefcorrect?
fSelectfallfthatfapply.f-
fTheirffirstfchildfwasfbornfwithfafgeneticfdisorder,ftherefisfaffamilyfhistoryfoffgeneticfdisorde
rs,fthefwomanfisfolderfthanf35,fbothfparentsfhavefafgeneticfdisorder
Afcouplefvisitingfthefclinicfvoicedftheirfconcernfthatftheirfunbornfbabyfmightfhaveftrisomyf2
1fatfbirth.fWhichftestfwouldfthefnursefrecommendfforfthisfcouple?f-fPrenatalftesting
(Carrierf-ffamfhx,fNewbornf-fgeneticfdisordersftreatablefearlyfinflife,fPreimplantationf-
fgeneticfchangesfinfembryosfcreatedfusingfassistedfreproductiveftechniques)
Whichfisfanfappropriatefassistancefthefnursefcanfprovideftofthefcouplefwhoffoundfoutfduri
ngfpregnancyfthatftheirfchildfhasfafgeneticfdisorder?fSelectfallfthatfapply.f-
fProvidefcrediblefwebsitesfcontainingfinfofspecificallyfaboutfthefgeneticfdisorder,fencoura
gefthemftofcommunicatefwithfonefanother,ffindfafsupportfgroupfforfthefcouple
Thefnursefisfteachingfthefnewfpregnantfmotherfaboutfthefplacentafandfitsfmanyfrolesfinffet
alfdevelopment.fWhichfstatementsfshowfanfunderstandingfoffthefhormonesfthefplacentafp
roduces?fSelectfallfthatfapply.f-
fProgesteronefisfthefhormonefthatfmakesfyouffeelfbloated,fhumanfplacentalflactogenfhelp
sfinfthefproductionfoffbreastfmilk,festrogenfisfthefreasonfforfmyfpregnancyfglow
Afclientfasksfthefnursefaboutfthefimportancefoffpreconceptionfcounseling.fInfresponse,fth
efnursefstatesfpreconceptionfcounselingfhelpsfwomenflessenfriskyfbehaviorsfandfeliminat
efexposureftofharmfulfsubstances.fWhichfstatementfmadefbyfthefnursefaboutfcontracepti
onfcessationfwouldfbefincludedfinfthefpreconceptionfcounseling?f-
fItfmayftakefseveralfmonthsforfupftofafyearftofconceivefafterfdiscontinuingfDepo-Provera
Afpregnantfwomanfaskedfthefnursefwhyfit'sfimportantftofknowfwherefshefandfherfpartnerfh
aveftraveledfbeforefbecomingfpregnant.fThefnursefrespondedfbyfsaying,f"Byfknowingfwh
erefyou'veftraveled,fwe'llfknowfaboutfspecificfrisksfyoufandfyourfbabyfmayfhave."fWhichfot
herfreasonsfgivenfbyfthefnursefarefcorrect?fSelectfallfthatfapply.f-
fYourfspousefmayfhavefthefZikafvirusfandfcanftransmitfitftofyoufduringfsexualfintercoursefif
fhe'sftraveledftofcertainfhigh-
