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The perinatal nurse explains to the student nurse that in the fetal circulation, the lowest level of oxygen concentration is found in the umbilical arteries. True or False?

True

During preconception counseling, the clinic nurse explains that the time period when the fetus is most vulnerable to the effects of teratogens occurs from: a. 2 to 8 weeks b. 4 to 12 weeks c. 5 to 10 weeks d. 6 to 15 weeks

a. 2 to 8 weeks

An ultrasound of a fetus' heart shows that "normal fetal circulation is occurring." Which of the following statements is consistent with the finding? a. A right to left shunt is seen between the atria. b. Blood is returning to the placenta via the umbilical vein. c. Blood is returning to the right atrium from the pulmonary system. d. A right to left shunt is seen between the umbilical arteries.

a. A right to left shunt is seen between the atria.

The nurse is interviewing a gravid woman during the first prenatal visit. The woman confides to the nurse that she lives with a number of pets. The nurse should advise the woman to be especially careful to refrain from coming in contact with the stool of which of the pets? a. Cat b. Dog c. Hamster d. Bird

a. Cat

Infants whose mothers were obese during pregnancy are at higher risk for which of the following? (Select all that apply.) a. Childhood diabetes b. Heart defects c. Hypospadias d. Respiratory distress

a. Childhood diabetes b. Heart defects c. Hypospadias

An ethical dilemma unique to perinatal nursing is the: a. Innate conflict between maternal and fetal rights b. Intensive use of technology c. Shortage of health-care resources d. Risk of violation of the principle of veracity

a. Innate conflict between maternal and fetal rights

A nurse work ing with an infertile couple has made the following nursing diagnosis: Sexual dysfunction related to decreased libido. Which of the following assessments is the likely reason for this diagnosis? a. The couple has established a set schedule for their sexual encounters. b. The couple has been married for more than 8 years. c. The couple lives with one set of parents. d. The couple has close friends who gave birth within the last year.

a. The couple has established a set schedule for their sexual encounters.

A couple who has sought infertility counseling has been told that the man's sperm count is very low. The nurse advises the couple that spermatogenesis is impaired when which of the following occur? a. The testes are overheated. b. The vas deferens is ligated. c. The prostate gland is enlarged. d. The flagella are segmented.

a. The testes are overheated.

Information provided by the nurse that addresses the function of the amniotic fluid is that the amniotic fluid helps the fetus to maintain a normal body temperature and also: a. Facilitates asymmetrical growth of the fetal limbs b. Cushions the fetus from mechanical injury c. Promotes development of muscle tone d. Promotes adherence of fetal lung tissue

b. Cushions the fetus from mechanical injury

Which of the following statements by a pregnant woman indicates she needs additional teaching on ways to reduce risk s to her unborn child from the potential effects of exposure to toxoplasmosis? a.I will avoid rare lamb b. I will wear a mask when cleaning my cat's litter box. c. I understand that exposure to toxoplasmosis can cause blindness in the baby. d. I will avoid rare beef.

b. I will wear a mask when cleaning my cat's litter box.

Evidence-based practice is the integration of the best: a. Randomized clinical trials, clinical expertise, and patients' requests b. Research evidence, clinical expertise, and patients' values c. Quantitative research, clinical expertise, and patients' preferences d. Research findings, clinical experience, and patients' preferences

b. Research evidence, clinical expertise, and patients' values

A clinic nurse explains to the pregnant woman that the amount of amniotic fluid present at 24 weeks' gestation is approximately: a. 500 mL b. 750 mL c. 800 mL d. 1000 mL

c. 800 mL

The fetal circulatory structure that connects the pulmonary artery with the descending aorta is known as which of the following? a. Ductus venosus b. Foramen ovale c. Ductus arteriosus d. Internal iliac artery

c. Ductus arteriosus

A diagnostic test commonly used to assess problems of the fallopian tubes is: a. Endometrial biopsy b. Ovarian reserve testing c. Hysterosalpingogram d. Screening for sexually transmitted infections

