A nurse is providing education to a client and their reproductive partner when the client asks about testing for hereditary genetic disorders, particularly the type their partner has. Which of the following responses should the nurse provide:

Your partner's condition should not affect any future children

We can test you, but not your partner, for any conditions that might complicate a pregnancy

We can offer you and your partner testing to identify the chance of passing genetic conditions to your children

This type of testing is not done until there is a confirmed pregnancy

Answer and Explanation

The Correct Answer is C

A. This response dismisses the client's concern and is not accurate since a partner’s genetic condition can affect offspring depending on inheritance patterns.

B. Testing only one partner is not sufficient to assess the risk of passing on hereditary conditions since the genetic contribution of both parents matters.

C. Offering genetic testing to both partners is the correct response as it enables the identification of hereditary risks and provides information about the likelihood of passing on genetic disorders to their children. This approach is aligned with patient-centered care.

D. Genetic testing does not require a confirmed pregnancy. Preconception genetic counseling and testing are commonly offered to assess potential risks beforehand.

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Correct Answer is A

Explanation

A. Progesterone levels increase during pregnancy and relax smooth muscle, including the lower esophageal sphincter, leading to decreased gastric motility and allowing stomach acid to reflux into the esophagus, causing heartburn.

B. Increased pancreatic activity is not a characteristic cause of heartburn during pregnancy. Instead, pancreatic issues might result in dietary intolerances or digestion problems unrelated to acid reflux.

C. While estrogen levels also increase during pregnancy, they are not primarily responsible for heartburn. Estrogen has other roles, such as promoting uterine growth and blood flow.

D. Uterine displacement of the stomach occurs later in pregnancy, typically in the third trimester, and is not a significant cause of heartburn at 12 weeks.

A. Prior to giving birth B. Two weeks before attempting pregnancy again C. When she does not desire future pregnancies D. Prior to discharge from the hospital after giving birth

Correct Answer is C

Explanation

A. The MMR vaccine is contraindicated during pregnancy because it is a live vaccine. It is not safe to administer it during pregnancy due to the risk of teratogenic effects.

B. The MMR vaccine should be administered after the pregnancy is completed, ideally before attempting a future pregnancy. The vaccine is effective in creating immunity but cannot be given while pregnant.

C. The MMR vaccine should be given when the woman is not pregnant, preferably after delivery and before future pregnancies. This allows the body to develop immunity to rubella, measles, and mumps.

D. Administering the MMR vaccine prior to discharge is not recommended while the client is still pregnant, as the vaccine is contraindicated during pregnancy.

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A nurse is providing education to a client and their reproductive partner when the client asks about testing for hereditary genetic disorders, particularly the type their partner has. Which of the following responses should the nurse provide:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is caring for a client who is at 12 weeks of gestation. The client asks about the cause of her heartburn. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse is reinforcing teaching about immunizations with a woman in her first trimester of pregnancy whose diagnostic testing indicates she does not have immunity to rubella. The nurse should recommend that the client receive a measles, mumps, rubella (MMR) vaccine at which of the following times?

Correct Answer is C

Explanation

The following are probable signs of pregnancy, except?

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