Deck 18: Reproductive and Genetic Disorders

Question 1

The nurse in a pediatric clinic is obtaining medical information from a female patient who is 18 years of age. The patient expresses concern of a vaginal infection because of the presence of fishy-smelling, thin, whitish-gray discharge. Which information from the nurse is accurate?

A)The condition is identified as bacterial vaginosis.
B)The self-limiting infection will resolve in a week.
C)The existence of the condition is indicative of HIV.
D)The infection will require treatment for all sex partners.

Answer 1

The condition is identified as bacterial vaginosis.

Question 2

The nurse in a pediatric clinic is assessing an 11-year-old patient who is experiencing vaginal itching, soreness, and painful urination. Upon physical assessment, the nurse notices two ulcers, each 1 to 1.5 cm in diameter. Which additional assessment does the nurse perform?

A)Asks the patient about any sexual contact
B)Makes inquiries about recent viral infections
C)Inspects for the presence of a foreign vaginal body
D)Determines whether the patient has had pinworms

Answer 2

Makes inquiries about recent viral infections

Question 3

Identify one or more choices that best complete the statement or answer the question.
The pediatric nurse conducts a blood sampling for PKU, which is a standard policy in most states of the United States. The parents want to void a heel stick for the blood screening and ask why the test is so important. Which answers will the nurse provide? Select all that apply.

A)PKU stands for a genetic mutation of a single base pair of chromosomes.
B)PKU results in an accumulation of phenylketonuria in the kidneys.
C)PKU is a required newborn screening for metabolic disorders.
D)Phenylalanine is an essential protein present in many foods.
E)Once PKU is diagnosed, the child's diet can resume to normal.

Answer 3

PKU stands for a genetic mutation of a single base pair of chromosomes.
PKU is a required newborn screening for metabolic disorders.
Phenylalanine is an essential protein present in many foods.

Question 4

Identify one or more choices that best complete the statement or answer the question.
The nurse is providing care for a neonate with a port-wine stain on the left side of the face, which involves the eye. The nurse recognizes which nursing interventions are likely to be initiated as the neonate grows? Select all that apply.

A)Obtaining genetic testing before planning another pregnancy
B)Assisting parents to locate treatment for the facial deformity
C)Stressing the importance of early and regular eye examinations
D)Teaching about the management of seizure activity, if present
E)Reinforcing the reasons for an MRI of the brain and blood vessels

Question 5

A parent brings a 15-year-old adolescent to the emergency department because of severe lower abdominal pain, with nausea and vomiting. Physical examination reveals a swollen scrotum and tenderness of one testicle. Which additional assessment finding supports the possibility of testicular torsion?

A)The symptoms have been intermittent since the patient's birth.
B)The testis lies horizontally and there is a reactive hydrocele.
C)The unaffected testicle is lifted higher in the scrotal sac.
D)The symptoms are intermittent and resolve suddenly.

Question 6

The nurse is counseling a couple who has a neonate exhibiting the manifestations of trisomy 21. This is the couple’s first child, and they have no identifiable risks. Which explanation does the nurse provide to the parents?

A)Advanced maternal age will cause an alteration in an oocyte before reproduction.
B)An exposure to a highly contagious viral infection is responsible for the defect.
C)Errors or abnormalities in a child can occur at any time during the process of development.
D)Fertilization is likely to have occurred with an immature spermatocyte from the male.

Question 7

The school nurse is conducting a class for 13-year-old male students. After covering male anatomy, a student asks the nurse if the terms "sperm" and "semen" are interchangeable. Which information does the nurse provide?

A)Semen consists of sperm and various other body fluids.
B)Sperm and semen are considered the same substance.
C)Semen is produced by the each of two epididymides.
D)Sperm is not present until a male reaches late teen years.

Question 8

The nurse shares genetic information with the parents of a 12-year-old female with a lack of pubertal development. The child is missing an X chromosome and is diagnosed with Turner syndrome. Which information will the nurse provide regarding secondary sexual characteristics?

A)Estrogen therapy will reverse infertility.
B)Offspring will be positive for Turner syndrome.
C)Height and weight will remain within normal parameters.
D)Estrogen supplementation will prompt development.

Question 9

An adolescent female, age 17 years, independently seeks care at the public health department. The adolescent reports lower abdominal pain with walking but no vaginal discharge. The adolescent also shares being sexually active with multiple partners. After confirming a pelvic inflammatory infection (PID), which is the most important teaching by the nurse?

A)Information about the probability of infertility with PID
B)Instructions about taking and completing antibiotic therapy
C)Reasons for contacting sexual partners for necessary treatment
D)Importance of not being sexually active with multiple partners

Question 10

Identify one or more choices that best complete the statement or answer the question.
The nurse in a pediatric clinic is performing a scheduled check-up for a 6-year-old child diagnosed with Williams syndrome. The child will be mainstreamed during the first year of school. Which information will the nurse provide to the parent of this child? Select all that apply.

