The school nurse is conducting puberty classes for sixth-grade girls. She explains that females have
________ chromosome pairing and males have ________ chromosome pairing.
XX/XY
XY/XX
YY/XX
XX/YY - CORRECT ANS - XX/XY
Each ovum has an X chromosome. The fertilizing sperm contains either an X or a Y chromosome. An
XX pairing results in a female, and an XY pairing results in a male.
During intake, the nurse screens for abuse. Who is most likely to abuse the elderly?
Their children
Their spouses
Their health-care workers
Their neighbors - CORRECT ANS - their spouses
Nurses recognize the importance of screening for abuse for all ages of clients. Abuse is primarily
committed by family members. Elder abuse is most likely to be carried out by spouses.
Michelle and Brian are concerned because hemophilia runs in Michelle's family. The ultrasound
suggests that their fetus is female. How can the nurse educate the couple about the association
between sex and sex-linked traits? Children who are most likely to inherit hemophilia are
Females
Males
Both females and males equally
Males who are carriers but do not have the disord - CORRECT ANS - males
Hemophilia is a recessive trait linked to the X chromosome. Males are more likely to inherit the
disorder because the Y chromosome does not have a dominant normal gene to counteract the
hemophilia gene on the X chromosome. Females are carriers of the trait.
,Turner syndrome occurs in females who have a missing or damaged X chromosome. Select all the
symptoms that apply:
___ webbed neck
___ tall stature
___ underdeveloped genitals and secondary sexual features
___ mental retardation
___ visual-spatial deficits - CORRECT ANS - a, c, e
A client wants to have a baby and states that as soon as she finds out she is pregnant she will stop
drinking completely. The nurse informs her that
Most developmental problems do not occur until after a baby is born.
Moderate drinking of alcohol during pregnancy does not affect the fetus.
Even moderate use of alcohol will decrease her chance of becoming pregnant.
Many developmental problems can occur even before a woman knows she is pregnant. - CORRECT
ANS - many developmental problems can occur even before a woman knows she is pregnant.
Even moderate drinking during pregnancy can result in fetal alcohol effects. Damage may occur
before pregnancy can be detected.
A new father came to the clinic nurse with the following concern about his son. "Theodore has lost
five ounces since he was born a week ago! Do we need to give him some bottles of formula in
addition to the breast milk?" The nurse indicates that he is
Correct in being concerned about his son's weight loss.
Overreacting, because most infants lose some weight after birth.
Correct in being concerned but should not jump to bottle-feeding.
Not reacting quickly enough, because any weight loss during infancy indicates serious problems. -
CORRECT ANS - overreacting, because most infants lose some weight after birth.
The nurse should educate parents prior to discharge that during the first few days after birth, newborns
lose 5% to 7% of their birth weight as they adjust to feeding.
When working with terminal illness, it is important for the nurse to recognize that older and middle-
aged adults differ in their views on death in that middle-aged adults
Fear death more.
,Talk about death more.
Think about death more.
Accept death more readily. - CORRECT ANS - fear death more.
Middle-aged adults fear death more than young adults or older adults.
Antonio has sickle cell anemia. At what stage is his difficulty with body image apt to have the greatest
negative impact?
Early childhood
Middle childhood
Adolescence
Early adulthood - CORRECT ANS - Adolescence
The belief that everyone is as preoccupied with your appearance as you are yourself is a common
misconception of adolescence known as the "imaginary audience." Impaired growth due to sickle cell
anemia would be especially distressing during puberty.
Sheila is pregnant and has a family history of spina bifida. Which test would be used to determine
whether her fetus has this defect?
Ultrasound
In vitro fertilization (IVF)
Chorionic villi sampling
Alpha-fetoprotein test (AFP) - CORRECT ANS - alpha-fetoprotein test (AFP)
Spina bifida is one type of neural tube deficit. The appropriate test for determining neural tube deficits
is the alpha-fetoprotein test.
Ellie tells the nurse that she and her husband are trying to conceive a baby. How long should they wait
before they suspect infertility?
7 months
12 months
15 months
18 months - CORRECT ANS - 12 MOS
Infertility is not suspected until 1 year after consistent attempts to conceive.
, The Millers adopted an infant three years ago. They plan to tell their daughter about the adoption.
They ask the nurse for advice on timing. The nurse explains that it is most natural to have this
discussion when children normally begin to ask about where they came from, which is
5 to 7 years old
6 to 8 years old
4 to 6 years old
7 to 9 years old - CORRECT ANS - 4 to 6 years old
Children usually begin to become curious about their origins between 4 and 6 years of age. This
curiosity provides a signal of when they are developmentally ready for simple explanations.
A baby is born with respiratory and digestive problems that originated when the zygote divided into
the three major cell layers. Evidently, there was a problem in the formation of the:
Endoderm.
Ectoderm.
Mesoderm.
Blastocyst. - CORRECT ANS - endoderm
The endoderm is the inner layer that will develop into digestive and respiratory systems.
Parents of a boy with XYY syndrome are concerned about him becoming overly aggressive. The
nurse explains that research on XYY males found they are
Just as unlikely to commit crimes as XY males.
More likely to commit crimes than XY males.
Less likely to commit crimes than XY males.
More likely to commit crimes than females with Turner syndrome. - CORRECT ANS - just as
unlikely to commit crimes as XY males.
Research has not found a relationship between XYY syndrome and higher risk of aggression or
related behaviors.
During a normal, healthy pregnancy, a 26-year-old woman developed a bacteriological infection. The
nurse tells her that most likely
Many of these bacteria will be passed to her fetus.
