Deck 22: Preconception Counseling

Question 1

The fetus is most susceptible to birth defects during which period of gestation?

A) Weeks 1 to 3
B) Weeks 4 to 10
C) Weeks 11 to 20
D) Weeks 31 to 30

Answer 1

B.

Question 2

Toxins that primarily affect a pregnancy in the embryonic stage (up to 8 weeks of gestation) are known as which of the following?

A) Teratogens
B) Fetotoxins
C) Carcinogens
D) Neurotoxicants

Answer 2

A.

Question 3

Which of the following are the examples of fetotoxins? (Select all that apply.)

A) Nicotine
B) Cocaine
C) Class D prescription medications
D) Class X prescription medications
E) Angiotensin-converting enzyme (ACE) inhibitors

Answer 3

A, B, E

Question 4

Which of the following are factors that affect the level of toxicity of a teratogen? (Select all that apply.)

A) Maternal age
B) Genotype susceptibility
C) Timing of exposure
D) Agent
E) Dose effect

Question 5

Approximately what percentage of pregnant women are estimated to smoke during their pregnancy?

A) 3%
B) 9%
C) 15%
D) 21%

Question 6

Which of the following is the leading preventable cause of birth defects and congenital disabilities?

A) Obesity
B) Smoking
C) High-fat diet
D) Alcohol use

Question 7

Which of the following are neurotoxicants that can cause birth defects in fetuses? (Select all that apply.)

A) Zinc
B) Iron
C) Lead
D) Copper
E) Mercury

Question 8

Dara, a 30-year-old client, reports to her nurse that she has been feeling sick ever since she began a job at a manufacturing plant, where she is exposed to chemicals used in making plastics. What interventions should the nurse make? (Select all that apply.)

A) Request a Material Safety Data Sheet from Dara's employer
B) Urge Dara to quit her job immediately
C) Encourage Dara to report her concern to her employer
D) Contact the local hazard evaluation service
E) Give Dara a surgical mask to wear at work

Question 9

Lonnie is a 28-year-old client who is trying to get pregnant. What supplement should the nurse encourage Lonnie to take to help prevent a neural tube defect in her future fetus?

A) Ascorbic acid
B) Folic acid
C) Niacin
D) Biotin

Question 10

While providing preconception counseling to a client, the nurse mentions the importance of preventing neural tube defects. What risk factors related to neural tube defects should the nurse discuss with the client? (Select all that apply.)

A) Smoking
B) Obesity
C) Diabetes
D) Convulsant disorders
E) Alcohol use

Question 11

Jan, a client who is receiving preconception counseling, is suspected of having diabetes. Which laboratory test should be requested to assess for diabetes?

A) Red blood cell count
B) Hemoglobin A1C
C) International normalized ratio
D) Platelet count

Question 12

Philomena is a client who is in for preconception counseling. She is HIV-positive and is taking antiretroviral medications. She is concerned about the possibility of transmitting the virus to her child. The nurse should inform Philomena that the risk for transmission to the infant in this situation is which of the following?

A) Less than 1%
B) 5% to 10%
C) 15% to 20%
D) 25% to 30%

Question 13

Which condition that is caused by a dysfunction in the metabolism of an amino acid, resulting in a high level of this amino acid in the body is screened for before pregnancy?

A) Toxoplasmosis
B) Phenylketonuria
C) Listeriosis
D) Tay-Sachs

Question 14

Nancy is a client who is in the office for preconception counseling. Nancy is a cat lover and always has five or six cats at her apartment. "I spend a fortune on kitty litter," she tells her nurse. The nurse recognizes that Nancy's fondness for cats puts her at increased risk for which of the following conditions?

A) Toxoplasmosis
B) Phenylketonuria
C) Listeriosis
D) Tay-Sachs

Question 15

Which of the following are genetic conditions a woman may be screened for before conception? (Select all that apply.)

A) Spina bifida
B) Down syndrome
C) Toxoplasmosis
D) Tay-Sachs
E) Sickle cell anemia