Question 1

A woman asks the nurse,"What protects my baby's umbilical cord from being squashed while the baby's inside of me?" What is the nurse's best response?

Accepted Answer

A)  "Your baby's umbilical cord is surrounded by connective tissue called Wharton's jelly,which prevents compression of the blood vessels." 
B)  "Your baby's umbilical cord floats around in blood and amniotic fluid." 
C)  "You don't need to be worrying about things like that." 
D)  "The umbilical cord is a group of blood vessels that are very well protected by the placenta." 
A)  "Your baby's umbilical cord is surrounded by connective tissue called Wharton's jelly,which prevents compression of the blood vessels." 
B)  "Your baby's umbilical cord floats around in blood and amniotic fluid." 
C)  "You don't need to be worrying about things like that." 
D)  "The umbilical cord is a group of blood vessels that are very well protected by the placenta." A

Question 2

A new mother asks the nurse about the "white substance" covering her infant.How should the nurse explain the purpose of vernix caseosa?

Accepted Answer

A)  Vernix caseosa protects the fetal skin from the amniotic fluid. 
B)  Vernix caseosa promotes the normal development of the peripheral nervous system. 
C)  Vernix caseosa allows the transport of oxygen and nutrients across the amnion. 
D)  Vernix caseosa regulates fetal temperature. 
A)  Vernix caseosa protects the fetal skin from the amniotic fluid. 
B)  Vernix caseosa promotes the normal development of the peripheral nervous system. 
C)  Vernix caseosa allows the transport of oxygen and nutrients across the amnion. 
D)  Vernix caseosa regulates fetal temperature. A

Question 3

Which statement regarding the structure and function of the placenta is correct?

Accepted Answer

A)  Produces nutrients for fetal nutrition 
B)  Secretes both estrogen and progesterone 
C)  Forms a protective,impenetrable barrier to microorganisms such as bacteria and viruses 
D)  Excretes prolactin and insulin 
A)  Produces nutrients for fetal nutrition 
B)  Secretes both estrogen and progesterone 
C)  Forms a protective,impenetrable barrier to microorganisms such as bacteria and viruses 
D)  Excretes prolactin and insulin B

Question 4

Which structure is responsible for oxygen and carbon dioxide transport to and from the maternal bloodstream?

Accepted Answer

A)  Decidua basalis 
B)  Blastocyst 
C)  Germ layer 
D)  Chorionic villi 
A)  Decidua basalis 
B)  Blastocyst 
C)  Germ layer 
D)  Chorionic villi

Question 5

The measurement of lecithin in relation to sphingomyelin (lecithin/sphingomyelin [L/S] ratio)is used to determine fetal lung maturity.Which ratio reflects fetal maturity of the lungs?

Accepted Answer

A)  1.4:1 
B)  1.8:1 
C)  2:1 
D)  1:1 
A)  1.4:1 
B)  1.8:1 
C)  2:1 
D)  1:1

Question 6

The pancreas forms in the foregut during the 5th to 8th week of gestation.A client with poorly controlled gestational diabetes asks the nurse what the effects of her condition will be on the fetus.What is the best response by the nurse? Poorly controlled maternal gestational diabetes will:

Accepted Answer

A)  produce fetal hypoglycemia. 
B)  result in a macrocosmic fetus. 
C)  result in a microcosmic fetus. 
D)  enhance lung maturation. 
A)  produce fetal hypoglycemia. 
B)  result in a macrocosmic fetus. 
C)  result in a microcosmic fetus. 
D)  enhance lung maturation.

Question 7

A woman who is 16 weeks pregnant asks the nurse,"Is it possible to tell by ultrasound if the baby is a boy or girl yet?" What is the best answer?

Accepted Answer

A)  "A baby's sex is determined as soon as conception occurs." 
B)  "The baby has developed enough to enable us to determine the sex by examining the genitals through an ultrasound scan." 
C)  "Boys and girls look alike until approximately 20 weeks after conception,and then they begin to look different." 
D)  "It might be possible to determine your baby's sex,but the external organs look very similar right now." 
A)  "A baby's sex is determined as soon as conception occurs." 
B)  "The baby has developed enough to enable us to determine the sex by examining the genitals through an ultrasound scan." 
C)  "Boys and girls look alike until approximately 20 weeks after conception,and then they begin to look different." 
D)  "It might be possible to determine your baby's sex,but the external organs look very similar right now."

