OB EAQ CHAP 3 FETAL DEVLOPMENT

While reviewing the blood test reports of a patient at 29 weeks of gestation, the nurse finds reduced human placental lactogen levels. What does the nurse interpret from this finding?

There is reduced growth and development in the fetus

An adolescent male is worried and informs the nurse that he accidently wets his pants at night. How should the nurse respond to the patient?

This is a normal response during puberty."

What is the survival time of the ovum after ovulation?

24 hours

At which stage of prenatal development is the embryo termed a fetus?

9 weeks

Which hormone is produced by the placenta?

Estrogen

An expectant mother is at her first prenatal visit. She informs the nurse that she smokes cigarettes but has cut back to approximately 10 cigarettes per week and asks if she may continue to smoke this many per week. What would be the best response?

"Factors such as smoking and alcohol use may adversely affect your baby's development

The nursing instructor is teaching student nurses about the process of fertilization. Which statement by the student nurse indicates effective learning?

"Fertilization takes place in the outer third of the fallopian tube." The process of fertilization takes place when the sperm penetrates the ovum and then unites to form a zygote. It usually occurs in the outer third of the fallopian tube, near the ovary. After entering into the cervix, the sperm remains alive and is capable of fertilizing the ovum for up to 5 days. The ovum can survive up to 24 hours after ovulation to be fertilized by the sperm. Immediately after fertilization, a chemical change takes place that inhibits other sperm from entering the membrane of the ovum. Therefore, a sperm cannot enter the membrane after fertilization.

The nursing instructor is teaching student nurses about the male reproductive system. Which statement by the student nurse indicates the need for further teaching?

"Smegma acts as a passageway for the sperm

After reviewing the laboratory reports of a newborn, the nurse interprets that the newborn has a reduced number of pancreatic beta cells due to intrauterine growth restriction. Which finding enabled the nurse to reach this conclusion?

Altered insulin levels

The nurse is caring for a patient who reports vaginal dryness during intercourse. What could be the reason for this discomfort in the patient?

Decreased secretions of the Bartholin glands The Bartholin glands are the glands present in the vaginal vestibule of the female reproductive system. These glands help in lubricating the vaginal introitus during sexual intercourse. Decrease in secretions of the Bartholin glands leads to vaginal dryness and discomfort during intercourse.

What is the first outward change observed in females at the onset of puberty?

Breast development

During which phase of sexual intercourse do the woman's nipples become erect along with an increase in the heart rate and blood pressure?

Excitement

The nurse is caring for a patient who is diagnosed with infertility due to the absence of spermatogenesis. What reason does the nurse expect to have caused the absence of spermatogenesis?

Increased temperature around the testes

The laboratory reports of a patient indicate that the patient has decreased spermatogenesis. What does the nurse examine to confirm decreased spermatogenesis activity in the patient?

Scrotum

The nurse is caring for a pregnant patient who had a fall and sustained a mild injury to the abdomen. Examination revealed no injury to the fetus. Which factor could have prevented fetal injury in this case?

The amniotic fluid acts as a cushion and protects the fetus from injury.

A 30-year-old pregnant patient is at 12 weeks of gestation. The patient already has 5 girls and asks the nurse, "Do you think I'll have a boy? If I don't have a boy this time, my husband will probably divorce me." What is the best response given by the nurse?

The father's sperm determines if the baby is a male or female."

What is the most appropriate response from a nurse when a mother reports that her 10-year-old daughter's breasts recently began to develop and asks when her daughter might begin to menstruate?

The first menstrual period will most likely occur when she is around 12 years old." The first menstrual period (menarche) occurs 2 to 2½ years after breast development. The menstrual cycle normally begins between ages 10 and 12 years.

Which statements are true about puberty? Select all that apply.

The first outward change of puberty for a girl is the development of breasts. Testosterone causes boys to develop secondary sex characteristics. The first menstrual period in females occurs 2 to 2½ years after development of breasts.

While collecting the data of a 19-year-old patient, the nurse finds that the patient is producingsmegma. Which finding enabled the nurse to make such conclusion?

The patient has a cheese-like substance under the foreskin. Smegma is a cheese-like subcutaneous secretion that can be observed under the foreskin of the penis. It can be easily removed by following basic hygienic techniques. Smegma is a normal secretion around the penis and it does not cause erectile dysfunction, pain during erection, or rashes under the foreskin.

After collecting data on a pregnant patient, the nurse concludes that the fetus may be at risk of a neural tube defect. Which finding enabled the nurse to reach this conclusion?

The patient is not taking folic acid supplements

On reviewing the medical history of a patient before labor, the nurse learns that the patient had a pelvic fracture during an accident. What does the nurse expect as a consequence of this finding?

The patient may require a cesarean section.

What would be the consequence if the corpus luteum fails to persist following the conception?

The pregnancy would abort

The nurse is reinforcing knowledge by teaching a group of women about female hygiene. Which teaching should the nurse include about vaginal hygiene?

The vagina is self-cleansing

What is the usual site of implantation of the zygote?

Upper section of the posterior uterine wall

The nurse is caring for a pregnant patient at 3 weeks of gestation. The patient tells the nurse, "I really want to know the sex of my baby." Which response does the nurse gives to the patient?

You have to wait until 17 weeks of gestation."

The nurse is collecting data on a patient who wants to conceive and finds that she has a positive ovulation test. The patient informs the nurse that she had intercourse 3 days previously. Which is the most suitable response given by the nurse to the patient?

You should take a home pregnancy test after a month