Mcn prelim

A healthcare provider conducted genetic counseling for an expectant couple who already have a child with trisomy 21. Which of the following should the health care provider include in the counseling?

A couple has been counseled for genetic anomalies. They ask the nurse, “What is karyotyping?” Which of the following would be the nurse’s best response?

A nurse explained genetics and genetic counseling to a group of student nurses. In practical terms regarding genetic health care, which of the following should the nurse be aware of?

A nurse is conducting a health education program for a group of parents regarding prenatal genetic testing. The nurses should be aware that:

Nurse Farrah is counseling parents with known genetic problems. In regard to the estimation and interpretation of the recurrence of risks for genetic disorders, nurse Farrah should be aware of which of the following?

A pregnant woman in her 3rd trimester was rushed to the hospital due to vaginal bleeding. She was examined by the physician and diagnosed with abruptio placenta. The nurse is aware that this medical diagnosis is accompanied by:

An elderly primigravida client was examined in the emergency room. She complained of having painless vaginal bleeding. The nurse took the woman’s vital signs, and as assessment was done, taking into consideration that which of the following routine labor procedures is contraindicated?

A clinical instructor discussed the nursing care management of a woman experiencing precipitous labor with a group of student nurses in the clinical area. One of the student nurses was assigned to monitor a primigravida woman in the lab or with a cervical dilation of 9 cm and experiencing precipitous labor. What is the priority nursing action?

A 32-year old woman, G3P2, 41 weeks of gestation, in active labor, was admitted to the labor room. The maternity nurse performed the assessment which revealed a meconium-stained amniotic fluid and fetal heart sounds located in the upper right quadrant of the woman’s abdomen. What would be the most likely cause of this situation?

A primigravida woman in labor arrived at the emergency room accompanied by her husband. She was seen and examined by the physician with a diagnosis of intrauterine growth retardation; hence, she was admitted to the labor room. An oxytocin infusion was started as per the doctor’s order. The nurse developed a plan of care for this woman that includes all the following interventions except:

A clinical instructor discussed genetics in nursing with a group of nursing student in the _____ cognizant that an individual’s genetic makeup is known as his or her:

A 25 year-old client gave birth to her first infant with a congenital heart anomaly. The client asked the nurse when such anomalies occur during fetal development. What would be the nurse’s most accurate response?

A group of nursing students discussed genetics and genetic counseling in nursing. They explained that if a person is heterozygous for a given gene, it means that the person:

The nursing students understand that in the concept of genetics and nursing, based on the Mendelian pattern of inheritance, a father who has an X-linked recessive disorder and a mother with a normal genotype will:

In regard to the concept of genetics in nursing, different classifications of genetic disorders are discussed. What characterizes multifactorial genetic disorders?

A nurse explained that her client tested positive for a genetic mutation, which means;

A 26-year old pregnant woman and her husband are both heterozygous for achondroplastic dwarfism, an autosomal dominant disorder. The health care provider advised the couple that their unborn child has which of the following probabilities of being of normal stature?

A nurse was caring for a 28-year old who had just had an amniocentesis to determine if the fetus had an inheritable genetic disease. Which of the following interventions has the highest priority?

A nurse midwife is caring for a multigravida woman diagnosed with preterm labor at 28 weeks AOG. The woman was prescribed with 10 mg betamethasone to be given intramuscularly. The nurse midwife is aware that this drug:

A nurse at the lying-in clinic assessed a 19-year old woman pregnant for the first time. The pregnancy was __ weeks AOG. Which of the following assessment findings may indicate preterm labor?

A clinical instructor discusses preterm labor to a group of nursing students. The students understand when assessing the following clients, who would be at the greatest risk for preterm labor?

A nurse preceptor asks a student nurse to list commonly used diagnostic tests for preterm labor risks. The student nurse should include all of the following diagnostic test, except:

A 25-year old pregnant woman was admitted to a lying-in-clinic with a diagnosis of abruptio placenta is aware that the woman may experience which of the following assessment findings?

A 41-year old woman at 30 weeks gestation has a history of preterm birth. She complained of abrupt cramping accompanied by vaginal discharge and bleeding. Assessment revealed a cervical dilation. The nurse would prepare the woman for:

A group of nursing students discussed the bleeding during pregnancy. They explained that woman might experience the complications that can occur during the first trimester and result in ___ which includes which of the following:

A newly hired nurse assigned to the labor room is caring for a primigravida woman in labor and uses the fetal monitor for monitoring the maternal and fetal status. What would be the nurse’s initial action after the attachments of the external electronic fetal monitor to the woman’s abdomen?

A maternity nurse informed the physician of the woman’s status in labor due to hypotonic uterine dysfunction and signs of slowing labor. The nurse anticipates which of the following therapeutic management?

A nurse cares for two laboring women in the labor-delivery room. One of the women experienced hypertonic uterine dysfunction. She was requesting for a cesarean section delivery due to an unfavorable feeling she is experiencing. She was irritable, restless and moaning. The nurse observed that this woman was experiencing uncoordinated contractions that were erratic in frequency, duration, and intensity. Which of the following interventions would be the nurse’s priority?

A multigravida client was diagnosed with abruptio placenta in her 38th week of gestation. She was admitted for monitoring of disseminated intravascular coagulopathy. Which of the following assessment findings is least likely related to disseminated intravascular coagulation (DIC)?

Mrs. Cruz, pregnant for the first time at 32 weeks of gestation, went to a maternity clinic for a check-up. After the assessment and physical examination, she was suspected of having abruptio placentae; hence, admission was advised for further observation and management. What would the nurse expect to observe if this condition is present?

A nursing professor discussed genetics in nursing. The nursing students understand that all of the following statements are true about genes except:

A group of nursing students reviewed the concept of genetics in nursing. They understand that the following statements best describe the chromosomes, except:

A trait is a genetically determined characteristic. If both parents display the trait under study, but at least one of their offspring does not display the trait, the trait is considered as;

Michael's grandfather (his father's father) and sister have been diagnosed with the same genetic disorder. Other family members have this type of disorder. What is the pattern of inheritance for this disorder?

Nurse Kim is monitoring a pregnant woman with diabetes mellitus type 1. Nurse Kim determines that teaching is needed if her client states which of the following?

A 25-year old woman was scheduled for a cesarean section due to cephalopelvic disproportion. The maternity nurse assessed the woman. Which of the following assessment findings indicates a need to refer to a physician?

A nurse was monitoring a woman in labor for a cesarean section due to fetal distress. The woman should be placed in which of the following positions while preparing for cesarean delivery?

A clinical instructor demonstrated to her students how to evaluate the fetal tone (FHT) using a doppler. She explained that FHT is most accurately determined by which of the following nursing actions?

Mrs. Lec, 30 years old, G2P0, at 40 weeks of gestation, was admitted to the labor room. Pitocin by IV infusion We administered to stimulate uterine contractions. Which of the following assessment findings would indicate that the infusion needs to be discontinued?

A 28-year-old multigravida woman in labor, G3P1, at 41 weeks of gestation, was being monitored in the labor room. The physician prescribed an IV infusion of Pitocin. What would you implement prior to the initiation of thePitocin infusion?