A nurse is assisting with teaching a class on prenatal development. The nurse should instruct that advanced maternal age increases the risk for which of the following conditions?

Asthma

Spina bifida

Down syndrome

Facial malformation

Answer and Explanation

The Correct Answer is C

Choice A reason : Asthma is a chronic condition characterized by respiratory symptoms such as wheezing, shortness of breath, and coughing due to airway inflammation and constriction. While genetic and environmental factors contribute to the development of asthma, there is no direct correlation between advanced maternal age and an increased risk of asthma in offspring. Asthma's etiology is multifactorial and more closely related to family history, exposure to allergens, and respiratory infections during early childhood.

Choice B reason : Spina bifida is a neural tube defect that occurs when the spine and spinal cord don't form properly. It's associated with factors such as folic acid deficiency during early pregnancy, certain medications, diabetes, and obesity. Although advanced maternal age may slightly increase the risk of chromosomal abnormalities, it is not considered a significant risk factor for spina bifida. Adequate intake of folic acid before conception and during early pregnancy is the most effective prevention strategy.

Choice C reason : Down syndrome is a genetic disorder caused by the presence of an extra copy of chromosome 21 (trisomy 21). The risk of conceiving a child with Down syndrome increases with maternal age, particularly after age 35. This is due to the higher likelihood of nondisjunction events during cell division in older eggs, leading to an abnormal number of chromosomes. Advanced maternal age is a well-established risk factor for Down syndrome, and prenatal screening is recommended to assess the risk.

Choice D reason : Facial malformations, such as cleft lip or palate, are congenital anomalies that can affect the appearance and function of a child's face. These conditions are influenced by genetic and environmental factors, including certain medications, nutritional deficiencies, and exposure to harmful substances during pregnancy. While advanced maternal age may contribute to an increased risk of chromosomal abnormalities, it is not specifically linked to an increased risk of isolated facial malformations.

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Correct Answer is B

Explanation

Choice A reason : Provide limited explanations of procedures needed for the client.Providing limited explanations of procedures can increase anxiety and discomfort for clients, especially those facing a new cancer diagnosis. It is important to give comprehensive information to help them understand their condition and the treatments they will undergo.

Choice B reason : Provide honest answers to the client's questions.Providing honest answers to the client's questions is crucial in promoting comfort and trust. It allows the client to make informed decisions about their care and helps them to prepare mentally and emotionally for the treatments and their potential outcomes.

Choice C reason : Avoid eye contact with the client during care.Avoiding eye contact can make the client feel isolated and unimportant. Maintaining eye contact is a non-verbal way of showing respect, concern, and willingness to engage with the client.

Choice D reason : Avoid giving the client choices regarding their care.Avoiding giving choices can lead to a feeling of loss of control, which can be distressing for clients. It is important to involve clients in decisions about their care to promote their autonomy and comfort.

A. Have an eye exam every 2 years B. It is caused by an increase in intraocular pressure. C. Clouding of the lens is a manifestation of diabetic retinopathy. D. "Seeing spots is a manifestation of diabetic retinopathy."

Correct Answer is D

Explanation

Choice A reason : Have an eye exam every 2 years.For individuals with diabetes, it is recommended to have an eye exam annually, not every two years, due to the high risk of developing diabetic retinopathy and the need for early detection and treatment.

Choice B reason : It is caused by an increase in intraocular pressure.Diabetic retinopathy is not caused by an increase in intraocular pressure; that is more characteristic of glaucoma. Diabetic retinopathy is caused by damage to the blood vessels in the retina due to high blood sugar levels.

Choice C reason : Clouding of the lens is a manifestation of diabetic retinopathy.Clouding of the lens is a manifestation of cataracts, not diabetic retinopathy. Diabetic retinopathy involves changes to the blood vessels in the retina, not the lens of the eye.

Choice D reason : "Seeing spots is a manifestation of diabetic retinopathy.""Seeing spots," or floaters, can indeed be a manifestation of diabetic retinopathy. This occurs when blood vessels in the retina are damaged and leak blood or other fluids, causing these spots to appear in the vision.

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A nurse is assisting with teaching a class on prenatal development. The nurse should instruct that advanced maternal age increases the risk for which of the following conditions?

Nursing Test Bank

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Correct Answer is B

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Correct Answer is D

Explanation

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