WGU D115 - OA Readiness Answered

WGU D115 - OA Readiness (Answered) What is the most common indication for genetic counseling?

• maternal age
• drug exposure during the first trimester?
• Increased maternal alpha-fetoprotein
• history of previous still birth ✔️ A) maternal age

The largest group of women who benefit from genetic counseling are those over the age of 35 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
• Deterime the biliruben level
• Perform genetic studies
• Assess L/S ratio ✔️ C) Perform genetic studies

This womans 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 chromsomes, while the other cells have only one.
• Each cell has two X chromsomes, but part of the chromosome is missing.
• Each cell has an extra X chromosome ✔️ A) Each cell has only one X

chromsome 45% of persons with Turner Syndrome have monosomy X meaning there is only one copy of the X chromosome in each cell.The 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 ✔️ B) Cri du chat

The clinical symptoms of cri du chat syndrome usually include a high-pitched cat-like cry, mental retardation, delayed development, distinctive facial 1 / 4

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
• 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. ✔️ A) Adaptive

immunity is a cell-mediated immune response which is carried out by T cells and B cells.

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 ✔️ C) Minimally conscious

When responses to the environment are seen, the patient is said to be in a minimally conscious state Age and the admission of the Glasgow Coma Scale (GCS) are important diagnostic factors in TBI. Which GCS score describes a severe TBI?

A) 13-15

B) 12-13

C) 9-12

D) 3-8 ✔️ D) 3-8

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

Obsessions are recurrent and persistent thoughts, impulses, or images that cause distressing emotions such as anxiety or disgust. 2 / 4

• Delusions ✔️ C) Obsessions

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

Impaired concentration and irritability are major characteristics of GAD.

• Nervousness and fear of the FNP during the interview ✔️ C) Inability

to concentrate and irritability when questioned 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. ✔️ C) Paranoia, delusions, hallucinations, and diminished self-care.The characteristics of schizophrenia are paranoia, delusions, tangential thoughts, suspiciousness, disorganized behavior, and hallucinations.The FNP is seeing a 10 year old child with complaints of otalgia and muffled hearing. The mother states the child recently recovered from an upper

respiratory infection. The FNP suspects that this child has:

• Acute otitis media
• Acute otitis externa
• Cholesteatoma
• Chronic otitis media ✔️ A) Acute otitis media

The classic presentation of otitis media is otalgia, muffled hearing, popping sensation, and a recent history of a cold or flare up of allergic rhinitis.The FNP understands that a potential complication of tonsillar infections, which is characterized by severe sore throat, difficulty swallowing, 3 / 4

odynophagia, trismus, and a "hot potato" voice; accompanied by fever, chills

and malaise is indicative of:

• Retropharyngeal abscess
• Epiglotitis
• Peritonsillar cellulitis
• Peritonsillar abscess ✔️ D) Peritonsillar abscess

Peritonsillar abscess is characterized by severe sore throat, pain or difficulty swallowing, jaw muscle spasms, and a hot potato voice.A young adult female patient presents to the clinic with complaints of nervousness, tremulousness, palpitations, heat intolerance, fatigue, weight loss, and polyphagia. After a complete history and physical, along with thyroid function tests, the FNP makes the diagnosis of hyperthyroidism, recognizing

that the most common cause of this condition is:

• Thyroid cancer
• Graves' disease
• Pituitary adenoma
• Postpartum thyroiditis ✔️ B) Graves' disease

Graves' disease, an autoimmune condition also known as "diffuse toxic goiter" is the most common cause of hyperthyroidism in this age group.During an evaluation of a patient with prediabetes, the FNP identifies which finding in the patient's objective data that is associated with the increasing insulin resistance?

• Triglycerides > 150mg/dL
• HDL > 40 mg/dL in men and >50 mg/dL in women
• BP < 130/85 mm Hg
• FBS < 110 mg/dL ✔️ A) Triglycerides > 150mg/dL

Improper use of glucose increases the release of free fatty acids which elevates triglycerides.When prescribing a meal plan for the patient with type 2 diabetes, the FNP tells the patient that the macronutrient with the most influence on the

postprandial glucose level is:

• Fiber
• Fat
• Protein
• Carbohydrate ✔️ D) Carbohydrate
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