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 B

Explanation

Placenta previa is a condition where the placenta implants low in the uterus, covering part or all of the cervix. This can cause bleeding and can be dangerous for both the mother and the baby. In cases of placenta previa, a cesarean delivery is necessary to avoid complications. Therefore, it is not safe for the patient to deliver vaginally.

Betamethasone is indicated in delivery anticipated before 34 weeks gestation. Vaginal exams may cause more bleeding in the event of placenta previa.

A. Client who had a breech presentation in her last pregnancy and this pregnancy is a vertex presentation. B. Client who dilated to 6 cm in her last delivery and failed to progress beyond this point after more than 5 hours of labor. C. Client who had an emergency cesarean section because of fetal distress with a classical incision. D. Diabetic client whose last infant was over 10 lbs., and the provider suspects this infant is larger due to the current ultrasound result.

Correct Answer is A

Explanation

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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

The nurse is providing education for a patient who has been newly diagnosed with a placenta previa at 37 weeks' gestation. The nurse understands that teaching has not been effective when the patient states:

Correct Answer is B

Explanation

Which of the following women is the best candidate for vaginal birth after cesarean (VBAC)?

Correct Answer is A

Explanation

A woman in labor has just received an epidural black. The most important nursing intervention is to:

A cesarean section would be most appropriate for which of the following clients?

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?

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?

Cervidil (dinoprostone) has been ordered for a pregnant woman at 42 weeks of gestation. The nurse recognizes that this medication will be administered to:

Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?

Which nursing intervention should be immediately performed after the forceps-assisted birth of an infant?

On examining a woman who gave birth 5 hours ago, the nurse finds that the woman has completely saturated a perineal pad within 15 minutes. The nurse's first action is to: