NSG Maternal Newborn Exam 1 LATEST
QUESTION AND ANSWER 2024/2025 EXAM
(ATI QUESTION AVAILABLE) FALL-SPRING
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1. The nurse is teaching a couple about the pros and cons of genetic testing. Which
statement by the nurse best describes the limits of genetic testing?
A. "Various genetic tests help the primary care provider choose appropriate treatments."
B. "Genetic testing helps couples avoid having children with fatal diseases."
C. "Genetic tests identify people at high risk for preventable conditions."
D. "Some genetic tests can give a probability for developing a disorder."
D. "Some genetic tests can give a probability for developing a disorder."
The nurse is counseling a couple who suspect that they could bear a child with a genetic
abnormality. What would be most important for the nurse to do when working with this
family?
A. Gather information for three generations.
B. Inform the family of the need for information.
C. Maintain the confidentiality of the information.
D. Present the information in a factual, nondirective manner.
D. Present the information in a factual, nondirective manner.
The nurse is teaching a couple about X-linked disorders because they are concerned that
they might pass on hemophilia to their children. Which response indicates the need for
further teaching?
A. "The father can't be a carrier if he doesn't have hemophilia."
B. "If the father doesn't have it, then his kids won't either."
C. "If the mother is a carrier, her daughter could be one too."
,D. "If the mother is a carrier, her sons will have hemophilia."
B. "If the father doesn't have it, then his kids won't either."
Rationale: Males are more affected than females. A male has only one X chromosome,
and all the genes on his X chromosome will be expressed whereas a female will usually
need both X chromosomes to carry the disease. There is no male-to-male transmission
(since no X chromosome from the male is transmitted to male offspring), but any man
who is affected will have carrier daughters. If a woman is a carrier, there is a 50% chance
that her sons will be affected and a 50% chance that her daughters will be carriers.
A pregnant woman undergoes a triple screen at 16 to 18 weeks' gestation. What would
the nurse suspect if the woman's estriol and alpha-fetoprotein levels are decreased with
high hCG levels?
A. Down syndrome
B. sickle-cell anemia
C. cardiac defects
D. respiratory disorders
A. Down syndrome
The nurse is conducting a presentation for a young adult community group about fetal
development and pregnancy. The nurse determines that the teaching was successful
when the group identifies that the sex of offspring is determined at which time?
A. during meiosis cell division
B. at fertilization
C. when the morula forms
D. during oogenesis
B. at fertilization
,During a prenatal visit, a pregnant woman says, "I know the amniotic fluid is important,
but can you tell me more about it?" When describing amniotic fluid to a pregnant
woman, which description would the nurse most likely include?
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."
C. "This fluid acts as a cushion to help to protect your baby from injury."
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. Assessment of a pregnant woman reveals oligohydramnios. The nurse would be alert
for the development of which condition?
A. maternal diabetes
B. placental insufficiency
C. neural tube defects
D. fetal gastrointestinal malformations
B. placental insufficiency
A couple comes to the clinic for preconception counseling and care. As part of the visit,
the 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
D. 46
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, After teaching a pregnant woman about the hormones produced by the placenta, the
nurse 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)
D. human chorionic gonadotropin (hCG)
When describing genetic disorders to a group of couples planning to have children, the
nurse would identify which as an example of an autosomal dominant inheritance
disorder?
A. Huntington disease
B. sickle cell disease
C. phenylketonuria
D. cystic fibrosis
A. Huntington disease
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Prenatal testing is used to assess for genetic risks and to identify genetic disorders. In
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 acid-base status.
C. further, more definitive evaluations to conclude anything.
D. immediate termination of the pregnancy based on results.
C. further, more definitive evaluations to conclude anything.
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