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The nurse is teaching a couple about fetal development. Which statement by the nurse is correct about the morula stage of development? 1. the fertilized egg has yet to implant into the uterus 2. the lung fields are finally completely formed 3. the sex of the fetus can be clearly idenfified 4. the eyelids are unfused and begin to open and close

1

a client is carrying dizygotic twins. she asks the nurse about the babies. which of the following explanations is accurate? 1. during a period of rapid growth, the fertilized egg divided completely 2. when the client ovulated, she expelled two mature ova 3. the babies share one placenta and a common chorion 4. the babies will definitely be the same sex and have the same blood type

2

what assessments can indicate fetal compromise during labor? 1. leopold's maneuvers 2. fetal heart rate monitoring 3. nagele's rule 4. all of the above

2

What maternal health conditions are associated with maternal obesity? 1. gestational diabetes 2. pre-eclampsia 3. caesarean section 4. all of the above

4

risk factors for infertility include what? 1. maternal obesity 2. paternal smoking 3. heavy alcohol use 4. all of the above

4

what signs and symptoms can occur during menopause? 1. night sweats 2. sexual dysfunction 3. weight gain 4. all of the above

4

93. An ultrasound of a fetus' heart shows that normal fetal circulation is occurring. Which of the following statements should the nurse interpret as correct in relation to the fetal circulation? A) The foramen ovale is a hole between the ventricles. B) The umbilical vein contains oxygen-poor blood. C) The right atrium contains both oxygen-rich and oxygen-poor blood. D) The ductus venosus lies between the aorta and pulmonary artery.

C) The right atrium does contain both oxygen-rich and oxygen-poor blood.

100. A client is having an ultrasound assessment done at her prenatal appointment at 8 weeks' gestation. She asks the nurse, "Can you tell what sex my baby is yet?" Which of the following responses would be appropriate for the nurse to make at this time? A) "The technician did tell me the sex, but I will have to let the doctor tell you what it is." B) "The organs are completely formed and present, but the baby is too small for any to be seen." C) "The technician says that the baby has a penis. It looks like you are having a boy." D) "I am sorry. It will not be possible to see which sex the baby is for another month or so."

D

20. Which of the following findings in an 8-week gestation client, G2 P1001, should the nurse highlight for the nurse midwife? SATA A) Body mass index of 17. B) Blood pressure of 100/60. C) Hematocrit of 30%. D) Hemoglobin of 13.2. E) rubella titer of 1:8

A C E

19. The nurse has taken a health history on four primigravid clients at their first prenatal visits. It is high priority that which of the clients receives nutrition counseling? A) The woman diagnosed with phenylketonuria. B) The woman who has Graves' disease. C) The woman with Cushing's syndrome. D) The woman diagnosed with myasthenia gravis.

A) The client with phenylketonuria (PKU) must receive counseling from a registered dietitian.

74. A pregnant client is lactose intolerant. Which of the following alternative calcium rich foods could this woman consume? A) Turnip greens. B) Green beans. C) Cantaloupe. D) Nectarines

A) Turnip greens are calcium-rich.

92. A woman has just completed her first trimester. Which of the following fetal structures can the nurse tell the woman are well formed at this time? Select all that apply. A) Genitals. B) Heart. C) Fingers. D) Alveoli. E) Kidneys.

A, B, C, E The genitalia are formed by the end of the first trimester. The heart is formed by the end of the first trimester. The fingers are formed by the end of the first trimester. The alveoli will not be formed until well into the second trimester. The kidneys are formed by the end of the first trimester.

102. A woman delivers a fetal demise that has lanugo covering the entire body, nails that are present on the fingers and toes, but eyes that are still fused. Prior to the death, the mother stated that she had felt quickening. Based on this information, the nurse knows that the baby is about how many weeks' gestation? A) 15 weeks. B) 22 weeks. C) 29 weeks. D) 36 weeks.

B

96. A mother has just experienced quickening. Which of the following developmental changes would the nurse expect to occur at the same time in the woman's pregnancy? A) Fetal heart begins to beat. B) Lanugo covers the fetal body. C) Kidneys secrete urine. D) Fingernails begin to form.

B) Lanugo does cover the fetal body at approximately 20 weeks' gestation.

90. A woman asks the nurse about the function of amniotic fluid. Which of the following statements by the woman indicates that teaching was successful? SATA A) The fluid provides fetal nutrition. B) The fluid cushions the fetus from injury. C) The fluid enables the fetus to grow. D) The fluid provides a stable thermal environment. E) The fluid enables the fetus to practice swallowing

BCDE

101. Which of the following developmental features would the nurse expect to be absent in a 41-week gestation fetus? A) Fingernails. B) Eye lashes. C) Lanugo. D) Milia.

C

103. A client asks the nurse, "Could you explain how the baby's blood and my blood separate at delivery?" Which of the following responses is appropriate for the nurse to make? A) "When the placenta is born, the circulatory systems separate." B) "When the doctor clamps the cord, the blood stops mixing." C) "The separation happens after the baby takes the first breath. The baby's oxygen no longer has to come from you." D) "The blood actually never mixes. Your blood supply and the baby's blood supply are completely separate."

D) The blood supplies are completely separate.

what is the name of the ethical duty to do no harm? 1. veracity 2. nonmaleficence 3. justice 4. autonomy

2

98. A pregnant client's fundal height is noted to be at the xiphoid process. The nurse is aware that which of the following fetal changes is likely to be occurring at the same time in the pregnancy? A) Surfactant is formed in the fetal lungs. B) Eyes begin to open and close. C) Respiratory movements begin. D) The spinal column is completely formed.

A

what are the leading causes of infant mortality in the US? 1. infection and accidents 2. RDS and SIDS 3. congenital malformations and chromosomal abnormalities 4. shaken baby syndrome and hypothermia

3

what structure provides cushioning and warmth to the fetus? 1. the placenta 2. embryonic membranes 3. amniotic fluid 4. umbilical cord

3

difficult to treat pain is characteristic of which of the following conditions? 1. CPP 2. menstrual disorders 3. PCOS 4. hysterectomy

1

fibroid tumors of the uterus are called: 1. leiomyoma 2. uteromyoma 3. endometriosis 4. none of the above

1