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Hereditary And Environmental Influences On Childbearing

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Question 1
Free
Multiple Choice

A clinic nurse is planning a teaching session for childbearing-age female patients. Which information should the nurse include in the teaching session with regard to avoiding exposing a fetus to teratogens?

Choose correct answer/s
A

Eliminate use of acne medications.

B

Immunizations should be updated during the first trimester of pregnancy.

C

Use of saunas and hot tubs during pregnancy should be during the winter months only.

D

Alcoholic beverages can be consumed in the first and third trimesters of pregnancy.

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Question 2
Free
Multiple Choice

The parents of a child with a karyotype of 47,XY,+21 ask the nurse what this means. Which is the most accurate response by the nurse?

Choose correct answer/s
A

This karyotype is for a normal male.

B

This karyotype is for a normal female.

C

This karyotype is for a male with Down syndrome.

D

This karyotype is for a female with Turner's syndrome.

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Question 3
Free
Multiple Choice

People who have two copies of the same abnormal autosomal dominant gene are generally

Choose correct answer/s
A

mildly affected with the disorder.

B

infertile and unable to transmit the gene.

C

carriers of the trait but not affected with the disorder.

D

more severely affected by the disorder than people with one copy of the gene.

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Question 4
Free
Multiple Choice

An infant is born with blood type AB. The father is type A and the mother is type B. The father asks why the baby has a blood type different from that of the parents. The nurse's answer should be based on the knowledge that

Choose correct answer/s
A

both A and B blood types are dominant.

B

types A and B are recessive when linked together.

C

the baby has a mutation of the parents' blood types.

D

type A is recessive and links more easily with type B.

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Question 5
Free
Multiple Choice

Which statement regarding multifactorial disorders is correct?

Choose correct answer/s
A

They may not be evident until later in life.

B

They are usually present and detectable at birth.

C

The disorders are characterized by multiple defects.

D

Secondary defects are rarely associated with them.

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Question 6
Multiple Choice

Which information should the nurse include when discussing the prenatal diagnosis of genetic disorders with an expectant couple?

Choose correct answer/s
A
The diagnosis may be slow and could be inconclusive.
B
A comprehensive evaluation will result in an accurate diagnosis.
C
Common disorders can be quickly diagnosed through blood tests.
D
Diagnosis can be obtained promptly through most hospital laboratories.
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Question 7
Multiple Choice

A patient tells the nurse at a prenatal interview that she has quit smoking, and only has one glass of wine with dinner. Which response by the nurse will be most helpful in promoting a lifestyle change?

Choose correct answer/s
A
"Those few things won't cause any trouble. Good for you."
B
"You need to do a lot better than that. You are still hurting your baby."
C
"Here are some pamphlets for you to study. They will help you to find more ways to improve."
D
"You have made some good progress toward having a healthy baby. Let's talk about the changes you have made."
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Question 8
Multiple Choice

A 35-year-old patient has an amniocentesis performed to identify whether her baby has a chromosomal defect. Which statement indicates that the patient understands the situation?

Choose correct answer/s
A
"The doctor will tell me if I should have an abortion when the test results come back."
B
"When all the lab results come back, my husband and I will make a decision about the pregnancy."
C
"My mother must not find out about all this testing. If she does, she will think I'm having an abortion."
D
"I know there are support groups for parents who have a baby with birth defects, but we have plenty of insurance to cover what we need."
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Question 9
Multiple Choice

Which characteristic is related to Down syndrome?

Choose correct answer/s
A
Up-slanting eyes
B
Abnormal genitalia
C
Bleeding tendency
D
Edema of extremities
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Question 10
Multiple Choice

Which question posed by the nurse will most likely promote the sharing of sensitive information during a genetic counseling interview?

