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Atlas of Pediatric Physical Diagnosis 7th Edition Zitellii Test Bank
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- Chamberlain College Of Nursing
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Full Test BankAtlas of Pediatric Physical Diagnosis 7th
Edition Zitellii Test Bank
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, Atlas of Pediatric Physical Diagnosis 7th Edition Zitellii Test Bank
Chapter 1 Genetic Disorders and Dysmorphic Conditions
While talking with a pregnant woman who has undergone genetic testing, the woman informs
1. the nurse that her baby will be born with Down syndrome. The nurse understands that Down
syndrome is an example of:
A)Multifactorial inheritance
B) X-linked recessive inheritance
C) Trisomy numeric abnormality
D)Chromosomal deletion
A nurse is describing advances in genetics to a group of students. Which of the following
2.
would the nurse least likely include?
A)Genetic diagnosis is now available as early as the second trimester.
B) Genetic testing can identify presymptomatic conditions in children.
C) Gene therapy can be used to repair missing genes with normal ones.
D)Genetic agents may be used in the future to replace drugs.
After teaching a group of students about fetal development, the instructor determines that the
3. teaching was successful when the students identify which of the following as providing the
barrier to other sperm after fertilization?
A)Zona pellucida
B) Zygote
C) Cleavage
D)Morula
A nurse is teaching a class on X-linked recessive disorders. Which of the following statements
4.
would the nurse most likely include?
A)Males are typically carriers of the disorders.
B) No male-to-male transmission occurs.
C) Daughters are more commonly affected with the disorder.
D)Both sons and daughters have a 50% risk of the disorder.
A pregnant woman undergoes maternal serum alpha-fetoprotein (MSAFP) testing at 16 to 18
5. weeks gestation. Which of the following would the nurse suspect if the womans level is
decreased?
A)Down syndrome
B) Sickle-cell anemia
C) Cardiac defects
D)Open neural tube defect
The nurse is developing a presentation for a community group of young adults discussing fetal
6. development and pregnancy. The nurse would identify that the sex of offspring is determined
at the time of:
A)Meiosis
B) Fertilization
C) Formation of morula
D)Oogenesis
When describing amniotic fluid to a pregnant woman, the nurse would include which of the
7.
following?
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,A)This fluid acts as transport mechanism for oxygen and nutrients.
B) The fluid is mostly protein to provide nourishment to your baby.
C) This fluid acts as a cushion to help to protect your baby from injury.
D)The amount of fluid remains fairly constant throughout the pregnancy.
Assessment of a pregnant woman reveals oligohydramnios. The nurse would be alert for the
8.
development of which of the following?
A)Maternal diabetes
B) Placental insufficiency
C) Neural tube defects
D)Fetal gastrointestinal malformations
A couple comes to the clinic for preconception counseling and care. As part of the visit, the
9. nurse teaches the couple about fertilization and initial development, stating that the zygote
formed by the union of the ovum and sperm consists of how many chromosomes?
A)22
B) 23
C) 44
D)46
A woman just delivered a healthy term newborn. Upon assessing the umbilical cord, the nurse
10.
would identify which of the following as normal? (Select all that apply.)
A) One vein
B) Two veins
C) One artery
D) Two arteries
E) One ligament
F) Two ligaments
After teaching a pregnant woman about the hormones produced by the placenta, the nurse
11.determines that the teaching was successful when the woman identifies which hormone
produced as being the basis for pregnancy tests?
A) Human placental lactogen (hPL)
B) Estrogen (estriol)
C) Progesterone (progestin)
D) Human chorionic gonadotropin (hCG)
After the nurse describes fetal circulation to a pregnant woman, the woman asks why her
12.fetus has a different circulation pattern than hers. In planning a response, the nurse integrates
understanding of which of the following?
A) Fetal blood is thicker than that of adults and needs different pathways.
B) Fetal circulation carries highly oxygenated blood to vital areas first.
C) Fetal blood has a higher oxygen saturation and circulates more slowly.
D) Fetal heart rates are rapid and circulation time is double that of adults.
When describing genetic disorders to a group of childbearing couples, the nurse would
13.
identify which as an example of an autosomal dominant inheritance disorder?
A) Huntingtons disease
B) Sickle cell disease
C) Phenylketonuria
D) Cystic fibrosis
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, Prenatal testing is used to assess for genetic risks and to identify genetic disorders. In
14.explaining to a couple about an elevated alpha-fetoprotein screening test result, the nurse
would discuss the need for:
A) Special care needed for a Down syndrome infant
B) A more specific determination of the acidbase status
C) Further, more definitive evaluations to conclude anything
D) Immediate termination of the pregnancy based on results
A nursing instructor is preparing a teaching plan for a group of nursing students about the
15.potential for misuse of genetic discoveries and advances. Which the following would the
instructor most likely include?
A) Gene replacement therapy for defective genes
B) Individual risk profiling and confidentiality
C) Greater emphasis on the causes of diseases
D) Slower diagnosis of specific diseases
After teaching a class on the stages of fetal development, the instructor determines that the
16.teaching was successful when the students identify which of the following as a stage? (Select
all that apply.)
A) Placental
B) Preembryonic
C) Umbilical
D) Embryonic
E) Fetal
A nurse is discussing fetal development with a pregnant woman. The woman is 12 weeks
17.pregnant and asks, Whats happening with my baby? Which of the following would the nurse
integrate into the response? (Select all that apply.)
A) Continued sexual differentiation
B) Eyebrows forming
C) Startle reflex present
D) Digestive system becoming active
E) Lanugo present on the head
After teaching a group of students about fetal development, the instructor determines that the
18.teaching was successful when the students identify which of the following as essential for
fetal lung development?
A) Umbilical cord
B) Amniotic fluid
C) Placenta
D) Trophoblasts
During a prenatal class for a group of new mothers, the nurse is describing the hormones
19.produced by the placenta. Which of the following would the nurse include? (Select all that
apply.)
A) Prolactin
B) Estriol
C) Relaxin
D) Progestin
E) Human chorionic somatomammotropin
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