What is the most common indication for genetic counseling?
-Maternal Age
-Drug exposure during the first trimester
-Increased maternal
... [Show More] alpha-fetoprotein
-History of previous still birth - ✔✔Maternal Age
The FNP schedules a 38-year-old primigravida (first time pregnancy) for an amniocentesis at 16
weeks gestation. The FNP would explain that the purpose of this procedure is to:
-Assess for the possibility of twins
-Determine bilirubin level
-Perform genetic studies
-Assess L/S ratio - ✔✔Perform Genetic studies
Feedback: This woman's age puts her at risk for Down Syndrome
In the most commonly seen form of Turner Syndrome, how is the X chromosome affected?
-Each cell has only one X chromosome
-Some cells have two X chromosomes, while other cells have only one.
-Each cell has two X chromosomes, but part of the chromosome is missing.
-Each cell has an extra X chromosome. - ✔✔Each cell has only one X chromosome
Feedback: 45% of persons with Turner Syndrome have monosomy X meaning there is only one copy of
the X chromosome in each cellThe FNP is assessing a newborn who is demonstrating a high-pitched cry, microcephaly, hypertelorism,
hypotonia, and a low birth weight. The FNP would suspect which of the following genetic conditions?
-Down Syndrome
-Cri du chat
-Charge syndrome
-Duncan disease - ✔✔Cri du chat
Feedback: The clinical symptoms of cri du chat syndrome usually include a high-pitched cat-like cry,
mental retardation, delayed development, distinctive facial features, small head size (microcephaly),
widely-spaced eyes (hypertelorism), low birth weight and weak muscle tone (hypotonia) in infancy.
When explaining the types of adaptive immunity, the FNP student is aware that:
-Adaptive immunity is a cell-mediated immune response which is carried out by T cells and B cells.
-Adaptive immunity is the level of immunity that all persons are born with.
-Adaptive immunity occurs when antibodies are passed from the mother to the fetus.
-Adaptive immunity occurs through immunization - ✔✔Adaptive immunity is a cell-mediated immune
response which is carried out by T cells and B cells.
Feedback: There are two types of adaptive immunity responses: the cell-mediated immune response,
which is carried out by T cells, and the humoral immune response, which is controlled by activated B
cells and antibodies.
A woman has sustained a traumatic brain injury. She is able to follow simple commands and can
manipulate objects. Which term describes this state?
-Coma
-Persistent vegetative state
-Minimally conscious
-Locked-in syndrome - ✔✔Minimally conscious
Feedback: When responses to the environment are seen, the patient is said to be in a minimally
conscious stateAge and the admission of the Glasgow Coma Scale (GCS) are important diagnostic factors in TBI. Which
GCS score describes a severe TBI?
13-15
12-13
9-12
3-8 - ✔✔3-8
Feedback: The GCS is scored between 3 and 15, 3 being the worst and 15 the best.
Which term describes recurrent, intrusive thoughts or impulses?
-Hallucinations
-Compulsions
-Obsessions
-Delusions - ✔✔Obsessions
Feedback: Obsessions are recurrent and persistent thoughts, impulses, or images that cause distressing
emotions such as anxiety or disgust.
During an intake interview with a 26-year-old man diagnosed with generalized anxiety disorder, the FNP
might observe what type of behavior?
-An inflated sense of self
-Constant relation to future events
-Inability to concentrate and irritability when questioned
-Nervousness and fear of the FNP during the interview - ✔✔Inability to concentrate and irritability when
questioned
Feedback: Impaired concentration and irritability are major characteristics of GAD.
The FNP would expect which symptoms in a patient with a diagnosis of schizophrenia?-High energy with varying sleep patterns and non stop conversation.
-Extreme and frequent mood swings with hyperactivity and difficulty concentrating.
-Paranoia, delusions, hallucinations, and diminished self-care.
-Anti-social behavior, manipulative behavior, charisma, and ability to lie convincingly. - ✔✔Paranoia,
delusions, hallucinations, and diminished self-care.
Feedback: The characteristics of schizophrenia are paranoia, delusions, tangential thoughts,
suspiciousness, disorganized behavior, and h [Show Less]