A 22-year-old pregnant woman presents to her OB/GYN for a prenatal checkup. The fetal heart-beat sounds irregular, and a fetal echocardiogram reveals an atrioventricular canal (AVC) defect. This defect is the result of:

a. failure of the ductus arteriosus to close.
b. incomple fusion of the endocardial cush-ions.
c. a patent foramen ovale.
d. a right-to-left shunt.


ANS: B
AVC defect is the result of incomplete fusion of endocardial cushions. A patent ductus is the failure of the ductus arteriosus to close. The infant will not experience a patent foramen ovale. Flow is generally left to right, not right to left.

Nursing

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A child has recently been diagnosed with leukemia. The client's sibling is 6 years old and expressing feelings of anger and guilt. This reaction by the sibling is very upsetting to the parents. How should the nurse explain the sibling's behavior?

A) "This behavior is abnormal. I will have the physician refer you to a psychologist." B) "This behavior is just the sibling's way to get attention." C) "This is a normal response. Your other child is also affected by the diagnosis and anger and guilt are expected feelings for a 6-year-old." D) "Your other child should not be so upset. The cancer is easily treated."

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__________________________ is a power enhancement therapy that guides people to use their power-as-freedom to participate knowingly in creating the changes they want to make in their lives

A. Voluntary patterning. B. Mutual patterning. C. Health patterning. D. Power patterning.

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From birth to 1 year of age, the infant is in which of the following stages, according to Freudian theory?

a. oral c. phallic b. anal d. genital

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