MATERNITY EVOLVE ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

MATERNITY EVOLVE ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ The first outward change of puberty in females is: A. breast development B. broadening of the hips C. appearance of pubic hair D. the first menstrual period - ANSWER- A. breast development Ovulation generally occurs: A. 7 days before the end of menstruation. B. 7 days after the last day of menstruation. C. 14 days after the last day of the menstrual cycle. D. 14 days before the onset of the next menstrual cycle. - ANSWER- D. 14 days before the onset of the next menstrual cycle. A mother reports that her 10-year-old daughter's breasts recently began to develop and asks when her daughter might begin to menstruate. The nurse instructs her that: A. "It will be several years before her menstrual cycle begins." B. "Your daughter's menstrual cycle most likely has already started." C. "There is no way to know when to expect her menstrual cycle to begin." D. "The first menstrual period will most likely occur when she is around 12 years old." - ANSWER- D. "The first menstrual period will most likely occur when she is around 12 years old." Testosterone has what effect(s) not related to reproduction? Select all that apply. A. Increases sebum production B. Decreases hematocrit in males C. Decreases basal metabolic rate D. Promotes growth of long bones E. Increases muscle mass and strength - ANSWER- A. Increases sebum production D. Promotes growth of long bones E. Increases muscle mass and strength The tissue between the vaginal orifice and the anus is known as the ____________. - ANSWER- perineum The usual site of implantation is the: A. edge of the inner cervical os B. outer third of the fallopian (uterine) tube C. lower section of the posterior uterine wall D. upper section of the posterior uterine wall - ANSWER- D. upper section of the posterior uterine wall An expectant mother is at her first prenatal visit. She informs the nurse that she smokes cigarettes, but has cut back to approximately 10 cigarettes per week and asks if she could continue to do so. What would be the best response? A. "That is something you should ask the physician" B. "You should decrease the amount of cigarettes you smoke." C. "Occasional smoking is not proven to be harmful during pregnancy." D. "Factors such as smoking and alcohol use may adversely affect your baby's development." - ANSWER- D. "Factors such as smoking and alcohol use may adversely affect your baby's development." A pregnant woman having an ultrasound at 8 weeks of gestation asks the nurse if she could learn her expectant child's sex. The most accurate response would be: A. "Yes, we will be able to tell the sex of your child." B. "No, the sex organs have not yet started to develop." C. "We will have to wait until the birth of your child to know for sure." D. "The tenth week is when the external genitalia are visible on ultrasound." - ANSWER- D. "The tenth week is when the external genitalia are visible on ultrasound." What function(s) does the amniotic fluid have? Select all that apply. A. Allows buoyancy and fetal movement B. Nourishes the fetus C. Maintains an even temperature D. Allows for symmetrical growth E. Provides for fetal circulation - ANSWER- A. Allows buoyancy and fetal movement C. Maintains an even temperature D. Allows for symmetrical growth The fetal nervous system is formed by the germ layer known as the _____________. - ANSWER- ectoderm Which group of symptoms are abnormal changes during pregnancy? A. Constipation, nausea, cramping, weight gain B. Vaginal bleeding, blurred vision, and leaking of amniotic fluid C. Breast enlargement, headache, cramping, and urinary frequency D. Nasal stuffiness, increased vaginal discharge, and skin discoloration - ANSWER- B. Vaginal bleeding, blurred vision, and leaking of amniotic fluid At what time during pregnancy would patient education focus mainly on physiologic changes, fetal development, and sexuality during pregnancy, and nutrition? A. Before conception B. During the first trimester C. During the second trimester D. During the third trimester - ANSWER- B. During the first trimester Chloasma is an irregular hyperpigmentation of areas on the: A. chest, neck, arms, and legs B. breasts, areola, and nipples. C. cheeks, forehead, and nose. D. abdomen, breasts, and thighs- ANSWER- C. cheeks, forehead, and nose What are the positive signs of pregnancy? Select all that apply. A. Fetal heart activity B. Positive serum pregnancy test C. Fetal movements felt by mother D. Fetal outline identified by palpation E. Visualization of fetus with ultrasound - ANSWER- A. Fetal heart activity E. Visualization of fetus with ultrasound Varicosities of the rectum and anus that become more severe with constipation and with descent of the infant's head into the pelvis are called _____________________. - ANSWER- hemorrhoids Progression from preeclampsia to eclampsia is defined as: A. onset of diplopia and headache B. blood pressure of 150/100 mm Hg or above C. presence of facial edema and proteinuria D. One or more generalized tonic-clonic seizures. - ANSWER- D. one or more generalized tonic-clonic seizures. A patient is 28 weeks pregnant and has pregnancy-induced hypertension. Which symptom would indicate that her condition is worsening? A. Epigastria pain B. Dependent edema C. Feelings of lethargy D. Blood pressure of 138/90 mm Hg - ANSWER- A. Epigastria pain What is the best description of hemolytic disease of the fetus and newborn? A. An immune reaction of the fetus' blood against the blood group factor on the mother's red blood cells B. An immune reaction by the mother's blood against the blood group factor on the fetus' red blood cells C. Rh incompatibility disease that results in a hemoglobin value of 10 g or less in the fetus or newborn D. Rh disease that results in sickle cell disease in the fetus or newborn - ANSWER- B. An immune reaction by the mother's blood against the blood group factor on the fetus' red blood cells What are the predisposing factors for abruptio placentae? Select all that apply. A. Hypertension B. Poor nutrition C. Foliate deficiency D. Cigarette smoking E. Abdominal trauma - ANSWER- A. Hypertension