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22 Cards in this Set
- Front
- Back
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Fetal circulation differs from the circulatory path of the newborn infant. In utero the fetus has a hole connecting the right and left atria of the heart. This allows oxygenated blood to quickly pass to the major organs of the body. What is this hole called? |
Foramen Ovale pg. 343 |
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A woman who has a recessive gene for sickle cell anemia marries a man who also has a recessive gene for sickle cell anemia. Their first child is born with sickle cell anemia. The chance that their second child will develop this disease is: |
1 in 4 pg. 350 |
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A number of inherited diseases can be detected in utero by amniocentesis. Which disease can be detected by this method? |
trisomy 21 pg. 357 |
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Down syndrome may occur because of a translocation defect. This means the: |
additional chromosome was inherited because it was attached to a normal chromosome. pg. 353 |
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A pregnant client is scheduled to undergo chorionic villi sampling (CVS) to rule out any birth defects. Ideally, when should this testing be completed? |
10 to 12 weeks of gestation pg. 357 |
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A pregnant client has heard about Down syndrome and wants to know about the risk factors associated with it. What would the nurse include as a risk factor? |
advanced maternal age pg. 354 |
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Cystic fibrosis is an example of which type of inheritance? |
autosomal recessive pg. 350 |
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Nurses are expected to know how to use the first genetic test. What is it? |
The family history pg. 356 |
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The nurse is seeing a client who is going to be married in a month. This client has a history of Huntington disease in her family. The genetic testing has come back, and the client has just been told she carries the gene for Huntington disease and will develop the disease when she gets older. The client asks the nurse if this information is confidential and if it will remain that way. The nurse explains to the client that her family should be told and so should her fiancé. The client forcefully tells the nurse “no.” She is not going to tell either her family or her fiancé. What is the nurse’s best response? |
I will respect your wishes and keep your information confidential. I do wish you would reconsider though" pg. 356 |
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A client who is 37 years of age presents to the health care clinic for her first prenatal checkup. Due to her advanced age, the nurse should prepare to talk with the client about her increased risk for what complication? |
genetic disorders pg. 354 |
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A fertilized ovum is known as which structure |
zygote pg. 356 |
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The clinical nurse specialist is conducting a program for a group of nurses working at the prenatal clinic. When describing the preembryonic stage of fetal development, the nurse describes the events of this stage. Place the events in their proper sequence as the nurse would describe them. All options must be used. |
1. Formation of the zygote 2. Cleavage 3. Formation of the morula 4. Formation of blastocyst 5. Implantation pg. 336 |
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A couple has just learned that their son will be born with Down syndrome. The nurse shows a lack of understanding when making which statement? |
I will alert your entire family about this so you don't have to." pg. 355 |
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The results of a woman's quadruple marker screen show that her alpha-fetoprotein (AFP) blood level is more than twice the value of the mean for that gestational age. The nurse recognizes that this finding is most strongly associated with: |
Increased levels can indicate a neural tube disorder. Others disorders can be tetralogy of Fallot, multiple gestation, omphalocele gastroschisis, or hydrocephaly. pg. 357 |
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How is a Alpha-Fetoprotein (AFP) test done and for what does reason. |
A sample of mother's blood is drawn to evaluate plasma protein that is produced by the fetal liver, yolk sac, Gi tract, and crosses from the amniotic fluid into the maternal blood. Performed usually between 15 to 18 weeks gestation. pg. 357 |
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Decreased levels of mothers plasma protein during pregnancy can indicate what disorder? |
Down syndrome or trisomy 18 pg. 357 |
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A woman is taking vaginal progesterone suppositories during her first trimester because her body does not produce enough of it naturally. She asks the nurse what function this hormone has in her pregnancy. What should the nurse explain is the primary function of progesterone |
maintains the endometrial lining of the uterus during pregnancy pg. 343 |
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A woman at 15 weeks' gestation works at a daycare center thinks she may have just been exposed to rubella at work. The client asks how this may affect her fetus. What is the best response the nurse can give? |
By the end of the eighth week all of the organ systems and major structures are present, so exposure to any teratogen can lead to birth defects. More assessments are needed." pg. 343 |
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A 25-year-old client wants to know if her baby boy is at risk for Down syndrome because one of her distant relatives was born with it. Which information would the nurse share with the client while counseling her about Down syndrome? |
Children with Down syndrome have extra genetic material in the 21 chromosome that occurs during development of the sperm or egg. pg. 353 |
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A nurse is interviewing the family members of a pregnant client to obtain a genetic history. While asking questions, which information would be most important? |
If couples are related to each other or have blood ties pg. 356 |
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The nurse is caring for a client and her partner who are considering a future pregnancy. The client reports her last two pregnancies ended in stillbirth related to an underlying genetic disorder. What response by the nurse is most appropriate? |
Consultation with a genetic counselor before you become pregnant would likely be beneficial.” pg. 354 |
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At a prenatal checkup with a client at 7 weeks' gestation, the nurse would identify what as a normal finding? |
Fetal heart sounds are heard. pg. 340 |
