Ch 24 Reproductive System

The nurse is preparing to teach a prenatal class about fetal circulation. Which statements should be included in the teaching plan? Select all that apply. 1. "the ductus arteriosus allows blood to bypass the fetal lungs" 2. "one vein carries oxygenated blood from the placenta to the fetus" 3. "the normal fetal heart tone range is 140 to 160 beats per minute in early pregnancy" 4. "two arteries carry deoxygenated blood and waste products away from the fetus" 5. "two veins carry blood that is high in carbon dioxide and other waste products away from the fetus to the placenta"

1. "the ductus arteriosus allows blood to bypass the fetal lungs" 2. "one vein carries oxygenated blood from the placenta to the fetus" 4. "two arteries carry deoxygenated blood and waste products away from the fetus"

The nursing instructor asks a nursing student to explain the characteristics of the amniotic fluid. The student responds correctly by explaining which as characteristics of amniotic fluid? Select all that apply. 1. allows for fetal movement 2. surrounds, cushions, and protects the fetus 3. maintains the body temperature of the fetus 4. can be used to measure fetal kidney function 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 the fetus

1. allows for fetal movement 2. surrounds, cushions, and protects the fetus 3. maintains the body temperature of the fetus 4. can be used to measure fetal kidney function

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 informs the client that she should be able to find out the sex at 12 weeks gestation because of which factor? 1. the appearance of the fetal external genitalia 2. the beginning of differentiation in the fetal groin 3. the fetal testes are descended into the scrotal sac 4. the internal differences in males and females become apparent

1. the appearance of the fetal external genitalia

A couple comes to the family planning clinic and asks about sterilization procedures. Which question by the nurse should determine whether this method of family planning would be most appropriate? 1. "did you ever have surgery?" 2. "do you plan to have any other children?" 3. "do either of you have diabetes mellitus?" 4. "do either of you have problems with high blood pressure?"

2. "do you plan to have any other children?"

A 55 yr old male client confides in the nurse that he is concerned about his sexual function. What is the nurse's best response? 1. "how often do you have sexual relations?" 2. "please share with me more about your concerns" 3. "you are still young and have nothing to be concerned about" 4. "you should not have a decline in testosterone until you are in your 80s"

2. "please share with me more about your concerns"

The nurse should make which statement to a pregnant client found to have a gynecoid pelvis? 1. "your type of pelvis has a narrow pubic arch" 2. "your type of pelvis is the most favorable for labor and birth" 3. "your type of pelvis is a wide pelvis, but is has a short diameter" 4. "you will need a cesarean section because this type of pelvis is not favorable for a vaginal delivery"

2. "your type of pelvis is the most favorable for labor and birth"

The nursing instructor asks the student to describe fetal circulation, specifically the ductus venosus. Which statement by the student indicates an understanding of the ductus venosus? 1. "it connects the pulmonary artery to the aorta" 2. "it is an opening between the right and left atria" 3. "it connects the umbilical vein to the inferior vena cava" 4. "it connects the umbilical artery to the inferior vena cava"

3. "it connects the umbilical vein to the inferior vena cava"

The 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, what is the nurse's best response? 1. "it promotes the fertilized ovum's chances of survival" 2. "it promotes the fertilized ovum's exposure to estrogen and progesterone" 3. "it promotes the fertilized ovum's normal implantation in the top portion of the uterus" 4. "it promotes the fertilized ovum's exposure to luteinizing hormone and follicle-stimulating hormone"

3. "it promotes the fertilized ovum's normal implantation in the top portion of the uterus"

Which purposes of placental functioning should the nurse include in a prenatal class? Select all that apply. 1. it cushions and protects the baby 2. it maintains the temperature of the baby 3. it is the way the baby gets food and oxygen 4. it prevents all antibodies and viruses from passing to the baby 5. it provides an exchange of nutrients and waste products between the mother and developing fetus

3. it is the way the baby gets food and oxygen 5. it provides an exchange of nutrients and waste products between the mother and developing fetus

The nurse is performing an assessment on a client who is at 38 weeks gestation and notes that the fetal heart rate (FHR) is 174 beats/minute. On the basis of this finding, what is the priority nursing action? 1. document the finding 2. check the mother's heart rate 3. notify the HCP 4. tell the client that the fetal heart rate is normal

3. notify the HCP