Module 33 Reproduction

Module 33   Reproduction

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

The Concept of Reproduction

 

1) A client at 8 weeks’ gestation has been advised to have the embryo undergo genetic testing. The nurse instructs the client that the area of the embryo being tested is which of the following?

1. A) Chorion
2. B) Amnion
3. C) Ectoderm
4. D) Endometrium

Answer:  A

Explanation:  A) The chorion is the outermost embryonic membrane and develops into chorionic villi, which can be used for early genetic testing of the embryo at 8 to 11 weeks’ gestation by chorionic villi sampling. The endometrium is the lining of the uterus and will not be used for genetic testing of the embryo. The ectoderm is a germ layer and will develop into specific structures within the developing fetus. The amnion will develop into amniotic fluid, which can also be sampled for genetic testing but may not be developed by 8 weeks’ gestation.

1. B) The chorion is the outermost embryonic membrane and develops into chorionic villi, which can be used for early genetic testing of the embryo at 8 to 11 weeks’ gestation by chorionic villi sampling. The endometrium is the lining of the uterus and will not be used for genetic testing of the embryo. The ectoderm is a germ layer and will develop into specific structures within the developing fetus. The amnion will develop into amniotic fluid, which can also be sampled for genetic testing but may not be developed by 8 weeks’ gestation.
2. C) The chorion is the outermost embryonic membrane and develops into chorionic villi, which can be used for early genetic testing of the embryo at 8 to 11 weeks’ gestation by chorionic villi sampling. The endometrium is the lining of the uterus and will not be used for genetic testing of the embryo. The ectoderm is a germ layer and will develop into specific structures within the developing fetus. The amnion will develop into amniotic fluid, which can also be sampled for genetic testing but may not be developed by 8 weeks’ gestation.
3. D) The chorion is the outermost embryonic membrane and develops into chorionic villi, which can be used for early genetic testing of the embryo at 8 to 11 weeks’ gestation by chorionic villi sampling. The endometrium is the lining of the uterus and will not be used for genetic testing of the embryo. The ectoderm is a germ layer and will develop into specific structures within the developing fetus. The amnion will develop into amniotic fluid, which can also be sampled for genetic testing but may not be developed by 8 weeks’ gestation.

Page Ref: 2022

Cognitive Level:  Applying

Client Need:  Health Promotion and Maintenance

Nursing Process:  Implementation

Learning Outcome:  1. Summarize the structure and physiology of the reproductive system related to childbearing.

 

2) A client informs the nurse of a positive result from an early pregnancy test but wants to be sure that she is pregnant. Which response is the most appropriate for the nurse to make?

1. A) “Pregnancy can be detected 24 to 48 hours after conception, depending on the test.”
2. B) “Pregnancy cannot be detected before 12 days after conception.”
3. C) “Most early pregnancy tests are not reliable.”
4. D) “Most pregnancy tests cannot differentiate between pregnancy and premenstrual hormone levels.”

Answer:  A

Explanation:  A) Early pregnancy factor, an immunosuppressant protein, is secreted by the trophoblastic cells of the developing embryo. This factor appears in the maternal serum within 24 to 48 hours after fertilization and forms the basis of a pregnancy test during the first 10 days of development. The nurse should respond that pregnancy can be detected 24 to 48 hours after conception, depending upon the test. It is not true that most early pregnancy tests are not reliable. Pregnancy can be detected before 12 days after conception. Early pregnancy tests assess for the presence of trophoblastic cells and not premenstrual hormone levels.

