Question 1

The nurse is caring for a young man with testicular cancer who is preparing for removal of the left testicle.The patient asks,"Does this mean I won't be able to father a child?" Which is the nurse's best response?

A) "You can arrange with your doctor to have sperm frozen and stored for when you want children."
B) "Although your sperm count will be lower,there is still a chance you could father a child.However,it may take longer."
C) "This is an important discussion to have with your physician,who can discuss the chances of fathering a child."
D) "Removal of one testicle will have no impact on your ability to father a child because the other testicle will function."

Accepted Answer

&#34;Removal of one testicle will have no impact on your ability to father a child because the other testicle will function.&#34;

Question 2

The nurse admits a woman in the second trimester of pregnancy to the obstetric clinic for her regular examination.The patient asks the nurse if it is safe to take acetaminophen for minor pain during pregnancy.Which is the nurse's best response?

A) "Acetaminophen is a Category A medication,so it is safe to take during pregnancy."
B) "The safest thing for the growing fetus is to avoid all medications during pregnancy."
C) "What kind of medication have you taken in the past for minor pain?"
D) "Talk with the provider about the safest medications to take during pregnancy."

"Talk with the provider about the safest medications to take during pregnancy."

Accepted Answer

The best response from the nurse would be to encourage the patient to discuss medication options with her healthcare provider to ensure that the safest option is chosen. While acetaminophen is generally considered safe for use during pregnancy, it is important to take into account any other medications the patient may be taking, as well as any other health factors that may affect the safety of the medication. Option A is not completely accurate, as while acetaminophen is generally considered safe during pregnancy, it is still important to check with a healthcare provider before taking any medication. Option B is not practical or realistic, as some women may need to take medication during pregnancy for various reasons. Option C is not entirely helpful, as the patient is specifically asking about the safety of acetaminophen during pregnancy, and discussing past use of other medications may not provide the necessary information to answer the patient's question.

Question 3

Which statement indicates a mother understood the information about the function of the placenta taught by the nurse?&#10;A) &#34;My blood flows through the placenta into the baby and returns to my body to oxygenate.&#34;&#10;B) &#34;My body removes wastes and provides nutrients and oxygen to the baby when our blood mixes.&#34;&#10;C) &#34;The placenta grows and functions because of the production of progesterone from the ovaries.&#34;&#10;D) &#34;The placenta separates my blood from the baby's and produces hormones until delivery.&#34;&#10;

Accepted Answer

The placenta acts as a barrier and exchange system between the mother's and the baby's blood, without the two blood supplies mixing directly. It also produces hormones necessary for pregnancy maintenance until delivery, which is accurately described in option D.

Question 4

A woman delivers an infant assessed prenatally at 34 weeks' gestation.Which nursing assessment indicates the baby's gestation is closer to term than anticipated?&#10;A) Fused eyelids&#10;B) Hand grip reflex present&#10;C) Sole creases on the heel of the foot&#10;D) Earlobes that are firm and not easily creased&#10;

Accepted Answer

Earlobes that are firm and not easily creased indicate a more mature infant, suggesting the baby's gestation is closer to term.

Question 5

A pregnant woman lives in a community that is experiencing a measles outbreak because of a lack of immunization.The woman says she heard that measles are teratogenic and does not know what that means.Which statement by the nurse best explains this concept?

A) "The growing baby can catch measles and get very sick."
B) "The measles virus acts as a harmful substance that could hurt the fetus."
C) "A teratogen,such as the measles virus,can cause fetal death."
D) "It means that a mother exposed to measles will probably miscarry."

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Accepted Answer

Teratogenic refers to substances that can cause harm to the developing fetus and lead to birth defects or abnormal development. Measles virus is considered teratogenic because it can cross the placenta and infect the fetus, potentially causing harm or birth defects. Option A refers to the risk of illness in the baby rather than teratogenicity. Option C is a possible outcome of severe teratogenic exposure but is not specific to measles. Option D is not accurate as miscarriage is not a common outcome of measles exposure in pregnancy.

Question 6

An adult woman's laboratory studies indicate a lack of estrogen production.As a result,the nurse anticipates the patient's history will report which finding?&#10;A) Inability to produce breast milk&#10;B) Small breast size&#10;C) Inability to carry a pregnancy to term&#10;D) Inability to become pregnant&#10;

Accepted Answer

Estrogen is crucial for the regulation of the menstrual cycle and for the maintenance of a healthy pregnancy. A lack of estrogen can lead to ovulatory dysfunction, which can make it difficult for a woman to become pregnant.

Question 7

The nurse is teaching a class about female reproduction for middle school girls.Which statement made by one of the students requires the nurse to correct a misunderstanding?&#10;A) &#34;Boys have a penis that gets erect when they are excited,but girls don't have anything like that.&#34;&#10;B) &#34;Bartholin glands secrete a lubricant to make sexual intercourse more comfortable.&#34;&#10;C) &#34;The ovaries secrete eggs that,when fertilized,start a baby growing in the woman's body.&#34;&#10;D) &#34;The fallopian tubes are the passageways for eggs to travel to the uterus.&#34;&#10;

Accepted Answer

This statement is incorrect because females have a clitoris that can become engorged and sensitive during sexual arousal, similar to the male penis. Therefore, the nurse should correct this misunderstanding by explaining the presence and function of the clitoris.

