Exam 7: Conception and Development of the Embryo and Fetus

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A 26-year-old woman has come for preconception counseling and asks about caring for her cat,because she has heard that she "should not touch the cat during pregnancy." Which of the following is the nurse's best response?

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A nurse teaching a prenatal class instructs the participants that early organ system development occurs during which period of time?

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A clinic nurse explains to a pregnant woman that the amount of amniotic fluid present at 7 or 8 months' gestation is approximately what volume?

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A neonate whose mother is a drug addict is listless and sweating.What action by the nurse takes priority?

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A nursing faculty member is explaining the process of fertilization to a class of students.One student asks the instructor to clarify the term "secondary oocyte." What description is best?

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The experienced perinatal nurse explains hormone function to a new graduate.Which hormone does the nurse describe as being responsible for regulating glucose availability for the fetus?

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During prenatal classes for expectant parents,the perinatal nurse explains that fetal brain development is most critical during which gestational weeks?

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A nurse is interested in studying the functions and interactions of the genes in the human genome.What branch of science should this nurse pursue?

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The perinatal nurse explains to a student the different mechanisms by which substances are transported across the placenta.Which mechanisms are included?

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A baby is born with trisomy 18.What action by the nurse is most appropriate?

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A newborn has rachischisis.What action by the nurse takes priority?

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A nurse reads in a patient's chart that the patient has a condition caused by monosomy X.What can the nurse conclude about this patient?

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Match each TORCH disease with its possible effects on the newborn or characteristics.Diseases may be used more than once or not at all.
No known risks if infection occurs after 20 weeks’ gestation
Toxoplasmosis
Maternal infection during the first trimester leads to a 20% chance of fetal infection
Varicella zoster virus
The most common viral infection in the fetus
Human immunodeficiency virus (HIV)
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No known risks if infection occurs after 20 weeks’ gestation
Toxoplasmosis
Maternal infection during the first trimester leads to a 20% chance of fetal infection
Varicella zoster virus
The most common viral infection in the fetus
Human immunodeficiency virus (HIV)
Late manifestations include keratitis, snuffles, deafness, and bowing of the shins
Rubella
Symptoms in the mother seem to be “flu-like”
Herpes simplex virus
Bullae, microcephaly, hydrencephaly, and encephalitis can occur
Syphilis
Without intervention, maternal transmission to the fetus is about 25%
Cytomegalovirus
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A parent wonders why his baby needs all the blood samples to test for different diseases.What response by the nurse is best?

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The nursing instructor is explaining mechanisms of substance transport across the placenta.Which substances require facilitated diffusion?

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A nurse has completed a family pedigree on a patient with a known autosomal dominant inheritance disorder.No one else in the family has been affected by this disorder.How does the nurse explain this finding to the patient?

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A nursing instructor is explaining genetic concepts to a class of students.Where in the cell does the instructor tell the students that each person's genes can be found?

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A nurse is counseling a couple whose child has been diagnosed with cystic fibrosis.They understand that this is an inherited disease,but don't know how the child got it,as neither of them is affected.What response by the nurse is best?

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A student reviewing the anatomy and physiology of the fetal circulatory system learns that the highest concentration of oxygen in fetal blood is measured at what level?

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A nursing student asks the faculty member to define "lanugo." Which description is best?

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