Maternity exam 5.
A young couple who underwent preconceptual genetic counseling and testing have learned that they
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are at high risk for having a child with Down syndrome. They have decided not to have children. What
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would be the most appropriate response for the nurse to give?
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"I understand. In case you would like to discuss this further with a genetic counselor, here is the
b b b b b b b b b b b b b b b b b
contact information for the genetic counseling center."
b b b b b b b
"I appreciate your decision, but I urge you to think through this further. Having a child, even one with
b b b b b b b b b b b b b b b b b b
Down syndrome, is so rewarding."
b b b b b
"I understand and support your decision. The risk is just not worth it."
b b b b b b b b b b b b
"I think you made the right decision. After all, I never had children, and I'm perfectly happy." - ANS >>
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"I understand. In case you would like to discuss this further with a genetic counselor, here is the
b b b b b b b b b b b b b b b b b b
contact information for the genetic counseling center."
b b b b b b b
After teaching a class about conception, the nursing instructor asks the attendees to explain the
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process of fertilization. Which statements indicate the students need additional teaching? Select all
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that apply.
b b
"I understand. In case you would like to discuss this further with a genetic counselor, here is the
b b b b b b b b b b b b b b b b b
contact information for the genetic counseling center."
b b b b b b b
"I appreciate your decision, but I urge you to think through this further. Having a child, even one with
b b b b b b b b b b b b b b b b b b
Down syndrome, is so rewarding."
b b b b b
"I understand and support your decision. The risk is just not worth it."
b b b b b b b b b b b b
"I think you made the right decision. After all, I never had children, and I'm perfectly happy." - ANS >>
b b b b b b b b b b b b b b b b b b b
-Sperm are viable for only about 48 hours after ejaculation.
b b b b b b b b b b
-Sperm are able to fertilize the ovum up to 12 hours after ejaculation, and the ovum remains fertile for
b b b b b b b b b b b b b b b b b b
bat least 24 hours after ovulation.
b b b b b
At a prenatal class, the nurse educator describes the function of the placenta. What information would
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the nurse likely include? Select all that apply.
b b b b b b b b
, The placenta makes hormones to control the way the fetus is supplied with nutrients and oxygen.
b b b b b b b b b b b b b b b
The placenta ensures that the fetus is protected from all teratogens.
b b b b b b b b b b
The placenta removes the waste products that the fetus produces.
b b b b b b b b b
The placenta stimulates the mother to bring more food to the placenta.
b b b b b b b b b b b
The placenta produces hormones that ready fetal organs for life outside the uterus.
b b b b b b b b b b b b
The placenta acts as a barrier between the mother and fetus. - ANS >> -The placenta makes hormones
b b b b b b b b b b b b b b b b b
to control the way the fetus is supplied with nutrients and oxygen.
b b b b b b b b b b b b
-The placenta removes the waste products that the fetus produces.
b b b b b b b b b
-The placenta stimulates the mother to bring more food to the placenta.
b b b b b b b b b b b
-The placenta produces hormones that ready fetal organs for life outside the uterus
b b b b b b b b b b b b
A woman visits the prenatal clinic and is noted to have oligohydramnios. The client asks, "Why is this
b b b b b b b b b b b b b b b b b
fluid important anyway?" Which statements would be included in the nurse's response? Select all that
b b b b b b b b b b b b b b b
apply. - ANS >> "Amniotic fluid helps maintain your baby's body temperature."
b b b b b b b b b b b b
"Too little amniotic fluid is linked with placental problems."
b b b b b b b b
"It is associated with having babies with low birth weight."
b b b b b b b b b
"It acts like a cushion protecting your baby from trauma that may occur."
b b b b b b b b b b b b
The nursing instructor is teaching a class on the structures vital to the development of the fetus. The
b b b b b b b b b b b b b b b b b
instructor determines the class is successful when the class correctly chooses which fact concerning
b b b b b b b b b b b b b b
amniotic fluid? - ANS >> Produced by fetal membranes
b b b b b b b b b
After teaching a group of pregnant women about fetal development and the events of each stage, the
b b b b b b b b b b b b b b b b
nurse determines that the teaching was successful when the women identify which stage? Select all
b b b b b b b b b b b b b b b
that apply. - ANS >> preembryonic
b b b b b b
umbilical
fetal
The nurse educator describes the key changes that happen to the newborn's heart and lungs at birth.
b b b b b b b b b b b b b b b b
Which information would the nurse likely include? Select all that apply. - ANS >> -With the newborn's
b b b b b b b b b b b b b b b b b
first breaths, the lungs inflate, increasing blood flow to the lungs.
b b b b b b b b b b b
-The foramen ovale closes within 1 to 2 hours after birth and permanently by 6 months.
b b b b b b b b b b b b b b b
-The ductus venosus closes with the clamping of the umbilical cord.
