Maternal-Newborn
Chapter 4 test bank
LATEST 2024 ACTUAL
EXAM COMPLETE 400
QUESTIONS AND
CORRECT DETAILED
ANSWERS WITH
RATIONALES
(VERIFIED ANSWERS)
|ALREADY GRADED A+
A clinic nurse is planning a
teaching session for
childbearing-age female
patients. Which information
should the nurse include in the
teaching session with regard to
avoiding exposing a fetus to
teratogens?
A: eliminate use of acne
medication
B: immunizations should be
updated during the first
rimester of pregnancy
C: use of saunas and hot hubs
during pregnancy should be
during the winter months only
D: alcoholic beverages can be
consumed in the first and third
trimesters of pregnancy -
ANSWER-A: eliminate use of
acne medication
Rationale.Elimination of non
therapeutic drugs is the best
action to avoid teratogen
exposure. Acne medication is
not essential during pregnancy.
Immunizations for diseases such
as rubella are contraindicated
during pregnancy. Use of
saunas and hot tubs are not
recommended because
maternal hyperthermia is a
significant teratogen. Alcohol is
an environmental substance
known to be teratogenic and
should not be consumed during
pregnancy.
The parents of a child with a
karyotype of 47, XY, +21 ask the
nurse what this means. Which is
the most accurate response by
the nurse?
A: this karyotype is for a normal
male
B: this karyotype is for a normal
female
C: this karyotype is for a male
with Down syndrome
D: this karyotype is for a female
with Turner's syndrome -
ANSWER-C: this karyotype is for
a male with Down syndrome
Rationale.This child is male
because his chromosomes are
XY. He has one extra copy of
chromosome 21 (for a total of
47, instead of 46), resulting in
Down syndrome. A normal
female would have 46
chromosomes and XX for the
sex chromosomes. A normal
male would have 46
chromosomes. A female with
Turner's syndrome would have
45 chromosomes; the sex
chromosome would have just
one X.
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