mother baby unit 1 eaq questions

A couple in their late 30s are in the first trimester of pregnancy and have been referred to genetic counseling because of a family history of an inheritable problem and advanced maternal age. They are concerned because they believe that genetic counseling will favor abortion if studies reveal a defective fetus. Which response would the nurse provide regarding genetic counseling?

"Families are helped to understand the diagnosis, the probable cause of the disorder, and how the condition can be managed."

After the birth of a neonate, a parent asks, "What is that white substance over the baby's body?" How would the nurse respond?

"Its expected, and it's called vernix caseosa.

Which statement indicates that a pregnant client requires further teaching about fetal growth and development?

"The fetus gets nutrients from the amniotic fluid."

A client states her husband is a fraternal twin and asks about her probability of having twins. Which is an appropriate response by the nurse?

"You have no greater probability of having twins than anyone else in the general population."

Which order do the events of the positive feedback mechanism of estradiol chronologically occur?

1. Estradiol levels are increased during the menstrual cycle. 2. Follice-stimulating hormone (FSH) production and release is increased. 3. Estradiol levels are increased as a result of follicle-stimulating hormone. 4. Death of follicles has occurred. 5. Follicle-stimulating hormone levels in serum drop.

Arrange the physiological events from early puberty to ovulation chronologically.

1. Follicle-stimulating hormone stimulates the ovaries to release estrogen. 2. Production of estrogen in large amounts. 3. Building of uterine endometrial lining. 4. Development of the follicular phase. 5. Release of the ovum from the follicle.

The nurse is assessing a newborn immediately after birth. Which finding indicates normal development?

The body weight is 3500 grams

Which hormone is crucial for ovulation and complete maturation of the ovarian follicles?

Luteinizing hormone

Which is the best advice the nurse can provide to a pregnant woman in her first trimester?

"Avoid drugs and don't smoke or drink alcohol."

Which statement would the nurse include in a teaching session for pregnant clients regarding fetal growth and development?

"Development occurs in a head-to-toe and central-to-peripheral pattern." "Pregnancy includes the pre-embryonic, embryonic, and fetal stages of development." "During pregnancy, the embryo grows from a single cell to a complex physiologic being."

The nurse is teaching a family planning class about ovulation and conception. For which period of time in hours would the nurse inform the class that the ovum is capable of being fertilized after ovulation?

12 - 24

Which time during the menstrual cycle would the nurse stress as the optimal time to achieve pregnancy?

14 days before the next period is expected

Which medication is safe to take during pregnancy?

Acetaminophen

Which newborn anomaly can occur if rubella is contracted during the first trimester of pregnancy?

Cardiac anomalies

A couple interested in family planning asks the nurse about the cervical mucus method of preventing pregnancy. Which quality of cervical mucous would indicate fertility?

Clear and stretchable

Which is the most highly sensitive time within the developing embryo for the risk of malformation related to environmental teratogens?

Cleft palate at 8 weeks' gestation

At which point during a human pregnancy does the embryo become a fetus?

During the 8th week of the pregnancy

Which hormone would the nurse explain as stimulating the release of estrogen and progesterone after fertilization?

Human chorionic gonadotropin (hCG)

The laboratory results of a woman in labor indicate the presence of cocaine and alcohol. Which findings would the nurse associate with fetal alcohol spectrum disorder (FASD) in the newborn?

Hypotonia. Hypoplastic maxilla. Small, upturned nose.

The nurse would identify which period of pregnancy as the time frame during which functional disabilities in a fetus's brain occur via fetal exposure to a teratogenic agent?

Fetal period

Which factor is most important for the survival of the newborns?

Gestational age and birth weight

Which effect would the nurse identify as seen when the fetus is exposed to a teratogen during the embryonic period?

Gross malformations

The nurse would identify which anomaly as possibly being observed when a fetus is exposed to a teratogen during the embryonic development?

Improper development of the organs

A newly pregnant client reports that she is taking isotretinoin. Which statement applies to the care of this client?

Isotretinoin is teratogenic and is associated with major fetal malformations, so the client should stop the medication immediately.

A pregnant client is treated with sertraline for depression. Which would the nurse infer about the medications action?

It will affect both the client and the fetus.

The nurse teaches a pregnant client regarding the necessity for a folic acid supplement. Folic acid taken in the first trimester of pregnancy helps reduce the risk for which neonatal disorder?

Neural tube defects

Which organ produces sex steroid hormones?

Ovaries

A primigravida in the first trimester tells the nurse that she has heard that hormones play an important role in pregnancy. Which hormone would the nurse tell the client to maintain pregnancy.

Progesterone

Which teratogens affecting fetal growth and development would the nurse include in a teaching session for pregnant clients?

Rubella Varicella Swordfish Phenytoin

Which direction would the nurse give to a client at 6 weeks' gestation who reports using an over-the-counter herbal product as a health supplement?

Stop taking the supplement immediately. Discuss the use of the supplement with the health care provider. Discuss the use of any other over-the-counter products with the health care provider.

Which information about the prenatal client's activities indicates to the nurse that there is a need for toxoplasmosis testing?

The client cares for a neighbor's cat

Which time period would the nurse teach the health education class that fertilization of the ovum by the sperm occurs?

When 1 sperm penetrates the wall of the ovum

A pregnant client asks how smoking will affect her baby. Which information about cigarette smoking will influence the nurse's response?

The resulting vasoconstriction affects both fetal and maternal blood vessels

Which would the nurse explain to the newly pregnant primigravida about how and when the fetal heartbeat will first be heard?

electronic doppler ultrasonography at 10 to 12 weeks

Which gland secretes gonadotropin-releasing hormone to help control the events of puberty?

hypothalamus

Which hormone is crucial in maintaining the implanted ovum at its site?

progesterone

Which term would the nurse use to describe the first fetal movements that a pregnant client feels?

quickening

Which would the nurse expect to observe in a healthy newborn's cord vessels?

three vessels: one vein and two arteries

Which statement by a pregnant woman after attending a prenatal education session indicates the need for additional teaching?

"During pregnancy, it's safe for me to use my regular herbal remedies."

Steps involved in the changes during puberty

1. Triggering of the GnRH by the hypothalamus. 2. Movement of GnRH through a network of capillaries to the anterior pituitary gland. 3. Stimulation of production and secretion of FSH and LH. 4. Stimulation of the gonadal response.

The primigravida would be taught by the nurse to anticipate quickening in which week of pregnancy?

20th week

The nurse understands that a teratogen would cause neural tube defects in which stage of pregnancy?

Embryonic period

Which is a neonatal effect of maternal smoking during pregnancy?

Low birth weight (SGA)