Deck 7: Families With Special Reproductive Concerns

Question 1

The nurse manager is interviewing nurses for a position in an infertility clinic. Which statement best indicates that the interviewee understands the role of the nurse when working with infertile patients?

A)"My job will be teaching patients how to take their medications and scheduling tests."
B)"Much of my duties will involve forming therapeutic relationships with patients struggling with infertility."
C)"This position is an assistant to the physician during diagnostic testing for infertility."
D)"I will both teach and support families struggling with emotions as they attempt to become pregnant."

Answer 1

"I will both teach and support families struggling with emotions as they attempt to become pregnant."

Question 2

The nurse has presented an in-service to nurses new to the maternal-child health care unit. Which statement indicates that teaching on genetic disorders has been successful?

A)"Down syndrome is an autosomal recessive condition.If both parents carry the gene, there is a 1-in-4 chance that a child will be affected."
B)"Galactosemia is a sex-linked condition.Both parents must carry the gene, and more girls than boys will be affected by this condition."
C)"Sickle-cell disease is a trisomy; the affected patient has three copies of a gene.Trisomies are more common in pregnancies of young women than those of older women."
D)"Huntington's disease is an autosomal dominant condition.Only one parent carries the gene, and males and females are equally affected by the disease."

Answer 2

"Huntington's disease is an autosomal dominant condition.Only one parent carries the gene, and males and females are equally affected by the disease."

Question 3

The patient undergoing infertility treatment reports to the nurse that her partner is angry all of the time since beginning treatment and is very negative in comments made about the likelihood of their achieving pregnancy. The patient states, "I was angry and depressed, but now I am dedicated to following through with treatment and hoping we get pregnant." What is the best interpretation of these comments? The partner is:

A)Exhibiting signs of the anger stage of grieving the loss of their dreams of having children.
B)In a different stage of grief than the patient.
C)Having difficulty accepting the reality of their infertility.
D)Showing that he will not be a good parent.
E)Feeling guilty about not being able to father a child.

Answer 3

Exhibiting signs of the anger stage of grieving the loss of their dreams of having children.
In a different stage of grief than the patient.

Question 4

Which patient(s) should the nurse refer to a genetics practitioner prior to attempting pregnancy?

A)32-year-old woman and 29-year-old man with 3-year-old twins
B)22-year-old woman whose sister has Tay-Sachs disease
C)30-year-old woman whose husband has AIDS
D)19-year-old woman whose sister has primary infertility

Question 5

A nurse counsels a couple regarding their concerns about an X-linked disorder. Both parents are carriers of the disorder. They ask the nurse how this disorder will affect any children they might have. What is the nurse's best response?

A)"If you have a daughter, she will not be a carrier."
B)"If you have a daughter, she will not be affected."
C)"If you have a son, he will be a carrier."
D)"If you have a son, he will not be affected."

Question 6

A nurse is reviewing the basal body temperature method with a couple. Which of the following statements would indicate that the teaching has been successful?

A)"I have to go buy a special type of thermometer."
B)"I need to wait five minutes after smoking a cigarette before I take my temperature."
C)"I need to take my temperature before I get out of the bed in the morning."
D)"I need to take my temperature for at least two minutes every day."

Question 7

A 31-year-old woman with normal ovaries, a normal prolactin level, and an intact pituitary gland is undergoing initial pharmacologic treatment of anovulation. Which medication would the nurse anticipate being prescribed for this patient?

A)Clomiphene citrate (Clomid or Serophene)
B)Glucophage (Metformin)
C)Human menopausal gonadotropins (hMGs)
D)Bromocriptine (Parlodel)

Question 8

A 45-year-old mother gave birth to a baby boy two days ago. The nurse assesses a single palmar crease, poor muscle tone, and low-set ears on the newborn. The nurse understands that these signs most likely indicate the infant has which autosomal abnormalities?

A)Trisomy 13
B)Trisomy 18
C)Trisomy 21
D)Trisomy 26

Question 9

The family of a 3-day-old child has just been informed that their child has cystic fibrosis. Which statement to the family should the nurse make?

A)"I can see that you are adjusting well.I'll leave you alone for a while."
B)"This must be difficult news for you.What questions do you have?"
C)"Do you have family members or clergy you would like me to call?"
D)"Why didn't you have an amniocentesis during your pregnancy?"

Question 10

The couple has had an ultrasound at 19 weeks' gestation, and their fetus was found to have anencephaly. The nurse is completing counseling for the couple on the ultrasound findings. Which statement indicates that additional teaching is needed?

A)"We won't know if something is wrong until the baby's chromosomes are tested."
B)"This problem is not caused by one of us having a genetic problem."
C)"Our baby has an incomplete brain and might not be born alive."
D)"Waiting until our 30s did not cause this problem to develop."

Question 11

The patient experiencing infertility is to complete three months of documenting her basal body temperatures. Which statement by the patient indicates a need for additional teaching?

A)"I should check my temperature with this special thermometer before I get out of bed each day."
B)"I will track my temperatures and the consistency of my cervical mucus for the next three months."
C)"If I am ovulating, my temperature will be a smooth, even line on the graph that does not go up or down."
D)"The point of checking my basal body temperature is to determine whether I am ovulating regularly."

Question 12

A male infant was born two days ago, and the nurse assessed the infant as having single palmar crease, poor muscle tone, and low-set ears. Genetic testing of the infant has been ordered by the physician. Which statement should the nurse include when explaining this plan to the parents?

A)"We will draw blood from both of you to check for abnormal genes."
B)"Your son will have his chromosomes sampled and then studied."
C)"When your son is 2 years old, he will need a blood test."
D)"After your breast milk is in, we will draw blood from your son."

Question 13

A child with suspected Down syndrome has been born to 32-year-old parents. The parents ask the nurse how the diagnosis will be made and if there was a way that the diagnosis could have been made during the pregnancy. The best response by the nurse is:

A)"The baby's genes could have been tested during pregnancy by doing an amniocentesis."
B)"The doctor will check the baby's genes by doing a 24-hour urine collection on your child."
C)"Mom's blood could have been tested during the pregnancy to check for genetic problems with the baby."
D)"A swab of the baby's cheek or a stool sample will be used to check your baby's chromosomes."

Question 14

A patient calls his urologist's office to clarify instructions about semen analysis. The nurse should instruct the patient to:

A)Remain abstinent for 3 days prior to collecting the specimen.
B)Use a lubricant while obtaining the semen specimen.
C)Immediately refrigerate the specimen for a maximum of 8 hours.
D)Deliver the specimen to the laboratory within 1 hour of collection.