The nurse is assessing the knowledge of new parents with a child born with maple syrup urine disease (MSUD). This is an autosomal recessive inherited disorder, which means that:

The disorder occurs in males and heterozygous females.

The disorder is carried on the X chromosome.

Both genes of a pair must be abnormal for the disorder to be expressed.

Only one copy of the abnormal gene is required for the disorder to be expressed.

Answer and Explanation

The Correct Answer is C

Both genes of a pair must be abnormal for the disorder to be expressed. In autosomal recessive inheritance, the gene for the disorder is located on an autosome (any chromosome other than a sex chromosome) and a person must inherit two copies of the abnormal gene (one from each parent) in order for the disorder to be expressed. If a person inherits only one copy of the abnormal gene, they are a carrier of the disorder but do not typically show symptoms.

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Correct Answer is C

Explanation

The Finnegan score is a tool used to assess and monitor newborns for withdrawal symptoms related to maternal substance use during pregnancy.

A. Any vaginal discharge should be immediately reported to her health care provider. B. The presence of any contractions, rupture of membranes (ROM), or severe perineal pressure should be reported. C. The client will be scheduled for a cesarean birth. D. The client will need to arrange for care at home because her activity level will be restricted.

Correct Answer is B

Explanation

The information that the nurse should emphasize in the discharge teaching for a pregnant woman who has undergone a cervical cerclage due to an incompetent cervix is that the presence of any contractions, rupture of membranes (ROM), or severe perineal pressure should be reported to her healthcare provider immediately. This is because these symptoms could indicate cervical dilation or premature labor, which can lead to pregnancy loss or other complications.
Reporting any vaginal discharge is important, but it is not the most critical symptom to monitor for after cervical cerclage placement. Vaginal discharge is common after cervical cerclage and can occur for several weeks without posing a significant risk to the pregnancy.
A cesarean birth may or may not be necessary depending on the patient's individual circumstances and the course of the pregnancy. It is not a given that all women with cervical cerclage require a cesarean delivery.
While some activity restrictions may be necessary after cervical cerclage placement, it is not necessary for the patient to arrange for care at home. Many women are able to manage their daily activities with appropriate precautions and guidance from their healthcare provider.

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The nurse is assessing the knowledge of new parents with a child born with maple syrup urine disease (MSUD). This is an autosomal recessive inherited disorder, which means that:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Caring for a newborn in the neonatal intensive care unit (NICU), the RN states she recently completed a Finnegan score on a newborn. This tool measures which of the following?

Correct Answer is C

Explanation

A pregnant woman is being discharged from the hospital after the placement of a cervical cerclage because of a history of recurrent pregnancy loss, secondary to an incompetent cervix. Which information regarding postprocedural care should the nurse emphasize in the discharge teaching?

Correct Answer is B

Explanation

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During this phase of a disaster, evaluation of the disaster plan and cleanup of the area are hallmark activities.

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