Ch. 3 Durham: Genetics, Conception, Fetal Development & Reproductive
Technology
1. Female client was diagnosed with anovulatory infertility & was prescribed
150 mg/day of clomiphene (Clomid) for 1 month. The stock volume for the
clomiphene stated 25 mg. The RN is expected to instruct the pt. to take how
many tablets per day?
Correct answer is 6. The nurse would have to calculate the # of tabs the patient is
to take.
2. The RN is visiting the home of a woman who recently had a fetal demise.
Toxoplasmosis is suspected. Which finding would confirm the possibility of
toxoplasmosis exposure? SATA
History of having a sexually transmitted infection (STI)
History of frequently smoking marijuana
Having poor air quality at home
Having many cats at home. Getting contaminated w/cat feces exposes
pregnant women to toxoplasmosis.
Consuming uncooked beef. Exposes pregnant women to toxoplasmosis.
3. A male partner was evaluated by a urologist and was asked to do a semen
analysis. Which instruction should the RN give to the couple? SATA.
A urine sample can be collected at home to identify the ideal time for intercourse.
The specimen should be brought to the site within an hour of collection.
Abstain from sex for 2 to 3 days before providing a masturbated sample of
semen.
Measure the temperature before getting out of bed in the mornings.
Several semen analyses may be required.
4. A pregnant mother who was exposed to teratogens is now admitted w/a dx of
fetal growth restriction. In order for this medical diagnosis to be made, the
nurse would determine the mother was most likely exposed to teratogens
during which period?
After 13 weeks of gestation. ***After 13 wks, may cause fetal growth
restriction.
During the period of organogenesis During the first 8 weeks of
gestation
Before getting pregnant.
5. A newly pregnant pt. is seen in the clinic for her 1st prenatal appt. She states
she has a family hx of an autosomal recessive disease. Which disease has an
autosomal recessive pattern of inheritance? SATA.
Cystic fibrosis Hemophilia
, Huntington’s disease Sickle-cell anemia
Tay-Sachs disease
6. After assessing a couple planning to terminate their pregnancy based on the
results of the genetic test, the RN documented “anticipatory grieving.” What
is the RNs appropriate plan of care for this couple?
Reiterating to the couple that grieving is abnormal
Advising the couple to separate from each other for a week
Discussing with the couple the stages of grief they will experience
Warning the couple that thinking about their "dream child" is of concern
***Stages of grief should be included in the plan of care for a couple wanting to
terminate a pregnancy.
7. Which statements indicate a PHENOTYPE? SATA.
"The child has brown hair." (Brown hair is Outward expression of a
phenotype)
"Wow, he sounds exactly like his father." (The sound of your voice is an
Outward expression of a phenotype)
"She has the most beautiful blue eyes." (Blue eyes are an outward
expression of a phenotype)
"I carry the mutation in my genes for diabetes."
"He is short like his mother." (Height is an example of a phenotype).
8. When assessing the baby, the RN notes 2 vessels in the umbilical cord. What
should the RN do next?
Call the pediatrician. Start an IV on the infant.
Check the infant's pulse oximetry. Listen to the infant's
heart sounds.
***Due to the risk of cardiovascular disease. The MD needs to know this asap.
9. What is appropriate assistance the RN can provide to the couple who found out
during pregnancy that their child has a genetic disorder? SATA.
Provide credible websites containing information specifically about the
genetic disorder.
Leave the couple be. They have time to learn about it later on in the pregnancy or
when the child is born.
Encourage them to communicate with one another. Find a support group
for the couple.
Ask the couple closed-ended questions.
10.A neonate was admitted shortly after birth w/a hx of a mother who consumed
@ least 6 alcoholic beverages per day during pregnancy. Which feature of
FAS, should RN expect to assess? SATA.
Technology
1. Female client was diagnosed with anovulatory infertility & was prescribed
150 mg/day of clomiphene (Clomid) for 1 month. The stock volume for the
clomiphene stated 25 mg. The RN is expected to instruct the pt. to take how
many tablets per day?
Correct answer is 6. The nurse would have to calculate the # of tabs the patient is
to take.
2. The RN is visiting the home of a woman who recently had a fetal demise.
Toxoplasmosis is suspected. Which finding would confirm the possibility of
toxoplasmosis exposure? SATA
History of having a sexually transmitted infection (STI)
History of frequently smoking marijuana
Having poor air quality at home
Having many cats at home. Getting contaminated w/cat feces exposes
pregnant women to toxoplasmosis.
Consuming uncooked beef. Exposes pregnant women to toxoplasmosis.
3. A male partner was evaluated by a urologist and was asked to do a semen
analysis. Which instruction should the RN give to the couple? SATA.
A urine sample can be collected at home to identify the ideal time for intercourse.
The specimen should be brought to the site within an hour of collection.
Abstain from sex for 2 to 3 days before providing a masturbated sample of
semen.
Measure the temperature before getting out of bed in the mornings.
Several semen analyses may be required.
4. A pregnant mother who was exposed to teratogens is now admitted w/a dx of
fetal growth restriction. In order for this medical diagnosis to be made, the
nurse would determine the mother was most likely exposed to teratogens
during which period?
After 13 weeks of gestation. ***After 13 wks, may cause fetal growth
restriction.
During the period of organogenesis During the first 8 weeks of
gestation
Before getting pregnant.
5. A newly pregnant pt. is seen in the clinic for her 1st prenatal appt. She states
she has a family hx of an autosomal recessive disease. Which disease has an
autosomal recessive pattern of inheritance? SATA.
Cystic fibrosis Hemophilia
, Huntington’s disease Sickle-cell anemia
Tay-Sachs disease
6. After assessing a couple planning to terminate their pregnancy based on the
results of the genetic test, the RN documented “anticipatory grieving.” What
is the RNs appropriate plan of care for this couple?
Reiterating to the couple that grieving is abnormal
Advising the couple to separate from each other for a week
Discussing with the couple the stages of grief they will experience
Warning the couple that thinking about their "dream child" is of concern
***Stages of grief should be included in the plan of care for a couple wanting to
terminate a pregnancy.
7. Which statements indicate a PHENOTYPE? SATA.
"The child has brown hair." (Brown hair is Outward expression of a
phenotype)
"Wow, he sounds exactly like his father." (The sound of your voice is an
Outward expression of a phenotype)
"She has the most beautiful blue eyes." (Blue eyes are an outward
expression of a phenotype)
"I carry the mutation in my genes for diabetes."
"He is short like his mother." (Height is an example of a phenotype).
8. When assessing the baby, the RN notes 2 vessels in the umbilical cord. What
should the RN do next?
Call the pediatrician. Start an IV on the infant.
Check the infant's pulse oximetry. Listen to the infant's
heart sounds.
***Due to the risk of cardiovascular disease. The MD needs to know this asap.
9. What is appropriate assistance the RN can provide to the couple who found out
during pregnancy that their child has a genetic disorder? SATA.
Provide credible websites containing information specifically about the
genetic disorder.
Leave the couple be. They have time to learn about it later on in the pregnancy or
when the child is born.
Encourage them to communicate with one another. Find a support group
for the couple.
Ask the couple closed-ended questions.
10.A neonate was admitted shortly after birth w/a hx of a mother who consumed
@ least 6 alcoholic beverages per day during pregnancy. Which feature of
FAS, should RN expect to assess? SATA.
