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HESI Focus on Maternity Exam
1. Chromosomes contain thousands of segments called:
- A. nuclei.
- B. nodes.
- C. capillaries.
- D. genes.
Correct answer: D
Rationale: Chromosomes are structures composed of DNA and genes. Genes are the functional segments within chromosomes that encode specific traits and characteristics. The other choices ('nuclei,' 'nodes,' 'capillaries') do not accurately describe the segments found within chromosomes and are unrelated to their structure or function.
2. Which of the following statements is true of a sperm cell?
- A. A sperm cell is significantly larger than an egg cell.
- B. A sperm cell contains two Y chromosomes.
- C. A sperm cell travels randomly inside a woman’s reproductive tract.
- D. A sperm cell is one of the smallest types of cells in the body.
Correct answer: D
Rationale: The correct answer is D. A sperm cell is indeed one of the smallest cells in the human body, much smaller than an egg cell. Choice A is incorrect as sperm cells are much smaller than egg cells. Choice B is incorrect because a sperm cell carries either an X or a Y chromosome, not two Y chromosomes. Choice C is incorrect since sperm cells move in a purposeful manner guided by various factors within a woman's reproductive tract, not randomly.
3. A client is receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication?
- A. Hypotension
- B. Polyuria
- C. Bilateral crackles
- D. Hyperglycemia
Correct answer: C
Rationale: The correct answer is C: Bilateral crackles. Bilateral crackles indicate respiratory complications, which can occur as an adverse effect of an epidural block with opioid analgesics. Hypotension (Choice A) is a common side effect of epidural opioids but is not typically monitored via crackles. Polyuria (Choice B) is excessive urination and is not directly associated with epidural blocks. Hyperglycemia (Choice D) is high blood sugar levels and is not a typical adverse effect of epidural opioids.
4. 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.
5. A healthcare provider is teaching a prenatal class about immunizations that newborns receive following birth. Which of the following immunizations should the provider include in the teaching?
- A. Hepatitis B
- B. Rotavirus
- C. Pneumococcal
- D. Varicella
Correct answer: A
Rationale: The correct answer is Hepatitis B. Newborns receive the Hepatitis B vaccine shortly after birth to provide protection against the virus. Rotavirus, Pneumococcal, and Varicella vaccines are typically administered at later stages of infancy or childhood, not immediately after birth. Rotavirus vaccine helps prevent severe diarrhea, Pneumococcal vaccine protects against infections like pneumonia and meningitis, and Varicella vaccine prevents chickenpox. However, these vaccines are not part of the routine immunizations given to newborns immediately after birth.
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