Choose correct answer/s
A
"What kind of defects or diseases seem to run in the family?"
B
"How many people in your family are mentally retarded or handicapped?"
C
"Did you know that you can always have an abortion if the fetus is abnormal?"
D
"Are there any members of your family who have learning or developmental problems?"
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Question 11
Multiple Choice

Testing for the cause of anomalies in a stillborn infant is underway. The mother angrily asks the nurse how long these tests are going to take. The nurse should understand that this mother is

Choose correct answer/s
A
exhibiting normal grief behavior.
B
trying to place blame on someone.
C
being impatient and unreasonable.
D
feeling guilty and blaming herself.
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Question 12
Multiple Choice

While obtaining a genetic history from a female patient, you note that there is a family history of a genetic disease on the maternal side; however, no evidence of symptomatology in the patient or the patient's children, two girls. Which observation can you make related to genetic expression?

Choose correct answer/s
A
Autosomal dominant expression is observed.
B
X-linked dominant trait is observed.
C
More information is needed to determine the answer.
D
Autosomal recessive expression is observed and both the children will be carriers of the disease process.
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Question 13
Multiple Choice

A couple is undergoing genetic counseling and are very concerned about the possibility of having a child with a birth defect as a result of a strong family history on both sides of the family. Which statement made by the nurse is evidence of therapeutic communication?

Choose correct answer/s
A
"It is important to ask other members of your family for any information they can provide that will help obtain more insight into the health history."
B
"Given what you have told me, there is little that anyone can do to improve outcomes."
C
"Although you may feel that you have no options, I can't really discuss these matters as only the physician can provide you with information."
D
"Do you have all your forms filled out correctly? This will make the review easier to accomplish. "
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Question 14
Multiple Choice

A patient presents with curly hair and blue eyes. These findings are consistent with

Choose correct answer/s
A
phenotype.
B
genotype.
C
dominant alleles.
D
recessive traits.
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Question 15
Multiple Choice

The nurse is working with a patient to obtain information necessary for genetic counseling. Which tool will be used to obtain this information?

Choose correct answer/s
A
Braden scale
B
Genogram
C
Chorionic villus sampling (CVS)
D
Serum protein electrophoresis
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Question 16
Multiple Choice

The nurse receives report on an infant whose analysis indicates 47 total chromosomes, with the abnormality noted at chromosome 21. Which additional assessments will the nurse include when evaluating the infant?

Choose correct answer/s
A
Cleft palate
B
Protruding tongue
C
Extra fingers or toes (polydactyly)
D
Intellectual developmental delay
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Question 17
Multiple Choice

The patient indicates to the clinic nurse that she is trying to become pregnant. The clinic nurse reviews the patient's chart and notes the following laboratory values: Blood type O-, RPR nonreactive, rubella non-immune, HCT 35%. Which laboratory value is most concerning to the nurse?

Choose correct answer/s
A
HCT 35%
B
Blood type O-
C
RPR nonreactive
D
Rubella non-immune
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Question 18
Multiple Choice

The clinic nurse is reviewing charts on prenatal patients. Which patient histories indicate that a referral to a genetic counselor is warranted? (Select all that apply.)

Choose correct answer/s
A
A father who is aged 35
B
A patient having a first baby at age 30
C
A family history of unexplained stillbirths
D
A patient with a family history of birth defects
E
A patient who is a carrier of an X-linked disorder
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Question 19
Multiple Choice

The nurse is teaching prenatal patients about avoiding substances or conditions that can harm the fetus. Which should the nurse include in the teaching session? (Select all that apply.)

Choose correct answer/s
A
Elimination of use of alcohol
B
Avoidance of supplemental folic acid replacement
C
Stabilization of blood glucose levels in a diabetic patient with insulin
D
Avoidance of nonurgent radiologic procedures during the pregnancy
E
Avoidance of maternal hyperthermia to temperatures of 37.8°C (100°F) or higher
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Question 20
Multiple Choice

The nurse is explaining genetics to a group of nursing students. Which are autosomal recessive disorders that the nurse should discuss during the teaching session? (Select all that apply.)

Choose correct answer/s
A
Hemophilia
B
Cystic fibrosis
C
Sickle cell disease
D
Turner's syndrome
E
Phenylketonuria (PKU) disease
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