1. B) Early pregnancy factor, an immunosuppressant protein, is secreted by the trophoblastic cells of the developing embryo. This factor appears in the maternal serum within 24 to 48 hours after fertilization and forms the basis of a pregnancy test during the first 10 days of development. The nurse should respond that pregnancy can be detected 24 to 48 hours after conception, depending upon the test. It is not true that most early pregnancy tests are not reliable. Pregnancy can be detected before 12 days after conception. Early pregnancy tests assess for the presence of trophoblastic cells and not premenstrual hormone levels.
2. C) Early pregnancy factor, an immunosuppressant protein, is secreted by the trophoblastic cells of the developing embryo. This factor appears in the maternal serum within 24 to 48 hours after fertilization and forms the basis of a pregnancy test during the first 10 days of development. The nurse should respond that pregnancy can be detected 24 to 48 hours after conception, depending upon the test. It is not true that most early pregnancy tests are not reliable. Pregnancy can be detected before 12 days after conception. Early pregnancy tests assess for the presence of trophoblastic cells and not premenstrual hormone levels.
3. D) Early pregnancy factor, an immunosuppressant protein, is secreted by the trophoblastic cells of the developing embryo. This factor appears in the maternal serum within 24 to 48 hours after fertilization and forms the basis of a pregnancy test during the first 10 days of development. The nurse should respond that pregnancy can be detected 24 to 48 hours after conception, depending upon the test. It is not true that most early pregnancy tests are not reliable. Pregnancy can be detected before 12 days after conception. Early pregnancy tests assess for the presence of trophoblastic cells and not premenstrual hormone levels.

Page Ref: 2021

Cognitive Level:  Applying

Client Need:  Health Promotion and Maintenance

Nursing Process:  Implementation

Learning Outcome:  5. Describe diagnostic and laboratory tests used to determine the individual’s reproductive status.

 

3) The nurse is instructing a client who is at 10 weeks’ gestation on smoking cessation and avoiding substance abuse because these substances will:

1. A) Interfere with hormone excretion of the fetus.
2. B) Facilitate the transfer of viruses and other diseases into the developing fetus.
3. C) Pass into the developing fetus through the placenta very easily.
4. D) Stop the synthesis of protein in the developing fetus.

Answer:  C

Explanation:  A) Byproducts of smoking and substance use pass from the mother to the fetus through the placenta via simple diffusion. These substances have adverse effects on the developing fetus. Smoking byproducts and abused substances do not interfere with hormone excretion of the fetus or stop the synthesis of protein in the fetus. They do not facilitate the transfer of viruses and other diseases into the developing fetus.

1. B) Byproducts of smoking and substance use pass from the mother to the fetus through the placenta via simple diffusion. These substances have adverse effects on the developing fetus. Smoking byproducts and abused substances do not interfere with hormone excretion of the fetus or stop the synthesis of protein in the fetus. They do not facilitate the transfer of viruses and other diseases into the developing fetus.
2. C) Byproducts of smoking and substance use pass from the mother to the fetus through the placenta via simple diffusion. These substances have adverse effects on the developing fetus. Smoking byproducts and abused substances do not interfere with hormone excretion of the fetus or stop the synthesis of protein in the fetus. They do not facilitate the transfer of viruses and other diseases into the developing fetus.
3. D) Byproducts of smoking and substance use pass from the mother to the fetus through the placenta via simple diffusion. These substances have adverse effects on the developing fetus. Smoking byproducts and abused substances do not interfere with hormone excretion of the fetus or stop the synthesis of protein in the fetus. They do not facilitate the transfer of viruses and other diseases into the developing fetus.

Page Ref: 2026

Cognitive Level:  Analyzing

Client Need:  Health Promotion and Maintenance

Nursing Process:  Implementation

Learning Outcome:  6. Explain management of reproductive health and prevention of reproductive illness.

 

4) A client at 12 weeks’ gestation with her first child tells the nurse that she is concerned that her husband does not want the baby because he has a renewed interest in playing tennis and visiting with college friends after work. The nurse realizes the client is describing a(n):

1. A) Father’s reaction normally seen in the second trimester of pregnancy.
2. B) Father’s reaction normally seen in the third trimester of pregnancy.
3. C) Father’s reaction normally seen in the first trimester of pregnancy.
4. D) Atypical reaction of the father to pregnancy that should be further examined.