Question 8

Which statement concerning neurologic and sensory development in the fetus is correct?

Accepted Answer

A)  Brain waves have been recorded on an electroencephalogram as early as the end of the first trimester (12 weeks of gestation). 
B)  Fetuses respond to sound by 24 weeks of gestation and can be soothed by the sound of the mother's voice. 
C)  Eyes are first receptive to light at 34 to 36 weeks of gestation. 
D)  At term,the fetal brain is at least one third the size of an adult brain. 
A)  Brain waves have been recorded on an electroencephalogram as early as the end of the first trimester (12 weeks of gestation). 
B)  Fetuses respond to sound by 24 weeks of gestation and can be soothed by the sound of the mother's voice. 
C)  Eyes are first receptive to light at 34 to 36 weeks of gestation. 
D)  At term,the fetal brain is at least one third the size of an adult brain.

Question 9

The nurse caring for a pregnant client is evaluating health teaching regarding fetal circulation.Which statement from the client reassures the nurse that the teaching has been effective?

Accepted Answer

A)  "Optimal fetal circulation is achieved when I am in the side-lying position." 
B)  "Optimal fetal circulation is achieved when I am on my back with a pillow under my knees." 
C)  "Optimal fetal circulation is achieved when the head of the bed is elevated." 
D)  "Optimal fetal circulation is achieved when I am on my abdomen." 
A)  "Optimal fetal circulation is achieved when I am in the side-lying position." 
B)  "Optimal fetal circulation is achieved when I am on my back with a pillow under my knees." 
C)  "Optimal fetal circulation is achieved when the head of the bed is elevated." 
D)  "Optimal fetal circulation is achieved when I am on my abdomen."

Question 10

A pregnant woman at 25 weeks of gestation tells the nurse that she dropped a pan last week and her baby jumped at the noise.Which response by the nurse is most accurate?

Accepted Answer

A)  "That must have been a coincidence;babies can't respond like that." 
B)  "The fetus is demonstrating the aural reflex." 
C)  "Babies respond to sound starting at approximately 24 weeks of gestation." 
D)  "Let me know if it happens again;we need to report that to your midwife." 
A)  "That must have been a coincidence;babies can't respond like that." 
B)  "The fetus is demonstrating the aural reflex." 
C)  "Babies respond to sound starting at approximately 24 weeks of gestation." 
D)  "Let me know if it happens again;we need to report that to your midwife."

Question 11

A woman's cousin gave birth to an infant with a congenital heart anomaly.The woman asks the nurse when such anomalies occur during development.Which response by the nurse is most accurate?

Accepted Answer

A)  "We don't really know when such defects occur." 
B)  "It depends on what caused the defect." 
C)  "Defects occur between the third and fifth weeks of development." 
D)  "They usually occur in the first 2 weeks of development." 
A)  "We don't really know when such defects occur." 
B)  "It depends on what caused the defect." 
C)  "Defects occur between the third and fifth weeks of development." 
D)  "They usually occur in the first 2 weeks of development."

Question 12

The nurse knows that teaching about the natural family planning method of contraception was effective when the couple responds that an ovum is considered fertile for which period of time?

Accepted Answer

A)  6 to 8 hours 
B)  24 hours 
C)  2 to 3 days 
D)  1 week 
A)  6 to 8 hours 
B)  24 hours 
C)  2 to 3 days 
D)  1 week

Question 13

A woman in labor passes some thick meconium as her amniotic fluid ruptures.The client asks the nurse where the baby makes the meconium.What is the correct response by the nurse?

Accepted Answer

A)  Fetal intestines 
B)  Fetal kidneys 
C)  Amniotic fluid 
D)  Placenta 
A)  Fetal intestines 
B)  Fetal kidneys 
C)  Amniotic fluid 
D)  Placenta

Question 14

Which information regarding amniotic fluid is important for the nurse to understand?

