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Exam (elaborations)

Safe Maternity and Pediatric Nursing Care Exam 2 Chapters 4-8

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Safe Maternity and Pediatric Nursing Care Exam 2 Chapters 4-8

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SAFE MATERNITY AND PEDIATRIC
NURSING CARE EXAM 2 CHAPTERS 4-8
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED
QUESTIONS AND
ANSWERS|NEWEST|GUARANTEED PASS
2026/2027
4. The embryo is termed a fetus at which stage of prenatal development?

a. 2 weeks
b. 4 weeks
c. 9 weeks
d. 16 weeks

9 weeks

The nurse is reviewing fetal circulation with a pregnant patient and explains that blood circulates
through the placenta to the fetus. What vessel(s) carry blood to the fetus?

a. One umbilical vein
b. Two umbilical veins
c. One umbilical artery
d. Two umbilical arteries

One umbilical vein

Where is the usual location for implantation of the zygote?

a. Upper section of the posterior uterine wall
b. Lower portion of the uterus near the cervical os
c. Inner third of the fallopian tube near the uterus
d. Lateral aspect of the uterine wall

Upper section of the posterior uterine wall

What is the embryonic membrane that contains fingerlike projections on its surface, which attach to the
uterine wall?



1|Page

,a. Amnion
b. Yolk sac
c. Chorion
d. Decidua basalis

Chorion

Which hormone is responsible for converting the endometrium into decidual cells for implantation?

a. Estrogen
b. Human chorionic gonadotropin c. Human placental lactogen
d. Progesterone

Progesterone

A patient asks the nurse when her infants heart will begin to pump blood. What will the nurse reply?

a. By the end of week 3
b. Beginning in week 8
c. At the end of week 16
d. Beginning in week 24

By the end of week 3

What organ does the ductus venous shunt blood away from in fetal circulation?
a. Liver
b. Heart
c. Lungs
d. Kidneys

Liver

What complication can result from untreated respiratory distress in the newborn?

a. Esophageal atresia
b. Gastric dilation
c. Cold stress
d. Reopening of the foramen ovale

Reopening of the foramen ovale

During an ultrasound, two amnions and two placentas are observed. What will be the most likely result
of this pregnancy?

a. Dizygotic twins
b. Monozygotic twins
c. Conjoined twins
d. High birth-weight twins


2|Page

,Dizygotic twins

A woman who is 25 weeks pregnant asks the nurse what her fetus looks like. What does the nurse
explain is one physical characteristic present in a 25-week-old fetus?

a. Lanugo covering the body
b. Constant motion
c. Skin that is pink and smooth
d. Eyes that are closed

Lanugo covering the body

At what point in prenatal development do the lungs begin to produce surfactant?

a. 17 weeks
b. 20 weeks
c. 25 weeks
d. 30 weeks

25 weeks

A woman missed her menstrual period 1 week ago and has come to the doctors office for a pregnancy
test. Which placental hormone is measured in pregnancy tests?

a. Progesterone
b. Estrogen
c. Human chorionic gonadotropin d. Human placental lactogen

Human chorionic gonadotropin

When preparing to teach a class about prenatal development, the nurse would include information
about folic acid supplementation. What is folic acid known to prevent?

a. Congenital heart defects
b. Neural tube defects
c. Mental retardation
d. Premature birth

Neural tube defects

The nurse is educating a class of expectant parents about fetal development. What is considered fetal
age of viability?

a. 14 weeks
b. 20 weeks
c. 25 weeks
d. 30 weeks

20 weeks
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, The nurse is presenting a conference on gene dominance. What does the nurse report as the percentage
of children carrying the dominant gene if one parent has a dominant gene and the other parent does
not?

a. 10%
b. 25%
c. 50%
d. 100%

50%

The nurse explains that the birth weight of monozygotic twins is frequently below average. What is the
most likely cause?

a. Inadequate space in the uterus b. Inadequate blood supply
c. Inadequate maternal health
d. Inadequate placental nutrition

Inadequate placental nutrition

The school nurse is counseling a group of adolescent girls. What does the nurse explain about sperm
ejaculated near the cervix?

a. They are destroyed by the acidic pH of the vagina.

b. They survive up to 5 days and can cause pregnancy.

c. They lose their motility in about 12 hours after intercourse.

d. They are usually pushed out of the vagina by the muscular action of the vaginal wall.

They survive up to 5 days and can cause pregnancy.

What does the nurse explain can affect the survival of the X- and Y-bearing sperm after intercourse?

a. Age
b. Estrogen level
c. Body temperature
d. Level of feminine hygiene

Estrogen level

Of what is the normal umbilical cord comprised?

a. 1 artery carrying blood to the fetus and 1 vein carrying blood away from the fetus

b. 1 artery carrying blood to the fetus and 2 veins carrying blood away from the fetus


4|Page

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