Answer:  C

Explanation:  A) Pregnancy produces psychological changes in the mother and father of the child. A reaction seen in the father during the first trimester of pregnancy is a renewed interest in hobbies or activities outside of the family and is usually a sign of stress. This behavior is not seen in the second or third trimesters and is not an atypical reaction that should be further examined.

1. B) Pregnancy produces psychological changes in the mother and father of the child. A reaction seen in the father during the first trimester of pregnancy is a renewed interest in hobbies or activities outside of the family and is usually a sign of stress. This behavior is not seen in the second or third trimesters and is not an atypical reaction that should be further examined.
2. C) Pregnancy produces psychological changes in the mother and father of the child. A reaction seen in the father during the first trimester of pregnancy is a renewed interest in hobbies or activities outside of the family and is usually a sign of stress. This behavior is not seen in the second or third trimesters and is not an atypical reaction that should be further examined.
3. D) Pregnancy produces psychological changes in the mother and father of the child. A reaction seen in the father during the first trimester of pregnancy is a renewed interest in hobbies or activities outside of the family and is usually a sign of stress. This behavior is not seen in the second or third trimesters and is not an atypical reaction that should be further examined.

Page Ref: 2039

Cognitive Level:  Analyzing

Client Need:  Psychosocial Integrity

Nursing Process:  Assessment

Learning Outcome:  2. Examine the relationship between reproduction and other concepts/systems.

 

5) After learning that she is pregnant, an adolescent client asks for information that she needs to know about the pregnancy and the baby because she cannot afford to see a doctor. The nurse should do which of the following?

1. A) Provide the client with information on resources to assist with medical care during the pregnancy and after delivery.
2. B) Instruct the client on aspects of pregnancy, fetal development, and labor and delivery.
3. C) Ask the client if her parents are aware that she is pregnant and if she is covered by their medical insurance.
4. D) Tell the client that the father of the baby is responsible to pay for medical care for her during the pregnancy and after delivery.

Answer:  A

Explanation:  A) Poverty and low education levels are associated with adolescent pregnancy. The nurse should support the client by providing information on resources to assist with medical care during the pregnancy and after delivery. The nurse should not instruct the client on all aspects of the pregnancy, including fetal development, labor, and delivery, as this can be overwhelming to the client. The nurse should not ask the client if the parents are aware of the pregnancy nor tell the client that the baby’s father is responsible for her medical care; these actions do not address the client’s needs.

1. B) Poverty and low education levels are associated with adolescent pregnancy. The nurse should support the client by providing information on resources to assist with medical care during the pregnancy and after delivery. The nurse should not instruct the client on all aspects of the pregnancy, including fetal development, labor, and delivery, as this can be overwhelming to the client. The nurse should not ask the client if the parents are aware of the pregnancy nor tell the client that the baby’s father is responsible for her medical care; these actions do not address the client’s needs.
2. C) Poverty and low education levels are associated with adolescent pregnancy. The nurse should support the client by providing information on resources to assist with medical care during the pregnancy and after delivery. The nurse should not instruct the client on all aspects of the pregnancy, including fetal development, labor, and delivery, as this can be overwhelming to the client. The nurse should not ask the client if the parents are aware of the pregnancy nor tell the client that the baby’s father is responsible for her medical care; these actions do not address the client’s needs.
3. D) Poverty and low education levels are associated with adolescent pregnancy. The nurse should support the client by providing information on resources to assist with medical care during the pregnancy and after delivery. The nurse should not instruct the client on all aspects of the pregnancy, including fetal development, labor, and delivery, as this can be overwhelming to the client. The nurse should not ask the client if the parents are aware of the pregnancy nor tell the client that the baby’s father is responsible for her medical care; these actions do not address the client’s needs.

Page Ref: 2041, 2043

Cognitive Level:  Applying

Client Need:  Health Promotion and Maintenance

Nursing Process:  Implementation

Learning Outcome:  7. Demonstrate the nursing process in providing culturally competent care across the life span for pregnant individuals and their families.