Author Question: The karyotype of a person is 47, XY, +21 . This person is a a. Normal male b. Male with Down ... (Read 77 times)

savannahhooper · **on:** Jun 27, 2018

The karyotype of a person is 47, XY, +21 . This person is a

a. Normal male
b. Male with Down syndrome
c. Normal female
d. Female with Turner syndrome

Question 2

A nursing instructor asks a group of students, What should be included in the teaching plan for a client receiving Pitocin? Which response by a student would indicate the need for further teaching? (Select all that apply.)

a. medication and reasons for use
b. monitoring of the fetal heart rate
c. temperature of newborn's bath water
d. monitoring of blood glucose and sodium levels
e. techniques for effective breastfeeding of the newborn
f. monitoring of the maternal blood pressure, pulse, and temperature

leahchrapun · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
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A A normal male has 46 chromosomes.
B This person is male because his sex chromosomes are XY. He has one extra copy
of chromosome 21 (for a total of 47 instead of 46), resulting in Down syndrome.
C A normal female has 46 chromosomes and XX for the sex chromosomes.
D A female with Turner syndrome has 45 chromosomes; the sex chromosomes
have just one X.

Answer to Question 2

C, D, E
The nursing instructor would recognize that further teaching is required if the student responded: temperature of bath water; monitoring of blood glucose and sodium levels; and techniques for effective breast feeding of the newborn. The focus should be on what the mother needs to know about the Pitocin. Therefore, the teaching plan would include an explanation about the medication and reasons for use; reactions to expect; route of administration and the rate; monitoring of the fetal heart rate and contractions (including frequency, intensity, and resting tone); monitoring of the maternal blood pressure, pulse, and temperature; expected outcome; and that expectations may vary according to the Bishop score and other maternal-fetal factors.