Accepted Answer

A)  Amniotic fluid serves as a source of oral fluid and a repository for waste from the fetus. 
B)  Volume of the amniotic fluid remains approximately the same throughout the term of a healthy pregnancy. 
C)  The study of fetal cells in amniotic fluid yields little information. 
D)  A volume of more than 2 L of amniotic fluid is associated with fetal renal abnormalities. 
A)  Amniotic fluid serves as a source of oral fluid and a repository for waste from the fetus. 
B)  Volume of the amniotic fluid remains approximately the same throughout the term of a healthy pregnancy. 
C)  The study of fetal cells in amniotic fluid yields little information. 
D)  A volume of more than 2 L of amniotic fluid is associated with fetal renal abnormalities.

Question 15

Which statement regarding the development of the respiratory system is a high priority for the nurse to understand?

Accepted Answer

A)  The respiratory system does not begin developing until after the embryonic stage. 
B)  The infant's lungs are considered mature when the L/S ratio is 1:1,at approximately 32 weeks of gestation. 
C)  Maternal hypertension can reduce maternal-placental blood flow,accelerating lung maturity. 
D)  Fetal respiratory movements are not visible on ultrasound scans until at least 16 weeks of gestation. 
A)  The respiratory system does not begin developing until after the embryonic stage. 
B)  The infant's lungs are considered mature when the L/S ratio is 1:1,at approximately 32 weeks of gestation. 
C)  Maternal hypertension can reduce maternal-placental blood flow,accelerating lung maturity. 
D)  Fetal respiratory movements are not visible on ultrasound scans until at least 16 weeks of gestation.

Question 16

Relating to the fetal circulatory system,which special characteristics allow the fetus to obtain enough oxygen from the maternal blood? (Select all that apply. )

Accepted Answer

A)  Fetal hemoglobin (Hb)carries 20% to 30% more oxygen than maternal Hb. 
B)  Fetal Hb carries 40% to 50% more oxygen than maternal Hb. 
C)  Hb concentration is 50% higher than that of the mother. 
D)  Fetal heart rate is 110 to 160 beats per minute. 
E)  Fetal heart rate is 160 to 200 beats per minute. 
A)  Fetal hemoglobin (Hb)carries 20% to 30% more oxygen than maternal Hb. 
B)  Fetal Hb carries 40% to 50% more oxygen than maternal Hb. 
C)  Hb concentration is 50% higher than that of the mother. 
D)  Fetal heart rate is 110 to 160 beats per minute. 
E)  Fetal heart rate is 160 to 200 beats per minute.

Question 17

What kind of fetal anomalies are most often associated with oligohydramnios?

Accepted Answer

A)  Renal 
B)  Cardiac 
C)  Gastrointestinal 
D)  Neurologic 
A)  Renal 
B)  Cardiac 
C)  Gastrointestinal 
D)  Neurologic

Question 18

The various systems and organs of the fetus develop at different stages.Which statement is most accurate?

Accepted Answer

A)  Cardiovascular system is the first organ system to function in the developing human. 
B)  Hematopoiesis originating in the yolk sac begins in the liver at 10 weeks of gestation. 
C)  Body changes from straight to C-shape occurs at 8 weeks of gestation. 
D)  Gastrointestinal system is mature at 32 weeks of gestation. 
A)  Cardiovascular system is the first organ system to function in the developing human. 
B)  Hematopoiesis originating in the yolk sac begins in the liver at 10 weeks of gestation. 
C)  Body changes from straight to C-shape occurs at 8 weeks of gestation. 
D)  Gastrointestinal system is mature at 32 weeks of gestation.

Question 19

A client arrives for her initial prenatal examination.This is her first child.She asks the nurse,"How does my baby get air inside my uterus?" What is the correct response by the nurse?

Accepted Answer

A)  "The baby's lungs work in utero to exchange oxygen and carbon dioxide." 
B)  "The baby absorbs oxygen from your blood system." 
C)  "The placenta provides oxygen to the baby and excretes carbon dioxide into your bloodstream." 
D)  "The placenta delivers oxygen-rich blood through the umbilical artery to the baby's abdomen." 
A)  "The baby's lungs work in utero to exchange oxygen and carbon dioxide." 
B)  "The baby absorbs oxygen from your blood system." 
C)  "The placenta provides oxygen to the baby and excretes carbon dioxide into your bloodstream." 
D)  "The placenta delivers oxygen-rich blood through the umbilical artery to the baby's abdomen."

