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Maternity HESI Test Bank
1. Chromosomes are _____ structures found in cells.
- A. rod-shaped
- B. circular
- C. cone-shaped
- D. octagonal
Correct answer: A
Rationale: Chromosomes are rod-shaped structures that carry genetic information in the form of DNA. They are typically seen as elongated structures when visualized under a microscope. Choice B, circular, is incorrect as chromosomes do not have a circular shape; they are linear. Choice C, cone-shaped, is not accurate as chromosomes do not resemble cones in any way. Choice D, octagonal, is also incorrect as chromosomes do not have an octagonal appearance. Therefore, the correct answer is A, rod-shaped, which accurately describes the shape of chromosomes.
2. Do sebaceous glands cause a developing organism to grow arms or wings, skin, or scales?
- A. True
- B. False
- C. Possibly
- D. Never
Correct answer: B
Rationale: The correct answer is B: False. Sebaceous glands are associated with the skin's oil production and have no role in the development of limbs or body coverings. Sebaceous glands primarily produce sebum, an oily substance that lubricates and waterproofs the skin and hair. Choices A, C, and D are incorrect because sebaceous glands do not influence the growth of arms, wings, skin, or scales in a developing organism.
3. The healthcare provider is planning care for a client at 30 weeks gestation who is experiencing preterm labor. Which medication is most important in preventing this fetus from developing respiratory distress syndrome?
- A. Ampicillin 1 gram IV push every 8 hours
- B. Betamethasone 12 mg deep IM
- C. Terbutaline 0.25 mg subcutaneously every 15 minutes for 3 doses
- D. Butorphanol tartrate 1 mg IV push every 2 hours as needed
Correct answer: B
Rationale: Betamethasone is a corticosteroid given to stimulate fetal lung maturity and reduce the risk of respiratory distress syndrome in preterm infants. Ampicillin (Choice A) is an antibiotic and does not prevent respiratory distress syndrome. Terbutaline (Choice C) is a tocolytic used to inhibit contractions and does not directly prevent respiratory distress syndrome. Butorphanol tartrate (Choice D) is an opioid analgesic and does not have a role in preventing respiratory distress syndrome in preterm infants.
4. Once the testes have developed in the embryo, they begin to produce male sex hormones, or _____.
- A. androgens
- B. genotypes
- C. blastocysts
- D. teratogens
Correct answer: A
Rationale: Androgens are male sex hormones, such as testosterone, produced by the testes after they have developed in the embryo. Androgens are responsible for the development of male secondary sexual characteristics. Genotypes refer to an individual's genetic makeup, not hormones. Blastocysts are early stage embryos, not male sex hormones. Teratogens are substances that can interfere with fetal development, not male sex hormones produced by the testes.
5. Which of the following conditions is considered a multifactorial problem?
- A. Cystic fibrosis
- B. Down syndrome
- C. Diabetes mellitus
- D. XYY syndrome
Correct answer: C
Rationale: The correct answer is 'Diabetes mellitus' because it is a multifactorial disease, influenced by both genetic predisposition and environmental factors. Cystic fibrosis (choice A) is primarily a genetic disorder caused by mutations in the CFTR gene. Down syndrome (choice B) is due to an extra copy of chromosome 21. XYY syndrome (choice D) is a genetic condition where males have an extra Y chromosome. These conditions are not considered multifactorial as their origins are primarily genetic.
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