c. Hysterosalpingogram

The clinic nurse knows that the part of the endometrial cycle occurring from ovulation to just prior to menses is known as the: a. Menstrual phase b. Proliferative phase c. Secretory phase d. Ischemic phase

c. Secretory phase

The nurse tak es the history of a client, G2 P1, at her first prenatal visit. The client is referred to a genetic counselor, due to her previous child having a diagnosis of ____. a. Unilateral amblyopia b. Subdural hematoma c. Sickle cell anemia d. Glomerular nephritis

c. Sickle cell anemia

A client is to take Clomiphene Citrate for infertility. Which of the following is the expected action of this medication? a. Decrease the symptoms of endometriosis b. Increase serum progesterone levels c. Stimulate release of FSH and LH d. Reduce the acidity of vaginal secretions

c. Stimulate release of FSH and LH

The nurse is caring for a patient who is in labor with her first child. The patient's mother is present for support and notes that things have changed in the delivery room since she last gave birth in the early 1980s. Which current trend or intervention may the patient's mother find most different? a. Fetal monitoring throughout labor b. Postpartum stay of 10 days c. Expectant partner and family in operating room for cesarean birth d. Hospital support for breastfeeding

d. Hospital support for breastfeeding

a. A patient with a history of hypertension is giving birth. During delivery, the staff was not able to stabilize the patient's blood pressure. As a result, the patient died shortly after delivery. This is an example of what type of death? a. Early maternal death b. Late maternal death c. Direct obstetric death d. Indirect obstetric death

d. Indirect obstetric death

A woman at 40 weeks' gestation has a diagnosis of oligohydramnios. Which of the following statements related to oligohydramnios is correct? a. It indicates that there is a 25% increase in amniotic fluid. b. It indicates that there is a 25% reduction of amniotic fluid. c. It indicates that there is a 50% increase in amniotic fluid. d. It indicates that there is a 50% reduction of amniotic fluid.

d. It indicates that there is a 50% reduction of amniotic fluid.

The color of a person's hair is an example of which of the following? a. Genome b. Sex-link inheritance c. Genotype d. Phenotype

d. Phenotype

A nurse is teaching a woman about her menstrual cycle. The nurse states that ____ is the most important change that happens during the secretory phase of the menstrual cycle. a. Maturation of the graafian follicle b. Multiplication of the fimbriae c. Secretion of human chorionic gonadotropin d. Proliferation of the endometrium

d. Proliferation of the endometrium

American Nurses Association Code of Ethics for Nurses directs nurses to provide patient care that is: a. Curative b. Utilitarian c. Negotiable d. Respectful

d. Respectful

A major fetal development characteristic at 16 weeks' gestation is: a. The average fetal weight is 450 grams b. Lanugo covers entire body c. Brown fat begins to develop d. Teeth begin to form

d. Teeth begin to form

Karen, a 26-year-old woman, has come for preconception counseling and ask s about caring for her cat as she has heard that she "should not touch the cat during pregnancy." The clinic nurse's best response is: a. It is best if someone other than you changes the cat's litter pan during pregnancy so that you have no risk of toxoplasmosis during pregnancy. b. It is important to have someone else change the litter pan during pregnancy and also avoid consuming raw vegetables. c. Have you had any "flu-like" symptoms since you got your cat? If so, you may have already had toxoplasmosis and there is nothing to worry about. d. Toxoplasmosis is a concern during pregnancy, so it is important to have someone else change the cat's litter pan and also to avoid consuming uncook ed meat.

d. Toxoplasmosis is a concern during pregnancy, so it is important to have someone else change the cat's litter pan and also to avoid consuming uncook ed meat.