Question 8

A fetal ultrasound demonstrates a cardiac anomaly in a 22-week fetus.The mother says,"My baby is sick,all because I insisted on having a cup of coffee last week." Which statement by the nurse is most appropriate?

A) "Caffeine is a stimulant and impacts the baby by speeding up the heartbeat and increasing activity,which can result in metabolic problems."
B) "The fetal heart is beating and pumping blood by 4 weeks and is fully formed by 8 weeks,so your actions last week did not affect your baby's heart."
C) "What's done is done and can't be undone,but try to follow the doctor's advice from this point onward in your pregnancy."
D) "Drinking coffee doesn't cause any problem for the fetus,so don't feel bad about what you did last week."

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Accepted Answer

The fetal heart is fully formed by 8 weeks of gestation, so consuming coffee at 22 weeks would not affect the development of the baby's heart. This statement provides accurate information and reassurance.

Question 9

A patient who recently delivered twins has learned that each baby has a different father.How does the nurse interpret this finding?&#10;A) The twins are monozygotic.&#10;B) The twins are dizygotic.&#10;C) There was a mistake in testing because this is not possible.&#10;D) The twins have different gestational ages.&#10;

Accepted Answer

This finding indicates that the twins are dizygotic (fraternal) because they have different fathers. It is not possible for monozygotic (identical) twins to have different fathers. It is also unlikely that there was a mistake in testing. Different gestational ages may result from a variety of factors, but having different fathers is not one of them.

Question 10

The nurse receives an order to administer a Category A medication to a pregnant patient.Which is the nurse's best action?&#10;A) Holding the medication until verifying the order with the obstetrician&#10;B) Administering the medication as ordered&#10;C) Calling the pharmacist and verifying the safety of this medication&#10;D) Giving the medication only if essential to the woman's well-being&#10;

Accepted Answer

Category A medications are considered safe for use in pregnancy, as they have not shown an increased risk of fetal abnormalities in controlled human studies. Therefore, the nurse should administer the medication as ordered.

Question 11

Which finding during a nursing assessment of twins supports the diagnosis of dizygotic twins?&#10;A) Both twins are boys.&#10;B) One twin weighs more than the other.&#10;C) One twin is blonde,the other is brunette.&#10;D) One twin required oxygen at birth.&#10;

Accepted Answer

The answer of Which finding during a nursing assessment of...

Question 12

Which finding is normal when assessing a newborn shortly after birth?&#10;A) The umbilical cord has two arteries and one vein.&#10;B) The umbilical cord has one artery and one vein.&#10;C) The umbilical cord has one artery and two veins.&#10;D) The umbilical cord is 0.25 in.in diameter.&#10;

Accepted Answer

The answer of Which finding is normal when assessing a...

Question 13

The newborn nursery nurse admits a baby born with a congenital defect of the digestive tract and recognizes this is due to an anomaly in which layer during cell differentiation?&#10;A) Ectoderm&#10;B) Mesoderm&#10;C) Endoderm&#10;D) Pyloderm&#10;

Accepted Answer

The answer of The newborn nursery nurse admits a baby...

Question 14

The nurse receives an order to administer a Category X medication to a woman of childbearing age who denies pregnancy.Which action will the nurse take before administering this medication?&#10;A) Asking the woman if there is any chance of pregnancy&#10;B) Requesting an order to perform a serum pregnancy test&#10;C) Administering the medication&#10;D) Requesting an order for a different medication&#10;

Accepted Answer

The answer of The nurse receives an order to administer...

Question 15

A mother goes into preterm labor and delivers a baby who weighs 435 g and has fused eyelids.The nurse assesses the infant at what stage of gestational development?&#10;A) 4 months&#10;B) 5 months&#10;C) 6 months&#10;D) 7 months&#10;

Accepted Answer

The answer of A mother goes into preterm labor and...

Question 16

The mother of a premature newborn is crying and tells the nurse the neonatologist said the baby will need surgery to close the patent ductus arteriosus.She asks what this is.Which is the best explanation?

A) It is an opening in the blood vessel that shunts blood away from the liver and needs to close after birth.
B) It is an opening in the aorta that shunts blood away from the lungs,which is normal in the fetus but needs to close after birth.
C) It is a small hole in the atria of the heart that shunts blood from the right atrium to the left atrium,reducing blood flow to the lungs.
D) It is a small hole in the atria of the heart that shunts blood from the left atrium to the right atrium,reducing blood flow to the lungs.

Accepted Answer

The answer of The mother of a premature newborn is...

Question 17

The nurse caring for a family shortly after a birth overhears the father of the baby say,&#34;Well,you gave me another daughter.I guess you can't produce boys.&#34; Which is the nurse's best response?&#10;A) &#34;It is the father who determines the sex of the baby.&#34;&#10;B) &#34;Girls are nice,too,and are often closer to their father than boys.&#34;&#10;C) &#34;It isn't the mother's fault when girls are produced instead of boys.&#34;&#10;D) &#34;There are scientific methods of producing male children if you are interested.&#34;&#10;

Accepted Answer

The answer of The nurse caring for a family shortly...

Deck 3: Human Reproduction and Fetal Development