answers 2025/2026(passing score guarantee)
The nurse is preparing to teach a prenatal class about fetal circulation. Which statements housed be
included in the teaching plan? Select all
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 to the placenta
5: two veins carry blood that is high in carbon dioxide and other waste products away from the fetus to
the placenta - Answer 1, 2, 4
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 - Answer 3.
A pregnant client tells the clinic nurse that she wants to know the sex of the 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 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 becomes apparent - Answer 1
The nurse is performing an assessment on a client who is at 38 week's gestation and notes that the fetal
heart rate is 174 beats/minute. On the basis of this finding, what is the priority nursing action?
1: document the findings
2: check the mother's heart rate
,3: notify the health care provider
4: tell the client that the fetal heart rate is normal - Answer 3
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 -
Answer 3
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?
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 fetus - Answer 1, 2, 3,
4
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 - Answer 2
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 it has a short diameter
4: you will need a cesarean section because this type of pelvis is not favorable for a vaginal delivery -
Answer 2
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. -
Answer 3, 5
A 55-year-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 - Answer 2
The nurse is providing instructions to a pregnant client who is scheduled for an amniocentesis. What
instruction should the nurse provide?
1: strict bed rest is required after the procedure
2: hospitalization is necessary for 24 hours after the procedure
3: an informed consent needs to be signed before the procedure
4: a fever is to be expected after the procedure because of the trauma to the abdomen - Answer 3
A pregnant client in the first trimester calls the nurse at a health care clinic and reports that she has
noticed a thin, colorless vaginal drainage. The nurse should make which statement to the client?
1: come to the clinic immediately
, 2: the vaginal discharge may be bothersome, but is a normal occurrence
3: report to the emergency department at the maternity center immediately
4: use tampons if the discharge is bothersome, but be sure to change the tampons every 2 hours -
Answer 2
A non stress test is performed on a client who is pregnant, and the results of the test indicate non-
reactive findings. The health care provider prescribes a contraction stress test, and the results are
documented as negative. How should the nurse document this finding?
1: a normal test result
2: an abnormal test result
3: a high risk for fetal demise
4: the need for a cesarean section - Answer 1
A rubella titer result of a 1-day postpartum client is less than 1:8 and a rubella virus vaccine is prescribed
to be administered before discharge. The nurse provides which information to the client about the
vaccine? Select all
1: breast-feeding needs to be stopped for 3 months
2: pregnancy needs to be avoided for 1 to 3 months
3: the vaccine is administered by the subcutaneous route
4: exposure to immunosuppressed individuals needs to be avoided
5: a hypersensitivity reaction can occur if the client has an allergy to eggs
6: the area of the injection needs to be covered with a sterile gauze for 1 week - Answer 2, 3, 4, 5
A nurse in a health care clinic is instructing a pregnant client how to perform "kick counts." Which
statement by the client indicates a need for further instructions?
1: I will record the number of movements or kicks
2: I need to lie flat on my back to perform the procedure
3: if I count fewer than 10 kicks in a 2-hour period, I should count the kicks again over the next 2-hours
4: I should place my hands on the largest part of my abdomen and concentrate on the fetal movements
and count the kicks - Answer 2