Exam 1 – Lippincott Questions with
Correct Answers
A pregnant client refuses treatment for an infection based on cultural beliefs. Which
action by the nurse would be appropriate?
Coerce the client to have the treatment.
Tell the client she can be arrested for neglect.
Explain to the client why the treatment is important.
Refuse to let the client leave until she consents to treatment. - ANSWERSExplain to the
client why the treatment is important.
A group of nurses are discussing the reasons for the United States' low rankings for
infant and maternal mortality and what impact they could make on these mortality rates
in their practice. Which action could nurses implement to reduce these rates?
ensuring that all pregnant clients receive their immunizations
assuring early and adequate prenatal care
encouraging all women to eat a balanced diet
providing more extensive women's shelters - ANSWERSassuring early and adequate
prenatal care
A nurse receives a phone call from the neighbor of the laboring client she is caring for,
inquiring on the status of the baby. Which is the appropriate response by the nurse?
"The baby has not been born yet."
"The baby should be here any time."
"We do not have a client by that name."
"I am not able to disclose any information." - ANSWERS"I am not able to disclose any
information."
After hearing of a lawsuit being filed by a client against another nurse, a nurse becomes
concerned about the potential liability in working with premature infants at high risk for
morbidity and mortality. Which action is most essential for the nurse to take to limit
liability in the event of litigation?
having an attending health care provider confirm each intervention the nurse makes
staying up to date on the research in the field
having the parents of each infant the nurse works with sign a liability waiver form
carefully documenting every intervention with a client - ANSWERScarefully
documenting every intervention with a client
The nurse is visiting a family who has a child with a genetic disorder. The oldest
daughter in the family is planning marriage within the next few months. Which
intervention should the nurse include that would support the 2030 National Health Goals
for genetic disease?
,Discuss voluntary sterilization options prior to marriage.
Explain that the chance of genetic anomalies in children is slim.
Counsel the daughter to have no children.
Encourage the daughter to have genetic counseling. - ANSWERSEncourage the
daughter to have genetic counseling.
A Catholic nurse who works in a genetics clinic is counseling a couple who has just
been told that their baby has a genetic disorder. The couple states that they would like
to terminate the pregnancy. What is the most appropriate response by the nurse?
"You can always give the child up for adoption."
"Here is a list of resources for you to contact."
"Termination of the pregnancy for any reason is a sin."
"You should think about this for another week or so." - ANSWERS"Here is a list of
resources for you to contact."
Down syndrome may occur because of a translocation defect. This means the:
parents are such close relatives that their genes are incompatible.
additional chromosome was inherited because it was attached to a normal
chromosome.
infant inherits chromosomal material from only one parent.
parents have a chromosomal pattern that is exactly alike. - ANSWERSadditional
chromosome was inherited because it was attached to a normal chromosome.
A couple is discussing starting a family with the nurse. When should the nurse suggest
genetic counseling?
before the second child
in the second trimester
after conception
before they conceive - ANSWERSbefore they conceive
Girls with Turner syndrome will usually exhibit:
chorea-like movements.
short stature.
progressive dementia.
painful joints. - ANSWERSshort stature.
Genetics-related health care is basic to the holistic practice of nursing. What should
nursing practice in genetics include?
providing advice on termination of pregnancy
discouraging females to conceive after the age of 40 years
gathering relevant family and medical history information
identifying genetic markers - ANSWERSgathering relevant family and medical history
information
A pregnant client asks the nurse if the fetus can be tested for Down syndrome. Which
statement by the nurse is most appropriate?
, "Yes, a chromosomal analysis can be done to assess for Down syndrome."
"When you have ultrasounds done, they look for signs of Down syndrome."
"Of course. The primary health care provider can prescribe a DNA analysis for this."
"You need to be sure you want to know this information before you think about being
tested." - ANSWERS"Yes, a chromosomal analysis can be done to assess for Down
syndrome."
A nurse assesses that a 15-year-old female client has not developed secondary sexual
characteristics, is short in stature, and has a webbed neck. The nurse identifies this as
being most likely related to which diagnosis?
Turner syndrome
Edwards syndrome
Klinefelter syndrome
Patau syndrome - ANSWERSTurner syndrome
The nurse is conducting an initial history and assessment on a client at 10 weeks'
gestation who is pregnant with her first child. Which question is a priority for the nurse to
ask the client at this time?
"Do you plan to breastfeed or bottle feed your new baby?"
"Are you planning to develop a birth plan for use during the birthing process?"
"Was your mother or grandmother diagnosed with gestational diabetes?"
"Does anyone in your or the father's family have any genetic disorders?" -
ANSWERS"Does anyone in your or the father's family have any genetic disorders?"
The nurse is determining a pregnant client's estimated date of delivery (EDD) using
Naegele rule. The date of the first day of the client's last normal menstrual period
(LNMP) was April 20. What would be this client's EDD?
December 25
January 20
January 27
December 27 - ANSWERSJanuary 27
The nurse teaches the importance of avoiding nonessential substances to a young adult
female who is 6 weeks' pregnant. Which client statement indicates that teaching has
been effective?
"Smoking is bad for me and my baby."
"I can drink on weekends only."
"Smoking is permitted as long as I do it outdoors."
"Only one beer or one glass of wine is permitted while pregnant." -
ANSWERS"Smoking is bad for me and my baby."
The nurse is caring for a client following the birth of the newborn with several birth
defects. The client states, "I know the baby has defects because of something I did
wrong during my pregnancy. I feel like a horrible mom." How will the nurse respond?
"You should not blame yourself...these things happen for a reason and at least you
have other children."
