Conception And Prenatal Development

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Maternity and Women’s Health Care Today
Social, Ethical, and Legal Issues
Reproductive Anatomy and Physiology
Hereditary and Environmental Influences on Childbearing
Conception and Prenatal Development
Maternal Adaptations to Pregnancy
Antepartum Assessment, Care, and Education
Nutrition for Childbearing
Assessing the Fetus
Complications of Pregnancy
The Childbearing Family with Special Needs
Processes of Birth
Pain Management During Childbirth
Intrapartum Fetal Surveillance
Nursing Care During Labor and Birth
Intrapartum Complications
Postpartum Adaptations and Nursing Care
Postpartum Maternal Complications
Normal Newborn: Processes of Adaptation
Assessment of the Normal Newborn
Care of the Normal Newborn
Infant Feeding
High-Risk Newborn: Complications Associated with Gestational Age and Development
High-Risk Newborn: Acquired and Congenital Conditions
Family Planning
Infertility
Women’s Health

All Questions

Question 1

Free

Multiple Choice

An expectant father asks the nurse, "Which part of the mature sperm contains the male chromosome?" What is the correct response by the nurse?

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X-bearing sperm

The tail of the sperm

The head of the sperm

The middle portion of the sperm

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Question 2

Free

Multiple Choice

One of the assessments performed in the birth room is checking the umbilical cord for blood vessels. Which finding is considered to be within normal limits?

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One artery and one vein

Two veins and one artery

Two arteries and one vein

Two arteries and two veins

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Question 3

Free

Multiple Choice

What is the purpose of the ovum's zona pellucida?

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Prevents multiple sperm from fertilizing the ovum

Stimulates the ovum to begin mitotic cell division

Allows the 46 chromosomes from each gamete to merge

Makes a pathway for more than one sperm to reach the ovum

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Question 4

Free

Multiple Choice

The nurse is explaining the process of cell division during the preembryonic period to a group of nursing students. Which statement best describes the characteristics of the morula?

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Fertilized ovum before mitosis begins

Double layer of cells that becomes the placenta

Flattened, disk-shaped layer of cells within a fluid-filled sphere

Solid ball composed of the first cells formed after fertilization

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Question 5

Free

Multiple Choice

The upper uterus is the best place for the fertilized ovum to implant due to which anatomical adaptation?

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Maternal blood flow is lower.

Placenta attaches most firmly.

Uterine endometrium is softer.

Developing baby is best nourished.

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Question 6

Multiple Choice

Some of the embryo's intestines remain within the umbilical cord during the embryonic period because the

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intestines need this time to grow until week 15.

nutrient content of the blood is higher in this location.

abdomen is too small to contain all the organs while they are developing.

umbilical cord is much larger at this time than it will be at the end of pregnancy.

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Question 7

Multiple Choice

A patient who is 16 weeks pregnant with her first baby asks how long it will be before she feels the baby move. Which is the nurse's best answer?

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"You should have felt the baby move by now."

"The baby is moving, but you can't feel it yet."

"Some babies are quiet and you don't feel them move."

"Within the next month you should start to feel fluttering sensations."

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Question 8

Multiple Choice

Which statement best describes the changes that occur during the fetal period of development?

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Maturation of organ systems

Development of basic organ systems

Resistance of organs to damage from external agents

Development of placental oxygen-carbon dioxide exchange

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Question 9

Multiple Choice

An expectant mother says to the nurse, "When my sister's baby was born, it was covered in a cheese-like coating. What is the purpose of this coating?" The correct response by the nurse is to explain that the purpose of vernix caseosa is to

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regulate fetal temperature.

protect the fetal skin from amniotic fluid.

promote normal peripheral nervous system development.

allow the transport of oxygen and nutrients across the amnion.

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Question 10

Multiple Choice

An expectant mother, diagnosed with oligohydramnios, asks the nurse what this condition means for the baby. Which statement should the nurse provide for the patient?