The nurse is taking the history of a gravida 2 para 1 patient. Which findings in the patient's history warrant further action? Select all that apply. 1. Anemia 2. Severe hemorrhage 3. Infections 4. Malnutrition 5. Eclampsia

1. Anemia 2. Severe hemorrhage 3. Infections 5. Eclampsia

A woman has recently given birth to an infant born at 35 weeks and 5 days gestation. What long-term effects should the nurse be concerned about with the infant being born at this gestation? Select all that apply. 1. Cerebral palsy 2. Respiratory disorders 3. Developmental delays 4. Visual impairments 5. Hearing impairments

1. Cerebral palsy 2. Respiratory disorders 3. Developmental delays 4. Visual impairments

A pregnant woman weighs 90.9 kg. The nurse is educating the patient on complications that the patient may be at risk for during pregnancy. Which response by the patient indicates that she understands? 1. Due to my weight, there is a possibility that I may develop gestational diabetes. 2. I am not overweight, but I am still at risk for gestational diabetes. 3. My mother had preeclampsia during one of her pregnancies. 4. I will need to do a glucose tolerance test in my second trimester.

1. Due to my weight, there is a possibility that I may develop gestational diabetes.

The nurse is caring for a 15-year-old female who is pregnant with her first child. In her previous prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and HIV. Based on the information provided, which condition is the patient's baby at higher risk for? 1. Intestinal problems 2. Neonatal conjunctivitis 3. Blindness 4. Pneumonia

1. Intestinal problems

An infant was recently born weighing 1,498 grams. The nurse understands that the birth weight of this infant is an important indicator of what? Select all that apply. 1. Morbidity rate 2. Prenatal care 3. Mortality rate 4. Infant health outcome 5. Postpartum care

1. Morbidity rate 3. Mortality rate 4. Infant health outcome

The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse knows that teaching has been effective when the patient states which of the following? 1. My child may be at increased risk for birth injury. 2. My child may have a decreased risk of developing childhood diabetes. 3. I will probably give birth vaginally. 4. I have a lower risk of developing gestational hypertension.

1. My child may be at increased risk for birth injury.

A nurse is caring for a single teen mother who has just given birth to her first child. The patient notes that the child's father "wants no relationship with his son." The patient goes on to express concerns about the short- and long-term impact of her teen pregnancy on herself and on her child. Which statements made by the nurse are accurate? Select all that apply. 1. You are more likely than others to have additional children before you turn 20. 2. You may have difficulty completing high school or college. 3. Your child is less likely to experience behavioral problems. 4. Your child is at increased risk of abusing alcohol when he is a teenager. 5. You may not earn enough money to independently support yourself and your child.

1. You are more likely than others to have additional children before you turn 20. 2. You may have difficulty completing high school or college. 4. Your child is at increased risk of abusing alcohol when he is a teenager. 5. You may not earn enough money to independently support yourself and your child.

The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining of genital sores and discomfort, the patient tests positive for syphilis. The fetus is at increased risk of which condition? 1. Diabetes 2. Blindness 3. Pneumonia 4. Hypertension

2. Blindness

A nursing student is asked to set goals that will decrease the fetal death outcomes during delivery. What guidelines will the nursing student use to assist in setting her goals? 1. WHO Maternal care guidelines 2. Healthy People 2020 3. AWHONN white papers 4. State Practice Act

2. Healthy People 2020

The nurse is counseling a female patient about alcohol use during pregnancy. Which statement by the patient demonstrates successful patient teaching? 1. I will limit my drinking to just one alcoholic beverage per day. 2. It's best for my baby if I avoid drinking during pregnancy. 3. An occasional drink on special occasions is okay. 4. Drinking alcohol is only acceptable in the first trimester.

2. It's best for my baby if I avoid drinking during pregnancy.

The nurse is caring for a woman who is pregnant. The patient reports that she has also smoked less than five cigarettes per day and that she has continued to smoke during her pregnancy. Routine prenatal examination and diagnostics have indicated she tested negative for sexually transmitted infections and has a BMI of 25. Based on statistics, which is likely true about the patient and the developing fetus? Select all that apply. 1. She will breastfeed her infant. 2. She is probably aged 20-24. 3. She likely has earned a college degree. 4. Her child may have impaired brain development. 5. Her child is more likely to be born prematurely.