________ chromosome pairing and males have ________ chromosome pairing.
XX/XY
XY/XX
YY/XX
XX/YY - CORRECT ANS - XX/XY
Each ovum has an X chromosome. The fertilizing sperm contains either an X or a Y chromosome. An
XX pairing results in a female, and an XY pairing results in a male.
During intake, the nurse screens for abuse. Who is most likely to abuse the elderly?
Their children
Their spouses
Their health-care workers
Their neighbors - CORRECT ANS - their spouses
Nurses recognize the importance of screening for abuse for all ages of clients. Abuse is primarily
committed by family members. Elder abuse is most likely to be carried out by spouses.
Michelle and Brian are concerned because hemophilia runs in Michelle's family. The ultrasound
suggests that their fetus is female. How can the nurse educate the couple about the association
between sex and sex-linked traits? Children who are most likely to inherit hemophilia are
Females
Males
Both females and males equally
Males who are carriers but do not have the disord - CORRECT ANS - males
Hemophilia is a recessive trait linked to the X chromosome. Males are more likely to inherit the
disorder because the Y chromosome does not have a dominant normal gene to counteract the
hemophilia gene on the X chromosome. Females are carriers of the trait.
,Turner syndrome occurs in females who have a missing or damaged X chromosome. Select all the
symptoms that apply:
___ webbed neck
___ tall stature
___ underdeveloped genitals and secondary sexual features
___ mental retardation
___ visual-spatial deficits - CORRECT ANS - a, c, e
A client wants to have a baby and states that as soon as she finds out she is pregnant she will stop
drinking completely. The nurse informs her that
Most developmental problems do not occur until after a baby is born.
Moderate drinking of alcohol during pregnancy does not affect the fetus.
Even moderate use of alcohol will decrease her chance of becoming pregnant.
Many developmental problems can occur even before a woman knows she is pregnant. - CORRECT
ANS - many developmental problems can occur even before a woman knows she is pregnant.
Even moderate drinking during pregnancy can result in fetal alcohol effects. Damage may occur
before pregnancy can be detected.
A new father came to the clinic nurse with the following concern about his son. "Theodore has lost
five ounces since he was born a week ago! Do we need to give him some bottles of formula in
addition to the breast milk?" The nurse indicates that he is
Correct in being concerned about his son's weight loss.
Overreacting, because most infants lose some weight after birth.
Correct in being concerned but should not jump to bottle-feeding.
Not reacting quickly enough, because any weight loss during infancy indicates serious problems. -
CORRECT ANS - overreacting, because most infants lose some weight after birth.
The nurse should educate parents prior to discharge that during the first few days after birth, newborns
lose 5% to 7% of their birth weight as they adjust to feeding.
When working with terminal illness, it is important for the nurse to recognize that older and middle-
aged adults differ in their views on death in that middle-aged adults
Fear death more.
,Talk about death more.
Think about death more.
Accept death more readily. - CORRECT ANS - fear death more.
Middle-aged adults fear death more than young adults or older adults.
Antonio has sickle cell anemia. At what stage is his difficulty with body image apt to have the greatest
negative impact?
Early childhood
Middle childhood
Adolescence
Early adulthood - CORRECT ANS - Adolescence
The belief that everyone is as preoccupied with your appearance as you are yourself is a common
misconception of adolescence known as the "imaginary audience." Impaired growth due to sickle cell
anemia would be especially distressing during puberty.
Sheila is pregnant and has a family history of spina bifida. Which test would be used to determine
whether her fetus has this defect?
Ultrasound
In vitro fertilization (IVF)
Chorionic villi sampling
Alpha-fetoprotein test (AFP) - CORRECT ANS - alpha-fetoprotein test (AFP)
Spina bifida is one type of neural tube deficit. The appropriate test for determining neural tube deficits
is the alpha-fetoprotein test.
Ellie tells the nurse that she and her husband are trying to conceive a baby. How long should they wait
before they suspect infertility?
7 months
12 months
15 months
18 months - CORRECT ANS - 12 MOS
Infertility is not suspected until 1 year after consistent attempts to conceive.
, The Millers adopted an infant three years ago. They plan to tell their daughter about the adoption.
They ask the nurse for advice on timing. The nurse explains that it is most natural to have this
discussion when children normally begin to ask about where they came from, which is
5 to 7 years old
6 to 8 years old
4 to 6 years old
7 to 9 years old - CORRECT ANS - 4 to 6 years old
Children usually begin to become curious about their origins between 4 and 6 years of age. This
curiosity provides a signal of when they are developmentally ready for simple explanations.
A baby is born with respiratory and digestive problems that originated when the zygote divided into
the three major cell layers. Evidently, there was a problem in the formation of the:
Endoderm.
Ectoderm.
Mesoderm.
Blastocyst. - CORRECT ANS - endoderm
The endoderm is the inner layer that will develop into digestive and respiratory systems.
Parents of a boy with XYY syndrome are concerned about him becoming overly aggressive. The
nurse explains that research on XYY males found they are
Just as unlikely to commit crimes as XY males.
More likely to commit crimes than XY males.
Less likely to commit crimes than XY males.
More likely to commit crimes than females with Turner syndrome. - CORRECT ANS - just as
unlikely to commit crimes as XY males.
Research has not found a relationship between XYY syndrome and higher risk of aggression or
related behaviors.
During a normal, healthy pregnancy, a 26-year-old woman developed a bacteriological infection. The
nurse tells her that most likely
Many of these bacteria will be passed to her fetus.
