Each of the following pregnant women is scheduled for a 14-week antepartal visit.In planning care, the nurse would give priority teaching on Quad screening to which client?

28-year-old with history of rheumatic heart disease.

40-year-old with a history of preterm labor.

18-year-old with exposure to HIV.

35-year-old with a child with spina bifida.

Answer and Explanation

The Correct Answer is D

Choice A rationale

While a history of rheumatic heart disease is significant, it does not directly correlate with the need for priority teaching on Quad screening. This condition requires careful cardiac monitoring and management during pregnancy.

Choice B rationale

A history of preterm labor is important and may require additional monitoring and interventions, but it is not a direct indication for priority teaching on Quad screening, which assesses risk for certain fetal conditions.

Choice C rationale

Exposure to HIV requires careful management and monitoring to reduce the risk of mother-to-child transmission. However, it is not specifically linked to the need for Quad screening, which is focused on detecting chromosomal abnormalities.

Choice D rationale

A history of having a child with spina bifida places this client at higher risk for having another child with neural tube defects or chromosomal abnormalities. Therefore, priority teaching on Quad screening, which includes markers for such conditions, is essential. .

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Correct Answer is A

Explanation

Choice A rationale

50% of the offspring have a chance of developing the disease from the affected parent. Autosomal dominant inheritance means that a single copy of the altered gene in each cell is sufficient to cause the disorder. Thus, each child of an affected parent has a 50% chance of inheriting the condition.

Choice B rationale

Diseases transmitted from a carrier mother to her son typically describe X-linked recessive inheritance, not autosomal dominant. In autosomal dominant conditions, both males and females can be affected, and it doesn't depend on the sex of the parent transmitting the gene.

Choice C rationale

All of the offspring will develop the disease is incorrect. In autosomal dominant inheritance, there is a 50% chance of passing the altered gene to the offspring, not 100%.

Choice D rationale

50% of the offspring will be carriers of the disease from the affected parent is incorrect for autosomal dominant inheritance. There are no "carriers" in autosomal dominant diseases; individuals either have the disease or they don't, based on whether they inherit the altered gene.

A. You will need to double your intake of iron during pregnancy. B. You will need to increase your calcium intake during breastfeeding. C. Vitamin E requirements decline during pregnancy due to the increase in body fat. D. Prenatal vitamins will meet your need for increased vitamin D during pregnancy.

Correct Answer is A

Explanation

Choice A rationale

Iron needs significantly increase during pregnancy to support the increased blood volume, the formation of the placenta, and the growth of the fetus. Pregnant women often require additional iron to prevent anemia and ensure adequate oxygen transport to the baby.

Choice B rationale

While calcium requirements do increase during breastfeeding to support milk production, this statement is not directly related to the nutritional needs during pregnancy. The focus during pregnancy should be on adequate intake of nutrients that support both maternal and fetal health.

Choice C rationale

Vitamin E requirements do not decline during pregnancy. In fact, the need for antioxidants like vitamin E may increase to protect both the mother and developing fetus from oxidative stress.

Choice D rationale

While prenatal vitamins are important for meeting various nutritional needs during pregnancy, they do not always provide sufficient vitamin D. Some women may need additional supplementation based on their dietary intake, sun exposure, and individual health needs.

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Each of the following pregnant women is scheduled for a 14-week antepartal visit.In planning care, the nurse would give priority teaching on Quad screening to which client?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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