Question 20

A woman who is 8 months pregnant asks the nurse,"Does my baby have any antibodies to fight infection?" What is the most appropriate response by the nurse?

Accepted Answer

A)  "Your baby has all the immunoglobulins necessary: immunoglobulin G (IgG),immunoglobulin M (IgM),and immunoglobulin A (Ig
A) ." 
B)  "Your baby won't receive any antibodies until he is born and you breastfeed him." 
C)  "Your baby does not have any antibodies to fight infection." 
D)  "Your baby has IgG and IgM." 
A)  "Your baby has all the immunoglobulins necessary: immunoglobulin G (IgG),immunoglobulin M (IgM),and immunoglobulin A (Ig
A) ." 
B)  "Your baby won't receive any antibodies until he is born and you breastfeed him." 
C)  "Your baby does not have any antibodies to fight infection." 
D)  "Your baby has IgG and IgM."

Exam 12: Conception and Fetal Development

A woman asks the nurse,"What protects my baby's umbilical cord from being squashed while the baby's inside of me?" What is the nurse's best response?

A new mother asks the nurse about the "white substance" covering her infant.How should the nurse explain the purpose of vernix caseosa?

Which statement regarding the structure and function of the placenta is correct?

Which structure is responsible for oxygen and carbon dioxide transport to and from the maternal bloodstream?

The measurement of lecithin in relation to sphingomyelin (lecithin/sphingomyelin [L/S] ratio)is used to determine fetal lung maturity.Which ratio reflects fetal maturity of the lungs?

The pancreas forms in the foregut during the 5th to 8th week of gestation.A client with poorly controlled gestational diabetes asks the nurse what the effects of her condition will be on the fetus.What is the best response by the nurse? Poorly controlled maternal gestational diabetes will:

A woman who is 16 weeks pregnant asks the nurse,"Is it possible to tell by ultrasound if the baby is a boy or girl yet?" What is the best answer?

Which statement concerning neurologic and sensory development in the fetus is correct?

The nurse caring for a pregnant client is evaluating health teaching regarding fetal circulation.Which statement from the client reassures the nurse that the teaching has been effective?

A pregnant woman at 25 weeks of gestation tells the nurse that she dropped a pan last week and her baby jumped at the noise.Which response by the nurse is most accurate?

A woman's cousin gave birth to an infant with a congenital heart anomaly.The woman asks the nurse when such anomalies occur during development.Which response by the nurse is most accurate?

The nurse knows that teaching about the natural family planning method of contraception was effective when the couple responds that an ovum is considered fertile for which period of time?

A woman in labor passes some thick meconium as her amniotic fluid ruptures.The client asks the nurse where the baby makes the meconium.What is the correct response by the nurse?

Which information regarding amniotic fluid is important for the nurse to understand?

Which statement regarding the development of the respiratory system is a high priority for the nurse to understand?

Relating to the fetal circulatory system,which special characteristics allow the fetus to obtain enough oxygen from the maternal blood? (Select all that apply. )

What kind of fetal anomalies are most often associated with oligohydramnios?

The various systems and organs of the fetus develop at different stages.Which statement is most accurate?

A client arrives for her initial prenatal examination.This is her first child.She asks the nurse,"How does my baby get air inside my uterus?" What is the correct response by the nurse?

A woman who is 8 months pregnant asks the nurse,"Does my baby have any antibodies to fight infection?" What is the most appropriate response by the nurse?

21st Century Maternity and Womens Health Nursing

Community Care: the Family and Culture

Nursing and Genomics

Assessment and Health Promotion

Violence Against Women

Reproductive System Concerns

Sexually Transmitted and Other Infections

Contraception and Abortion

Infertility

Problems of the Breast

Structural Disorders and Neoplasms of the Reproductive System

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Postpartum Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Assessment of High Risk Pregnancy

Hypertensive Disorders

Hemorrhagic Disorders

Endocrine and Metabolic Disorders

Medical-Surgical Disorders

Mental Health Disorders and Substance Abuse

Labor and Birth Complications

Postpartum Complications

Nursing Care of the High Risk Newborn

Acquired Problems of the Newborn

Hemolytic Disorders and Congenital Anomalies

Perinatal Loss, bereavement, and Grief

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