b b b b b b b b b b
A young couple who underwent preconceptual genetic counseling and testing have learned that they
b b b b b b b b b b b b b
are at high risk for having a child with Down syndrome. They have decided not to have children. What
b b b b b b b b b b b b b b b b b b b
would be the most appropriate response for the nurse to give?
b b b b b b b b b b b
"I understand. In case you would like to discuss this further with a genetic counselor, here is the
b b b b b b b b b b b b b b b b b
contact information for the genetic counseling center."
b b b b b b b
"I appreciate your decision, but I urge you to think through this further. Having a child, even one with
b b b b b b b b b b b b b b b b b b
Down syndrome, is so rewarding."
b b b b b
"I understand and support your decision. The risk is just not worth it."
b b b b b b b b b b b b
"I think you made the right decision. After all, I never had children, and I'm perfectly happy." - ANS >>
b b b b b b b b b b b b b b b b b b b
"I understand. In case you would like to discuss this further with a genetic counselor, here is the
b b b b b b b b b b b b b b b b b b
contact information for the genetic counseling center."
b b b b b b b
After teaching a class about conception, the nursing instructor asks the attendees to explain the
b b b b b b b b b b b b b b
process of fertilization. Which statements indicate the students need additional teaching? Select all
b b b b b b b b b b b b b
that apply.
b b
"I understand. In case you would like to discuss this further with a genetic counselor, here is the
b b b b b b b b b b b b b b b b b
contact information for the genetic counseling center."
b b b b b b b
"I appreciate your decision, but I urge you to think through this further. Having a child, even one with
b b b b b b b b b b b b b b b b b b
Down syndrome, is so rewarding."
b b b b b
"I understand and support your decision. The risk is just not worth it."
b b b b b b b b b b b b
"I think you made the right decision. After all, I never had children, and I'm perfectly happy." - ANS >>
b b b b b b b b b b b b b b b b b b b
-Sperm are viable for only about 48 hours after ejaculation.
b b b b b b b b b b
-Sperm are able to fertilize the ovum up to 12 hours after ejaculation, and the ovum remains fertile for
b b b b b b b b b b b b b b b b b b
bat least 24 hours after ovulation.
b b b b b
At a prenatal class, the nurse educator describes the function of the placenta. What information would
b b b b b b b b b b b b b b b
the nurse likely include? Select all that apply.
b b b b b b b b
, The placenta makes hormones to control the way the fetus is supplied with nutrients and oxygen.
b b b b b b b b b b b b b b b
The placenta ensures that the fetus is protected from all teratogens.
b b b b b b b b b b
The placenta removes the waste products that the fetus produces.
b b b b b b b b b
The placenta stimulates the mother to bring more food to the placenta.
b b b b b b b b b b b
The placenta produces hormones that ready fetal organs for life outside the uterus.
b b b b b b b b b b b b
The placenta acts as a barrier between the mother and fetus. - ANS >> -The placenta makes hormones
b b b b b b b b b b b b b b b b b
to control the way the fetus is supplied with nutrients and oxygen.
b b b b b b b b b b b b
-The placenta removes the waste products that the fetus produces.
b b b b b b b b b
-The placenta stimulates the mother to bring more food to the placenta.
b b b b b b b b b b b
-The placenta produces hormones that ready fetal organs for life outside the uterus
b b b b b b b b b b b b
A woman visits the prenatal clinic and is noted to have oligohydramnios. The client asks, "Why is this
b b b b b b b b b b b b b b b b b
fluid important anyway?" Which statements would be included in the nurse's response? Select all that
b b b b b b b b b b b b b b b
apply. - ANS >> "Amniotic fluid helps maintain your baby's body temperature."
b b b b b b b b b b b b
"Too little amniotic fluid is linked with placental problems."
b b b b b b b b
"It is associated with having babies with low birth weight."
b b b b b b b b b
"It acts like a cushion protecting your baby from trauma that may occur."
b b b b b b b b b b b b
The nursing instructor is teaching a class on the structures vital to the development of the fetus. The
b b b b b b b b b b b b b b b b b
instructor determines the class is successful when the class correctly chooses which fact concerning
b b b b b b b b b b b b b b
amniotic fluid? - ANS >> Produced by fetal membranes
b b b b b b b b b
After teaching a group of pregnant women about fetal development and the events of each stage, the
b b b b b b b b b b b b b b b b
nurse determines that the teaching was successful when the women identify which stage? Select all
b b b b b b b b b b b b b b b
that apply. - ANS >> preembryonic
b b b b b b
umbilical
fetal
The nurse educator describes the key changes that happen to the newborn's heart and lungs at birth.
b b b b b b b b b b b b b b b b
Which information would the nurse likely include? Select all that apply. - ANS >> -With the newborn's
b b b b b b b b b b b b b b b b b
first breaths, the lungs inflate, increasing blood flow to the lungs.
b b b b b b b b b b b
-The foramen ovale closes within 1 to 2 hours after birth and permanently by 6 months.
b b b b b b b b b b b b b b b
-The ductus venosus closes with the clamping of the umbilical cord.
b b b b b b b b b b
