M/N - Week 2 - Durham/Chapman Ch.'s 3&4 Davis NCLEX Practice Q's
- Exam 1
1. A couple has decided to terminate their pregnancy based on the results of
genetic testing, which showed that the fetus has the genetic disorder trisomy
21. Which of the following are appropriate nursing actions? (Select all that
apply)
1. Explain the stages of grief the couple will experience
2. Persuade the couple to reconsider their decision, as a human life is at
stake
3. Encourage the couple to communicate with each other and share
emotions
4. Refer the couple to a support group available in their community
5. Praise the couple for their decision and explain how difficult it is to raise a
child with Down syndrome: 1, 3, 4
1. Explain the stages of grief the couple will experience
3. Encourage the couple to communicate with each other and share emotions
4. Refer the couple to a support group available in their community
Feedback 1: The nurse should explain the stages of grief the couple will experience.
Feedback 2: It would be inappropriate for the nurse to express his or her own
opinion regarding the couple's decision; it is their decision to make, and it is not the
nurse's place to second-guess it.
Feedback 3: The nurse should encourage the couple to communicate with each
other and share emotions
Feedback 4: The nurse should refer the couple to a support group available in their
community.
Feedback 5: It would be inappropriate for the nurse to express his or her own
opinion regarding the couple's decision, even if in agreement.
2. A nurse is working with a woman in labor who has sickle cell anemia.
The nurse understands that this patient must have which of the following
combinations of genes related to this disorder?
1. Two dominant genes
2. A recessive gene and a dominant gene
3. Only one dominant gene, with the other gene missing
4. Two recessive genes: 4. Two recessive genes
, M/N - Week 2 - Durham/Chapman Ch.'s 3&4 Davis NCLEX Practice Q's
- Exam 1
Genetic diseases or disorders, such as sickle cell anemia, are usually related to a
defective recessive gene and present in the developing human when both pairs of
the gene have the same defect.
3. A patient who is pregnant comments to the nurse that her breasts have
begun to enlarge recently. She asks the nurse what causes this. Which of
the following hormones should the nurse mention as being responsible for
stimulating this change?
1. Progesterone
2. Estrogen
3. Human chorionic gonadotropin
4. Human placental lactogen: 2. Estrogen
Progesterone facilitates implantation and decreases uterine contractility.
Estrogen stimulates the enlargement of the breasts and uterus.
Human chorionic gonadotropin stimulates the corpus luteum so that it will continue
to secrete estrogen and progesterone until the placenta is mature enough to secrete
these hormones.
Human placental lactogen promotes fetal growth by regulating glucose available
to the developing human and stimulates breast development in preparation for
lactation.
4. A nurse is counseling a patient regarding discontinuing contraception in
anticipation of trying to become pregnant. Which of the following instructions
should the nurse give the patient?
1. Have two or three normal menstrual cycles before trying to conceive
2. Switch from hormonal contraception to an intrauterine device several
months before trying to conceive
3. If using Depo-Provera, continue taking injections until 1 month before
trying to conceive
4. Use only barrier methods of contraception for at least a year before
trying to conceive: 1. Have two or three normal menstrual cycles before trying to
conceive
Before conception, it is ideal for a woman to have at least two or three normal
menstrual periods.
, M/N - Week 2 - Durham/Chapman Ch.'s 3&4 Davis NCLEX Practice Q's
- Exam 1
Women using some form of hormonal contraception need to stop hormonal
contraception and begin the use of a barrier method of birth control or fertility
awareness technique (not an intrauterine device) for the next few months before
conception. Women using Depo-Provera for contraception need to be informed
that it may take from several months up to more than a year to conceive after
discontinuing injections.
Barrier methods need only be used for several months before conception, to allow
for two or three normal menstrual cycles, not a year or more.
5. A patient has undergone an extensive evaluation to confirm that she is
pregnant. Which of the following would constitute a positive sign of
pregnancy in this patient? (Select all that apply)
1. Auscultation of a fetal heart beat using a Doppler device
2. Amenorrhea
3. Observation and palpation of fetal movement by the nurse
4. Chadwick's sign
5. Sonographic visualization of the fetus: 1, 3, 5
1. Auscultation of a fetal heart beat using a Doppler device
3. Observation and palpation of fetal movement by the nurse
5. Sonographic visualization of the fetus
Feedback 1: Auscultation of a fetal heart beat using a Doppler device constitutes a
positive sign of pregnancy because it is objective, meaning that the examiner can
verify it, and that it can only be attributed to the fetus.
Feedback 2: Amenorrhea is a presumptive, not positive, sign of pregnancy, because
it is subjective, meaning it is perceived only by the woman herself.
Feedback 3: Observation and palpation of fetal movement by the nurse constitute
a positive sign of pregnancy because they are objective, meaning that the examiner
can verify them, and that they can only be attributed to the fetus.
Feedback 4: Chadwick's sign, which is a bluish-purple coloration of the vaginal
mucosa, cervix, and vulva seen at 6 to 8 weeks, is a probable, not positive, sign of
pregnancy, because it can be caused by factors other than pregnancy. Feedback
5: Sonographic visualization of the fetus constitutes a positive sign of pregnancy
because it is objective, meaning that the examiner can verify it, and that it can
only be attributed to the fetus.
6. A nurse observes a patient, who has recently given birth, interacting with
her mother, who is visiting her and the baby. The patient and her mother