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Oligohydramnios can cause poor fetal lung development.

Oligohydramnios means that the fetus is excreting excessive urine.

Oligohydramnios could mean that the fetus has a gastrointestinal blockage.

Oligohydramnios is associated with fetal central nervous system abnormalities.

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Question 11

Multiple Choice

The nurse is conducting a staff in-service on multifetal pregnancy. Which statement regarding dizygotic twin development should the nurse include in the teaching session?

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Dizygotic twins arise from two fertilized ova and are the same sex.

Dizygotic twins arise from a single fertilized ovum and are always of the same sex.

Dizygotic twins arise from two fertilized ova and may be the same sex or different sexes.

Dizygotic twins arise from a single fertilized ovum and may be the same sex or different sexes.

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Question 12

Multiple Choice

An infant is diagnosed with fetal anemia. Which information would support this clinical diagnosis?

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Presence of excess maternal hormones

Maternal blood type O-negative, Rh-negative, and infant blood type O-negative, Rh-negative

Passive immunity

Rh-negative mother and Rh-positive baby

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Question 13

Multiple Choice

The nurse is explaining the function of the placenta to a pregnant patient. Which statement indicates to the nurse that further clarification is necessary?

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"My baby gets oxygen from the placenta."

"The placenta functions to help excrete waste products."

"The nourishment that I take in passes through the placenta."

"The placenta helps maintain a stable temperature for my baby."

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Question 14

Multiple Choice

The nurse is assessing a newborn immediately after birth. After assigning the first Apgar score of 9, the nurse notes two vessels in the umbilical cord. What is the nurse's next action?

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Assess for other abnormalities of the infant.

Note the assessment finding in the infant's chart.

Notify the health care provider of the assessment finding.

Call for the neonatal resuscitation team to attend the infant immediately.

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Question 15

Multiple Choice

A pregnant patient asks the nurse how her baby gets oxygen to breathe. What is the nurse's best response?

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"Oxygen-rich blood is delivered through the umbilical vein to the baby."

"Take lots of deep breaths because the baby gets all of its oxygen from you."

"You don't need to be concerned about your baby getting enough oxygen."

"The baby's lungs are not mature enough to actually breathe, so don't worry."

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Question 16

Multiple Choice

Which physical characteristics decrease as the fetus nears term? (Select all that apply.)

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Vernix caseosa

Lanugo

Port wine stain

Brown fat

Eyebrows or head hair

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Question 17

Multiple Choice

Along with gas exchange and nutrient transfer, the placenta produces many hormones necessary for normal pregnancy, including which of the following? (Select all that apply.)

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Insulin

Estrogen

Progesterone

Testosterone

Human chorionic gonadotropin (hCG)

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Question 18

Multiple Choice

The nurse is planning a prenatal class on fetal development. Which characteristics of prenatal development should the nurse include for a fetus of 24 weeks, based on fertilization age? (Select all that apply.)

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Ear cartilage firm

Skin wrinkled and red

Testes descending toward the inguinal rings

Surfactant production nears mature levels

Fetal movement becoming progressively more noticeable

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Question 19

Multiple Choice

The nurse is explaining fetal circulation to a group of nursing students. Which information should be included in the teaching session? (Select all that apply.)

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After birth the ductus venosus remains open, but the other shunts close.

The foramen ovale shunts blood from the right atrium to the left atrium.

The ductus venosus shunts blood from the liver to the inferior vena cava.

The ductus arteriosus shunts blood from the right ventricle to the left ventricle.

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Question 20

Multiple Choice

A nurse is conducting prenatal education classes for a group of expectant parents. Which information should the nurse include in her discussion of the purpose of amniotic fluid? (Select all that apply.)

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Cushions the fetus

Protects the skin of the fetus

Provides nourishment for the fetus

Allows for buoyancy for fetal movement

Maintains a stable temperature for the fetus

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