WGU D236 Patho Readiness Assessment With Correct Answers

WGU D236 Patho Readiness Assessment With Correct
Answers



What is the most common indication for genetic counseling?
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-Maternal Age k




-Drug exposure during the first trimester
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-Increased maternal alpha-fetoprotein k k




-History of previous still birth - ✔✔Maternal Age
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The FNP schedules a 38-year-old primigravida (first time pregnancy) for an amniocentesis at 16 weeks
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gestation. The FNP would explain that the purpose of this procedure is to:
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-Assess for the possibility of twins
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-Determine bilirubin level k k




-Perform genetic studies k k




-Assess L/S ratio - ✔✔Perform Genetic studies
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Feedback: This woman's age puts her at risk for Down Syndrome
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In the most commonly seen form of Turner Syndrome, how is the X chromosome affected?
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-Each cell has only one X chromosome
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-Some cells have two X chromosomes, while other cells have only one.
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-Each cell has two X chromosomes, but part of the chromosome is missing.
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-Each cell has an extra X chromosome. - ✔✔Each cell has only one X chromosome
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Feedback: 45% of persons with Turner Syndrome have monosomy X meaning there is only one copy of the
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X chromosome in each cell
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,The FNP is assessing a newborn who is demonstrating a high-pitched cry, microcephaly, hypertelorism,
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hypotonia, and a low birth weight. The FNP would suspect which of the following genetic conditions?
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-Down Syndrome k




-Cri du chat
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-Charge syndrome k




-Duncan disease - ✔✔Cri du chat k k k k k




Feedback: The clinical symptoms of cri du chat syndrome usually include a high-pitched cat-like cry,
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mental retardation, delayed development, distinctive facial features, small head size (microcephaly),
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widely-spaced eyes (hypertelorism), low birth weight and weak muscle tone (hypotonia) in infancy.
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When explaining the types of adaptive immunity, the FNP student is aware that:
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-Adaptive immunity is a cell-mediated immune response which is carried out by T cells and B cells.
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-Adaptive immunity is the level of immunity that all persons are born with.
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-Adaptive immunity occurs when antibodies are passed from the mother to the fetus.
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-Adaptive immunity occurs through immunization - ✔✔Adaptive immunity is a cell-mediated immune
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response which is carried out by T cells and B cells.
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Feedback: There are two types of adaptive immunity responses: the cell-mediated immune response,
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which is carried out by T cells, and the humoral immune response, which is controlled by activated B
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cells and antibodies.
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A woman has sustained a traumatic brain injury. She is able to follow simple commands and can manipulate
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objects. Which term describes this state?
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-Coma

-Persistent vegetative state k k




-Minimally conscious k




-Locked-in syndrome - ✔✔Minimally conscious k k k k




Feedback: When responses to the environment are seen, the patient is said to be in a minimally
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conscious state
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, Age and the admission of the Glasgow Coma Scale (GCS) are important diagnostic factors in TBI. Which GCS
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score describes a severe TBI?
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13-15

12-13

9-12

3-8 - ✔✔3-8
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Feedback: The GCS is scored between 3 and 15, 3 being the worst and 15 the best.
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Which term describes recurrent, intrusive thoughts or impulses?
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-Hallucinations

-Compulsions

-Obsessions

-Delusions - ✔✔Obsessions k k




Feedback: Obsessions are recurrent and persistent thoughts, impulses, or images that cause distressing
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emotions such as anxiety or disgust.
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During an intake interview with a 26-year-old man diagnosed with generalized anxiety disorder, the FNP
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might observe what type of behavior?
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-An inflated sense of self
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-Constant relation to future events k k k k




-Inability to concentrate and irritability when questioned
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-Nervousness and fear of the FNP during the interview - ✔✔Inability to concentrate and irritability when
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questioned
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Feedback: Impaired concentration and irritability are major characteristics of GAD.
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The FNP would expect which symptoms in a patient with a diagnosis of schizophrenia?
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