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 C

Explanation

A. Offering to stay with the client may be supportive, but it does not directly address the client’s expressed feelings or concerns, which is the priority in therapeutic communication.

B. Telling the client that the exam is necessary for birth control may seem dismissive and does not validate or explore her anxiety.

C. Encouraging the client to share more about her concerns is an appropriate therapeutic response. It allows the nurse to understand the client’s feelings, provide reassurance, and educate her about the procedure.

D. Advising the client to relax may come across as minimizing her feelings and does not provide an opportunity for the client to express her anxiety.

A. Posterior neck flexion B. An increase in lordosis C. Decreased mobility of pelvic joints D. Increased abdominal muscle tone

Correct Answer is B

Explanation

A. Posterior neck flexion is not a normal physiologic change in pregnancy; it is more associated with musculoskeletal issues unrelated to pregnancy.

B. An increase in lordosis is a common and expected change during pregnancy. As the uterus enlarges, the center of gravity shifts forward, causing an increase in the curvature of the lower back (lordosis).

C. Decreased mobility of pelvic joints is not typical. In fact, hormonal changes during pregnancy cause increased mobility of the pelvic joints (e.g., the pubic symphysis) to prepare for labor.

D. Increased abdominal muscle tone is not typical during pregnancy. In fact, abdominal muscles often stretch and weaken as the pregnancy progresses to accommodate the growing fetus.

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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 is caring for a female client who is scheduled to have a pelvic examination. The client tells the nurse, "I'm really nervous because I've never had a pelvic exam before." Which of the following is an appropriate therapeutic response by the nurse?

Correct Answer is C

Explanation

A nurse is collecting data from a client who is in her second trimester of pregnancy. The nurse should recognize which of the following findings as an expected physiologic change during pregnancy?

Correct Answer is B

Explanation

When a couple has unprotected sexual intercourse 3 days before the woman ovulates, the risk of the woman becoming pregnant is:

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