Choose the correct client teaching to follow amniocentesis.

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Fetal Development NCLEX Questions Questions

Question 1 of 5

Choose the correct client teaching to follow amniocentesis.

Correct Answer: C

Rationale: The correct answer is C) Report persistent contractions, vaginal bleeding, fluid leaking, or fever. Rationale: After an amniocentesis, it is crucial for the client to be aware of potential complications that may arise. Reporting persistent contractions, vaginal bleeding, fluid leaking, or fever is essential as these symptoms could indicate infection, preterm labor, or other serious issues that require immediate medical attention. Timely reporting and intervention can help prevent adverse outcomes for both the mother and the fetus. Option A) Drink 1 to 2 quarts of clear fluid to replace fluid taken in the procedure is incorrect because while hydration is important, it is not the most critical aspect of post-amniocentesis care. Option B) Resume all normal activities when desired is incorrect as the client should be advised to avoid strenuous activities and rest to reduce the risk of complications. Option D) Eat a diet with increased iron for the 2 days after amniocentesis is incorrect because while iron is important in pregnancy, there is no specific need for increased iron intake immediately after amniocentesis. In an educational context, understanding the importance of monitoring for and reporting potential complications post-amniocentesis is crucial for providing safe and effective care to pregnant clients undergoing this procedure. Nurses and healthcare providers play a key role in educating clients about signs and symptoms to watch for and when to seek medical help to ensure optimal outcomes for both the mother and the baby.

Question 2 of 5

A key finding from the Human Genome Project is:

Correct Answer: A

Rationale: The key finding from the Human Genome Project that approximately 20,500 genes make up the human genome is correct. This information is essential in understanding human genetics and the basis for genetic disorders. Genes play a crucial role in determining our traits and susceptibility to diseases. Knowing the number of genes helps researchers and healthcare professionals study and develop treatments for genetic conditions. Option B is incorrect because although humans share about 99.9% of their DNA, it does not equate to being 80.99% identical at the DNA level. This percentage is not accurate and can lead to misconceptions about genetic relatedness. Option C is incorrect because human genes can produce multiple proteins through processes like alternative splicing, resulting in a diverse array of protein products. This misconception can oversimplify the complexity of gene expression and protein synthesis. Option D is incorrect because while genetic testing in pregnancy is becoming more common, it is unlikely that single gene testing will become standardized for all pregnant patients. Genetic testing is tailored to individual risk factors and family history rather than a one-size-fits-all approach. Understanding the findings of the Human Genome Project is crucial in the field of genetics, healthcare, and research. It provides a foundation for personalized medicine, genetic counseling, and advancements in treating genetic disorders. Educating healthcare professionals about these findings is essential for delivering quality care and staying informed about the latest developments in genomics.

Question 3 of 5

The nurse must be cognizant that an individual's genetic makeup is known as his or her:

Correct Answer: A

Rationale: In the context of fetal development, understanding genetic concepts is crucial for nurses to provide effective care. The correct answer is A) Genotype. The genotype refers to the genetic makeup of an individual, the specific set of genes they possess. This is important in predicting potential health conditions, responses to medications, and overall health outcomes. Option B) Phenotype, on the other hand, refers to the observable characteristics of an individual, which are influenced by both genetic makeup and environmental factors. While phenotype is important in assessing physical traits, it does not specifically denote an individual's genetic composition. Option C) Karyotype is a test that examines an individual's chromosomes for abnormalities, such as extra or missing chromosomes. It provides a visual representation of an individual's chromosomal makeup but is not synonymous with genetic makeup. Option D) Chromotype is not a recognized term in genetics or healthcare. It does not accurately describe an individual's genetic information. For nurses, understanding the distinction between these terms is essential for interpreting genetic information, counseling patients and families, and advocating for appropriate care based on an individual's unique genetic profile. This knowledge is especially pertinent in the context of prenatal care and genetic counseling to assess and address potential risks and promote healthy fetal development.

Question 4 of 5

At approximately ___ weeks of gestation, lecithin is forming on the alveolar surfaces, the eyelids open, and the fetus measures approximately 27 cm crown to rump and weighs approximately 1110 g.

Correct Answer: C

Rationale: In fetal development, the correct answer is C) 28 weeks. At this stage, lecithin, a substance crucial for lung development, starts forming on the alveolar surfaces, preparing the fetus for breathing air after birth. Additionally, the opening of eyelids indicates the fetus is becoming more responsive to light stimuli. The mentioned measurements align with typical growth patterns at 28 weeks. Option A) 20 weeks is too early for the described developments; at this stage, the fetus is still in the early stages of organ formation. Option B) 24 weeks is also premature for the given characteristics, as the fetus would not have reached the described size and weight by this point. Option D) 30 weeks is too advanced, as by this time, the fetus would typically be larger and more developed than the description provided. Understanding fetal development is crucial for healthcare professionals, especially those working in obstetrics and pediatrics. It allows them to monitor pregnancies effectively, assess fetal well-being, and provide appropriate care for both the pregnant individual and the developing fetus. Knowledge of these milestones also helps in identifying any deviations from normal development and taking timely interventions.

Question 5 of 5

A woman who is 8 months pregnant asks the nurse, 'Does my baby have any antibodies to fight infection?' The most appropriate response by the nurse is:

Correct Answer: D

Rationale: Rationale: The correct answer is D) Your baby has IgG and IgM. Explanation: During pregnancy, the placenta allows for the transfer of IgG antibodies from the mother to the fetus, providing passive immunity. IgG is the only antibody that can cross the placenta, so the baby acquires these antibodies from the mother. IgM, on the other hand, is not typically transferred across the placenta. Therefore, the baby primarily has IgG antibodies to fight infection, with some IgM produced by the baby's own immune system. Why the other options are incorrect: A) Option A is incorrect because while the baby does have IgG and IgM antibodies, IgA is not typically transferred across the placenta. IgA is mainly acquired through breastfeeding. B) Option B is incorrect as the baby does receive IgG antibodies while in utero, and breastfeeding provides additional antibodies, including IgA. C) Option C is incorrect as the baby does have antibodies, particularly IgG, acquired from the mother during pregnancy. Educational context: Understanding fetal immunity is crucial in prenatal and neonatal care. Knowledge of which antibodies are transferred from the mother to the fetus and how this passive immunity functions helps healthcare providers educate pregnant women about the protection their babies receive and the importance of breastfeeding for additional immune support.

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