Correct Answers
A pregnant client refuses treatment for an infection based on cultural beliefs. Which
action by the nurse would be appropriate?
Coerce the client to have the treatment.
Tell the client she can be arrested for neglect.
Explain to the client why the treatment is important.
Refuse to let the client leave until she consents to treatment. - ANSWERSExplain to the
client why the treatment is important.
A group of nurses are discussing the reasons for the United States' low rankings for
infant and maternal mortality and what impact they could make on these mortality rates
in their practice. Which action could nurses implement to reduce these rates?
ensuring that all pregnant clients receive their immunizations
assuring early and adequate prenatal care
encouraging all women to eat a balanced diet
providing more extensive women's shelters - ANSWERSassuring early and adequate
prenatal care
A nurse receives a phone call from the neighbor of the laboring client she is caring for,
inquiring on the status of the baby. Which is the appropriate response by the nurse?
"The baby has not been born yet."
"The baby should be here any time."
"We do not have a client by that name."
"I am not able to disclose any information." - ANSWERS"I am not able to disclose any
information."
After hearing of a lawsuit being filed by a client against another nurse, a nurse becomes
concerned about the potential liability in working with premature infants at high risk for
morbidity and mortality. Which action is most essential for the nurse to take to limit
liability in the event of litigation?
having an attending health care provider confirm each intervention the nurse makes
staying up to date on the research in the field
having the parents of each infant the nurse works with sign a liability waiver form
carefully documenting every intervention with a client - ANSWERScarefully
documenting every intervention with a client
The nurse is visiting a family who has a child with a genetic disorder. The oldest
daughter in the family is planning marriage within the next few months. Which
intervention should the nurse include that would support the 2030 National Health Goals
for genetic disease?
,Discuss voluntary sterilization options prior to marriage.
Explain that the chance of genetic anomalies in children is slim.
Counsel the daughter to have no children.
Encourage the daughter to have genetic counseling. - ANSWERSEncourage the
daughter to have genetic counseling.
A Catholic nurse who works in a genetics clinic is counseling a couple who has just
been told that their baby has a genetic disorder. The couple states that they would like
to terminate the pregnancy. What is the most appropriate response by the nurse?
"You can always give the child up for adoption."
"Here is a list of resources for you to contact."
"Termination of the pregnancy for any reason is a sin."
"You should think about this for another week or so." - ANSWERS"Here is a list of
resources for you to contact."
Down syndrome may occur because of a translocation defect. This means the:
parents are such close relatives that their genes are incompatible.
additional chromosome was inherited because it was attached to a normal
chromosome.
infant inherits chromosomal material from only one parent.
parents have a chromosomal pattern that is exactly alike. - ANSWERSadditional
chromosome was inherited because it was attached to a normal chromosome.
A couple is discussing starting a family with the nurse. When should the nurse suggest
genetic counseling?
before the second child
in the second trimester
after conception
before they conceive - ANSWERSbefore they conceive
Girls with Turner syndrome will usually exhibit:
chorea-like movements.
short stature.
progressive dementia.
painful joints. - ANSWERSshort stature.
Genetics-related health care is basic to the holistic practice of nursing. What should
nursing practice in genetics include?
providing advice on termination of pregnancy
discouraging females to conceive after the age of 40 years
gathering relevant family and medical history information
identifying genetic markers - ANSWERSgathering relevant family and medical history
information
A pregnant client asks the nurse if the fetus can be tested for Down syndrome. Which
statement by the nurse is most appropriate?
, "Yes, a chromosomal analysis can be done to assess for Down syndrome."
"When you have ultrasounds done, they look for signs of Down syndrome."
"Of course. The primary health care provider can prescribe a DNA analysis for this."
"You need to be sure you want to know this information before you think about being
tested." - ANSWERS"Yes, a chromosomal analysis can be done to assess for Down
syndrome."
A nurse assesses that a 15-year-old female client has not developed secondary sexual
characteristics, is short in stature, and has a webbed neck. The nurse identifies this as
being most likely related to which diagnosis?
Turner syndrome
Edwards syndrome
Klinefelter syndrome
Patau syndrome - ANSWERSTurner syndrome
The nurse is conducting an initial history and assessment on a client at 10 weeks'
gestation who is pregnant with her first child. Which question is a priority for the nurse to
ask the client at this time?
"Do you plan to breastfeed or bottle feed your new baby?"
"Are you planning to develop a birth plan for use during the birthing process?"
"Was your mother or grandmother diagnosed with gestational diabetes?"
"Does anyone in your or the father's family have any genetic disorders?" -
ANSWERS"Does anyone in your or the father's family have any genetic disorders?"
The nurse is determining a pregnant client's estimated date of delivery (EDD) using
Naegele rule. The date of the first day of the client's last normal menstrual period
(LNMP) was April 20. What would be this client's EDD?
December 25
January 20
January 27
December 27 - ANSWERSJanuary 27
The nurse teaches the importance of avoiding nonessential substances to a young adult
female who is 6 weeks' pregnant. Which client statement indicates that teaching has
been effective?
"Smoking is bad for me and my baby."
"I can drink on weekends only."
"Smoking is permitted as long as I do it outdoors."
"Only one beer or one glass of wine is permitted while pregnant." -
ANSWERS"Smoking is bad for me and my baby."
The nurse is caring for a client following the birth of the newborn with several birth
defects. The client states, "I know the baby has defects because of something I did
wrong during my pregnancy. I feel like a horrible mom." How will the nurse respond?
"You should not blame yourself...these things happen for a reason and at least you
have other children."
