HESI LPN
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. Most victims of _____ die of respiratory infections in their 20s.
- A. Tay-Sachs disease
- B. cystic fibrosis
- C. Turner syndrome
- D. Klinefelter syndrome
Correct answer: B
Rationale: Individuals with cystic fibrosis have a genetic disorder that causes mucus to be thick and sticky, leading to blockages in the lungs and digestive system. This mucus buildup makes them more susceptible to severe respiratory infections, which can ultimately result in premature death in their 20s. Tay-Sachs disease (Choice A) is a genetic disorder that affects the nervous system, not typically causing respiratory infections. Turner syndrome (Choice C) and Klinefelter syndrome (Choice D) are chromosomal disorders that do not directly lead to the respiratory issues observed in cystic fibrosis.
3. What is the typical sex chromosome pattern for males?
- A. XX
- B. XYY
- C. XY
- D. XXY
Correct answer: C
Rationale: The correct answer is C: XY. In males, the typical sex chromosome pattern consists of one X chromosome and one Y chromosome. Choice A (XX) is the sex chromosome pattern for females. Choice B (XYY) is a chromosomal disorder where males have an extra Y chromosome. Choice D (XXY) is the sex chromosome pattern associated with Klinefelter syndrome, a condition where males have an extra X chromosome.
4. Individuals with Klinefelter syndrome produce:
- A. less estrogen than normal males.
- B. less testosterone than normal males.
- C. less adenine than normal males.
- D. less thymine than normal males.
Correct answer: B
Rationale: Individuals with Klinefelter syndrome have an extra X chromosome (XXY), leading to reduced production of testosterone, the primary male sex hormone. This deficiency can result in various physical and developmental characteristics associated with the syndrome. Estrogen levels may actually be relatively elevated due to the imbalance between testosterone and estrogen. Choices C and D are incorrect as adenine and thymine are nucleotide bases found in DNA and are not related to hormone production.
5. What is the primary rationale for thoroughly drying the infant immediately after birth?
- A. Stimulates crying and lung expansion.
- B. Removes maternal blood from the skin surface.
- C. Reduces heat loss from evaporation.
- D. Increases blood supply to the hands and feet.
Correct answer: C
Rationale: The primary rationale for thoroughly drying the infant immediately after birth is to reduce heat loss from evaporation. This helps maintain the infant's body temperature and prevent hypothermia. Choice A (Stimulates crying and lung expansion) is incorrect because drying the infant is not primarily done to stimulate crying but rather to prevent heat loss. Choice B (Removes maternal blood from the skin surface) is incorrect as the main reason is to prevent heat loss, not to remove maternal blood. Choice D (Increases blood supply to the hands and feet) is also incorrect as drying the infant is not intended to increase blood supply but rather to regulate body temperature.
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