ATI RN
Conception and Fetal Development NCLEX Questions Questions
Question 1 of 5
A patient at 37 weeks gestation arrives at the labor and delivery unit and reports a rupture of her membranes. Which factor causes the nurse to anticipate the HCP will prescribe a medical method of labor induction?
Correct Answer: A
Rationale: The correct answer is A: The fetus is viable and the barrier for a sterile uterine environment is breached. At 37 weeks gestation, the fetus is considered full-term and capable of surviving outside the womb. Rupture of membranes increases the risk of infection as it exposes the fetus to the vaginal flora. Therefore, a medical method of labor induction may be prescribed to prevent complications such as intrauterine infection. Choices B, C, and D are incorrect: B: The fetus "drying out" and causing a dry birth is not a valid reason for labor induction. C: Bedrest until contractions begin is not a standard approach for managing ruptured membranes. D: While infection risk is a concern with ruptured membranes, the primary reason for induction is to prevent harm to the fetus due to the breach in the sterile uterine environment, not just maternal infection.
Question 2 of 5
What karyotype would the nurse anticipate for a patient with Klinefelter’s syndrome?
Correct Answer: B
Rationale: The correct answer is B: XXY. In Klinefelter's syndrome, individuals have an extra X chromosome, resulting in a karyotype of 47,XXY. This leads to physical and cognitive characteristics associated with the syndrome. Choice A (XO) represents Turner syndrome, which involves a missing X chromosome. Choices C (XYY) and D (XXX) are not associated with Klinefelter's syndrome as they involve extra Y and X chromosomes respectively, leading to different syndromes altogether.
Question 3 of 5
What condition would the nurse suspect in a patient with irregular menstrual cycles, obesity, and abnormal hair growth on the face?
Correct Answer: C
Rationale: The correct answer is C: polycystic ovary syndrome (PCOS). Irregular menstrual cycles, obesity, and abnormal hair growth are common symptoms of PCOS. PCOS is a hormonal disorder that affects women of reproductive age. Irregular menstrual cycles occur due to anovulation. Obesity is often associated with insulin resistance, a common feature of PCOS. Abnormal hair growth, known as hirsutism, is a result of elevated levels of male hormones (androgens). Endometriosis (A) is characterized by the presence of endometrial tissue outside the uterus, causing pelvic pain and infertility. Hyperprolactinemia (B) is an excess of prolactin hormone, leading to irregular menstrual cycles and milk production. Hydrosalpinx (D) is the accumulation of fluid in a fallopian tube, causing infertility but not the symptoms described.
Question 4 of 5
What patient may need laparoscopic surgery?
Correct Answer: D
Rationale: The correct answer is D because laparoscopic surgery is commonly used to diagnose and treat endometriosis due to its ability to visualize and remove endometrial implants. Patients with suspected endometriosis often have symptoms like pelvic pain and infertility, making laparoscopy a suitable option for both diagnosis and treatment. Choices A, B, and C are incorrect as they do not typically require laparoscopic surgery. Low antral follicle count and elevated prolactin levels are more related to infertility evaluations, while patent fallopian tubes on hysterosalpingogram indicate normal tubal patency and do not necessarily warrant laparoscopic intervention.
Question 5 of 5
The nurse is counseling a female patient who has unsuccessfully attempted to become pregnant through a variety of methods and treatments for infertility. Which psychosocial manifestation is the nurse most likely to recognize?
Correct Answer: C
Rationale: The correct answer is C: Difficulty accepting pregnancy if it does occur. A patient who has struggled with infertility may have developed emotional barriers or fears related to pregnancy due to past disappointments. This psychosocial manifestation is common in individuals who have faced challenges with fertility. It is important for the nurse to recognize and address this potential issue during counseling. A: Close connections with extended family is not the most likely psychosocial manifestation in this scenario. While extended family support can be beneficial, it may not be the primary concern for a patient struggling with infertility. B: Strong intimate relationship with her partner is important for coping with infertility, but it is not the most likely manifestation for the nurse to recognize in this scenario. D: Greater focus on career and job opportunities is not the most likely psychosocial manifestation for a patient struggling with infertility. While some individuals may prioritize their career, the primary concern in this case is related to emotional challenges with pregnancy acceptance.