Week 2 NCLEX Maternity questions
A nurse is performing an assessment on a client who is at 38 weeks gestation and notes that the fetal herat rate is 174 beats/min. On the basis of this finding, the appropriate nursing action is to: 1. Notify the physician 2. Document the finding 3. Check the mother's heart rate 4. Tell the client that the fetal heart rate is normal.
1. The fetal heart rate depends on gestational age and rages from 160 to 170 bpm in the first trimester, but slows with fetal growth to 120 to 160 bpm with the uterus at rest. the fetus may be in distress. Because the FHR is increased from the reference range, the nurse notify the physician.
A nurse should explain which of the following to a pregnant client found to have a gynecoid pelvis? 1. That her type of pelvis has a narrow pubic arch 2. that her type of pelvis is the most favorable for labor and birth 3. that her type of pelvis is a wide pelvis, but has a shorter diameter 4. that she will need a cesarean section because this type of pelvis is not favorable for a normal labor and vaginal delivery
2. A gynecoid pelvis is a normal femal pelvis and is the most favorable for successful labor and birth.
A nurse instructor is reiewing the menstual cycle with a nursing student who will be conducting a prenal teaching session. The instructor asks the student to describe the FSH and the luteinizing hormone. The student accurately responds by stating that: 1. FSH and LH are secreted by the adrenal gland 2. FSH and LH are released from the anterior pituitary gland. 3. FSH and LH are secretd by the corpus luteium of the ovary. 4. FSH and LH stimulate the formation of milk during pregnancy
2. FSH and LH when stimulated by gonadotropin releash hormone from the hypothalamus, are released from the antrior pituitary gland to stimulate follicular growth and development, growht of the graafian follice, and productionof progesterone.
A nursing student is preparing a prenatal class on the process of fetal circulation. The nursing instructor asks the student specifically to describe the process through the umbilical cord. Which of the following statements from the student is correct? 1. The one artery carries freshly oxygenated blood and nutrient-rich blood back from the placenta to the fetus. 2. The two arteries carry freshly oxygenated blood and nutrient rich blood back from the placenta to the fetus 3. The two arteries in the umbilical cord carry deoxygenated blood and waste products away from the fetus to the placenta. 4. The two veins in the umbilical cord carry blood that is high in carbon dioxide and other waste products away from the fetus to the placenta
3. Rationale Blood pumped by the embryo's heart leaves the embryo through two umbilical arteries. When oxygenated, the blood is returned by one umbilical vein. Arteries carry deoxygenated blood and waste products from the fetus, and veins carry oxygenated blood and provide oxygen and nutrients to the fetus.
A pregnant client tells the clinic nurse that she wants to know the sex of her baby as soon as it can be determined. The nurse understands that the client should be able to find out at 12 weeks gestation because by the end of the twelfth week: 1. the sex of the fetus can be determined by the appearance of the external genitalia 2. the sex of the fetus can be determined because the external genitatlia begins to differentiate 3. The sex of the fetus can be determined because the testes are descended into the scrotal sac. 4. The sex of the fetus can be determined because the internal differences in males and females becomes apparent.
3. blood pumped by the embryo's heart leaves the embryo through two umbilical arteries. When oxygenatedthe blood is returned by one umbilical vein. Arteries carry deoxygenated blood and waste products from the fetus, and veins carry oxygenated blood and provide oxygen and nutrients to the fetus.
A couple comes to the family planning clinic and asks about sterilization procedures. Which question by the nurse would deterine if this method of family planning would be appropriate? 1. Has either of you ever had surgery 2. Do you plan to have any other children 3. Does either of you have DM 4. Does either of you have problems with high bp?
2. Sterilization is a method of contraception for couples who have completed their families. It should be considered a permenent end to fertility becuase reversal surgery is not always successful. The nurse would ask the cuple about their plans for having children in the future.
A nursing student is assigned to care for a client in labor. A nursing instructor asks the student to describe fetal circulation. specifically the ductus venosus. The nursing instructor determines that the student understands fetal circulation if the student states that the ductus venosus
3. the ductus venosus connects the umbilical vein o the inferior vena cava.
A nurse explains some of the purposes of the placenta to a client during a prenatal visit. The nurse determines that the client understands some of these purposes when the client states that the placenta: 1. Cushions and protects the baby 2. Maintains the temp of the baby 3. Is the way the baby gets food and oxygen 4. Prevents all antibodies and viruses from passing to the baby.
3. the placenta provides an exchange of oxygen, nutrients and waste products between the mother and the fetus. The amniotic fluid surrounds, cushions and protects the fetus and maintans the body temp of the fetus. Nutrients, drugs antibodies and viruses can pass through the placenta.
A nurse is conducting a prenatal class on the female reproductive system. When a client in the class asks why the fertilized ovum stays in the fallopian tube for 3 days, the nurse responds that the reason for this is that it: 1. promotes the fertilized ovums chance of survivial 2. promotes the fertilized ovums exposure to estrogen and progesterone 3. promotes the fertlized normal implantation in the top portion of the uterus 4. promotes the fertilized ovum's exposure to luteinizing hormone and follicle-stimulating hormone
3. the tubal isthums remains contracted until 3 days after conception to allow the fertilized ovum to develop within the tube. This initial growth of the fertilzied ovum promotes its normal implantation in the fundal portion of the uterine corpus. Estrogen is a hormone produced by the ovarian folllicles, corpus luteum, adrenal cortex, and placenta during pregnancy. LH and FSH are excreted by the anterior pituitary gland. The survival of the fertilized ovum doesn't depend on it staying the fallopian tube for 3 days.
A nurse instructor asks a nursing student to list the functions of the amniotic fluid. The student responds correctly by stating that which of the folowing 1. Allows for fetal movement 2. Is a measure of kidney function 3. Surrounds,cushions, and protects the fetus 4. Maintains the body temp of the fetus 5. Prevents large particles such as bacteria from passing to the fetus 6. Provides an exchange of nutrients and waste products between the mother and fetus
The amniotic fluid surrounds, cusions, and protects the fetus. It allows the fetus to move freely, maintains the body temperature of the fetus, and helps assess kidney function because it contains urine from the fetus. The placenta prevents large particles such as bacteria from passingto the fetus and provides an exchange of nutrients and waste products between the mother and the fetus.
