ATI RN
Conception and Fetal Development NCLEX Questions Questions
Question 1 of 5
Genomic medicine is an emerging medical discipline that involves using genomic information about an individual as part of the individual’s clinical care. Which example does the nurse associate with genomic medicine?
Correct Answer: A
Rationale: Rationale: A is correct as genomic medicine involves using genetic information for clinical care, such as screening neonates for genetic diseases. This helps in early detection and treatment. B is incorrect as drug development is not the main focus of genomic medicine. C is incorrect as trial studies focus on drug effects, not genetic information. D is incorrect as tracing genetic mutations is related to genetics research, not clinical care in genomic medicine.
Question 2 of 5
The nurse works in a urologist’s office. A male patient is scheduled for routine fertility testing. For which test does the nurse refrain from making preparation?
Correct Answer: C
Rationale: The correct answer is C: Sexual functioning. The nurse should refrain from making preparation for sexual functioning testing because this is not typically part of routine fertility testing. The focus of routine fertility testing for a male patient in a urologist's office would be on assessing sperm health and quality, which includes tests like semen analysis (choice D). STI screening (choice A) may be necessary to rule out any infections that could affect fertility, and hormonal levels (choice B) are important to assess the endocrine system's role in fertility. However, sexual functioning testing is not directly related to assessing fertility issues in this context.
Question 3 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 4 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 5 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.