2. She is probably aged 20-24. 4. Her child may have impaired brain development. 5. Her child is more likely to be born prematurely.

The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test. The test confirms the patient is pregnant. The patient states, "I do not need to stop smoking my electronic cigarette because it will not harm my baby." Which is the best response by the nurse? 1. You are correct. Electronic cigarettes are not harmful during pregnancy. 2. Tobacco products, including electronic cigarettes, should not be used during pregnancy due to risking nicotine toxicity. 3. According to the FDA, although electronic cigarettes are safe for you, they can cause harm to the fetus during pregnancy. 4. Electronic cigarettes are considered harmful only in the first trimester.

2. Tobacco products, including electronic cigarettes, should not be used during pregnancy due to risking nicotine toxicity.

The nurse is caring for a 16-year-old patient who is 32 weeks pregnant with her first child, who is male. The patient's mother has accompanied her to today's visit. During the nursing assessment, the patient mentions that she is no longer in a relationship with the baby's father but her mother plans to help her. However, the patient's mother asks whether this will have any impact on the child. Which should the nurse indicate the child is at increased risk of during his adolescence? 1. Hypertension 2. Diabetes 3. Alcohol abuse 4. Intraventricular bleeding

3. Alcohol abuse

The nurse is taking a history of a mother who admits to cocaine drug use. Which action should the nurse take first? 1. Refer the patient to a drug abuse program. 2. Screen the infant for side effects associated with cocaine use. 3. Educate the patient of the risks associated with cocaine use during pregnancy. 4. Advise the patient that her baby will be okay even with the history of cocaine use.

3. Educate the patient of the risks associated with cocaine use during pregnancy.

A pregnant patient with a BMI of 35 is concerned about health effects she and her baby may face during pregnancy. During routine testing, the patient tested negative for sexually transmitted illnesses (STIs) and indicated that she is in a committed, long-term relationship with the child's father. Which of the following is accurate? 1. The patient's infant is at increased risk of neonatal blindness. 2. The patient's infant has a decreased risk of birth injury. 3. The patient will have increased risk of wound infection. 4. The patient will have a decreased risk of preeclampsia.

3. The patient will have increased risk of wound infection.

The nurse is caring for a patient at 7 weeks gestation. The nurse suspects that a pregnant patient may have been using marijuana. With consent, the nurse confirms via urine drug screen. Which statement by the nurse is most appropriate? 1. Did you smoke marijuana when pregnant with your other child? 2. To avoid negative effects on your baby, you'll need to stop using marijuana during your last trimester. 3. Using marijuana while pregnant can have a negative effect on the neurological development of your baby. 4. Marijuana use while pregnant greatly increases your risk of miscarriage.

3. Using marijuana while pregnant can have a negative effect on the neurological development of your baby.

The nurse has made it a goal to increase the rate at which women begin prenatal care in the first trimester. The nurse relates this decision to national goals for better maternal and infant outcomes. What guidelines will the nurse use to guide her maternal health goals? 1. WHO Maternal care guidelines 2. State Practice Acts 3. AWHONN white papers 4. Healthy People 2020

4. Healthy People 2020

The nurse is providing education to a patient who has given birth to her first child and is being discharged home. The patient expressed concern regarding infant mortality and sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass index of 25 and has no other health conditions. The infant is healthy and was delivered full-term. What will be most helpful thing to explain to the patient? 1. Uses of extracorporeal membrane oxygenation therapy (ECMO) 2. Uses of exogenous pulmonary surfactant 3. The Baby-Friendly Hospital Initiative 4. The Safe to Sleep campaign

4. The Safe to Sleep campaign