ATI RN
Conception and Fetal Development NCLEX Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A male patient is diagnosed with low sperm count as the cause of infertility. Which interventions will the nurse recommend to improve the patient’s sperm count? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Yoga or relaxation techniques. Stress can negatively impact sperm count, so relaxation techniques like yoga can help reduce stress levels and improve sperm count. Surgical repair of an inguinal hernia (Choice B) is unrelated to sperm count. Switching to cotton underwear (Choice C) may help with ventilation, but it does not directly impact sperm count. Avoiding hot showers (Choice D) can prevent overheating of the testicles, but it is not as effective as stress reduction techniques in improving sperm count.
Question 5 of 5
What is the purpose of maternal assays and multiple marker screenings performed in the first trimester of pregnancy?
Correct Answer: B
Rationale: The correct answer is B: to assess the risk of chromosomal abnormalities in the fetus. Maternal assays and multiple marker screenings in the first trimester are used to evaluate the risk of conditions like Down syndrome. These tests measure levels of certain proteins and hormones in the mother's blood to assess the likelihood of chromosomal abnormalities in the fetus. Options A, C, and D are incorrect because determining the gender of the fetus, monitoring placental growth, and detecting maternal infections are not the primary purposes of these screenings in the first trimester.