A)The child is most likely to have a low normal IQ score.
B)Frequently attention deficit-hyperactivity disorder (ADHD) is present.
C)Appearance-wise, the child should fit in with other children.
D)Stairs and other uneven surfaces may be difficult for the child to negotiate.
E)The child has a strong memory for auditory information.

Question 11

The nurse is presenting a workshop about reproduction to other nurses. In which manner will the nurse explain the reason why all offspring from the same parents do not look exactly alike?

A)The rapid process of meiosis can result in some loss or gain of genetic material.
B)The meiosis in the oocyte will change as the age of the contributing female increases.
C)Meiosis in a male creates a spermatocyte, which is extremely genetically unstable.
D)Meiosis commonly causes some chromosomes to be normal and others abnormal.

Question 12

Identify one or more choices that best complete the statement or answer the question.
The nurse is providing care for a neonate born to a mother with a history of alcoholism. The nurse is concerned the neonate will need special attention because of fetal alcohol spectrum disorder. Which specific concerns will the nurse relay to the assigned case worker? Select all that apply.

A)The probability of delay in physical growth
B)Adequate feeding opportunities and amounts
C)Expected overreactivity to the environment
D)The possibility of developmental delay
E)Susceptibility to respiratory disorders

Question 13

The school nurse is preparing a teaching plan for 13-year-old female students about anatomy, puberty, and reproduction. Which information does the nurse recognize as being most important?

A)Fallopian tubes are at risk for blockage from sexually transmitted infections (STIs).
B)Endometrium is shed during menstrual cycles.
C)Menstruation indicates an ability to become pregnant.
D)The body will undergo observable physical changes.

Question 14

The nurse is counseling parents of an infant who have just learned their child has a cancerous tumor on a kidney. The parents keep repeating that nothing like this has happened in either of their families. Which explanation does the nurse provide to the parents?

A)Errors or changes in the process of cell division accounts for diseases such as cancers.
B)Some cells just randomly begin to divide differently and create a health risk or change.
C)Somewhere in one of the parents, a genetic defect has gone unidentified until now.
D)Most commonly defects such as cancer come equally from the genes of both parents.

Question 15

The nurse is preparing to teach a class about genetics at a workshop for nurses. The nurse will remind the attending nurses that genes are responsible for determining our physical attributes and biological functions. Which other function will the nurse accredit to genes?

A)Organizing the chromosomes and the genetic code
B)Maintaining cell cytoplasm for the preservation of cell organelles
C)Ensuring the development of all the different types of body cells
D)Producing products necessary for the organism's function

Question 16

The school nurse is answering questions about anatomy and physiology in a middle school science class. One student asks, "How does our body become either a girl or a boy?" Which answer will the nurse provide?

A)"Girls are born more frequently because the mother's sex chromosome is bigger."
B)"Fathers always give a male chromosome and the mother can give one of either sex."
C)"Depending on the sex chromosome from the father, the baby will be a boy or a girl."
D)"There is no single chromosome that makes the sex determination; it's by chance."

Question 17

The nurse is interviewing a 13-year-old male who reports a recent inability to retract his foreskin. The patient is uncircumcised and is also experiencing bleeding from the preputial orifice and pain with urination. Which initial action does the nurse take because of the indications of pathological phimosis?

A)Ask the patient about circumcision.
B)Obtain a prescription for steroids.
C)Consult the parents about surgery.
D)Seek a pediatric urological consultation.

Question 18

Identify one or more choices that best complete the statement or answer the question.
The nurse in a pediatrician office has been providing care for a patient with Angelman syndrome since birth. The nurse performs a general physical assessment, reviews documentation of dysmorphic features or obvious abnormalities, and assesses for the presence or absence of developmental milestones. Which information shared by the parent indicates appropriate care of the patient?

A)The parent expresses concern about the cost of special therapies.
B)The parent and child are using basic sign language to communicate.
C)The parent tells the nurse that sleep cycles are still 2 hours long.
D)The parent responds in like to the child's happy, laughing demeanor.
E)The parent informs the nurse of the child's dyspnea during playtime.

Question 19

The school nurse is teaching a high school class about sexually transmitted infections (STIs) and specifically covers gonorrhea. A student states, "We all practice safe sex; no vaginal intercourse ever." Which reply by the nurse directly addresses the student's comment?

A)"That is good practice but still requires a condom."
B)"The only advantage is a low risk for pregnancy."
C)"Gonorrhea is spread by multiple sexual practices."
D)"I'm surprised that adolescents will admit that."