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Maternity and Pediatric Nursing Test Bank (Full Test Bank, 100% Verified) 2024

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Maternity and Pediatric Nursing Test Bank (Full Test Bank, 100% Verified) 2024

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Maternity and Pediatric Nursing Test Bank (Full Test
Bank, 100% Verified) 2024
The normal volume of amniotic fluid is approximately _______ mL at 37 weeks of
gestation - ANSWER-1,000

What will the prenatal visit schedule for a woman with an uncomplicated pregnancy? -
ANSWER-Every 4 weeks until 28 weeks, then every 2 weeks until 36 weeks, then
weekly until delivery

The usual location of fertilization is? - ANSWER-the fallopian tube

Twins that share the same placenta in the uterus are? - ANSWER-monozygotic

A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with
a client. Which of the following statements by the newly licensed nurse requires
intervention by the nurse? - ANSWER-Sperm remain viable in the woman's reproductive
tract for 4 to 5 days

A nurse is caring for a patient who tells the nurse that she thinks she might be pregnant
because she is able to feel the baby move. Which of the following statements should
the nurse make? - ANSWER-This is a probable sign of pregnancy

A nurse is caring for a client who has just learned she is pregnant. The nurse should
reinforce with the client to call her provider if she experiences which of the following
manifestations? - ANSWER-Facial edema

The three phases of pregnancy are - ANSWER-antepartum, intrapartum and
postpartum

The muscular layer of the uterus that is the functional unit in pregnancy and labor is the
? - ANSWER-myometrium

A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is happy
about being pregnant. Which of the following responses should the nurse make? -
ANSWER-It is normal to have these feelings during the first few months of pregnancy

Which one of the following is a fetal shunt that aids in fetal circulation? - ANSWER-
Foramen ovale

The ovaries secrete the following hormones during the menstrual cycle? - ANSWER-
Progesterone and Estrogen

What hormone initiates the maturation of the ovarian follicle? - ANSWER-FSH

,A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28
weeks of gestation. The client's history reveals on pregnancy terminated by elective
abortion at 9 weeks; the birth of twins at 36 weeks; and a spontaneous abortion at 15
weeks gestation. According to the GTPAL system, which of the following decreases her
present party? - ANSWER-G4 T0 P1 A2 L2

Most fetal blood bypasses circulation to the lungs by way of the - ANSWER-foramen
ovale

The hormone first detected by a blood test about 11 days after conception and in urine
tests about 12-14 days after conception is? - ANSWER-hCG

A decrease in estrogen and progesterone during the menstrual cycle results in what? -
ANSWER-Shedding of the endometrium

A pregnant woman states, "My husband hopes I will give him a boy because we have
three girls". What will the nurse explain to this woman? - ANSWER-If a sperm carrying a
Y chromosome fertilizes an ovum, then a boy is produced

During the physical examination for the first prenatal visit, it is noted that Chadwick's
sign is present. What is Chadwick's sign? - ANSWER-Bluish or purplish discoloration of
the vulva, vagina, and cervix

A nurse is preparing to measure the uterine funds of a client who is at 32 weeks of
gestation. The nurse can expect to find that the measurement will be at ____ cm -
ANSWER-32

What organ does the ducts venous shunt blood away from in fetal circulation? -
ANSWER-Liver

A woman reports that her last menstrual period began on August 5, 2019. What is the
woman's expected delivery date using Naegele's rule? - ANSWER-May 12, 2020

A woman's emotional reaction during the second trimester of pregnancy may be
characterized by? - ANSWER-fantasies about the baby's appearance

The functions of the placenta are to: - ANSWER-1. Supply oxygen to the fetus
2. produce hormones
3. provide protection from infection

A nurse is reinforcing teaching with a client about how to reduce the risk of giving birth
to a newborn who has a neutral tube defect. Which of the following instructions should
the nurse include in the teaching? - ANSWER-Eat foods fortified with folic acid

The substance that provides support and protection for the vessels inside the umbilical
cord is? - ANSWER-Wharton's Jelly

,The major male hormone of reproduction, testosterone, is produced in the ? -
ANSWER-adrenal glands

A woman comes into the clinic for her first prenatal visit. Her obstetrical history is
recorded. She has a 10-month-old son delivered five days before his due date, a five-
year-old son that was born at 36 weeks of age, and a seven-year-old daughter born at
38 weeks. She has also lost a pregnancy at 12 weeks. Using GTPAL what is her history
- ANSWER-G4 T2 P1 A1 L3

What is the total number of chromosomes in a mature sperm or mature ovum? -
ANSWER-23

At how many weeks gestational does the fetal lungs start to produce surfactant -
ANSWER-25 weeks

The primary purpose of amniotic fluid is to - ANSWER-protect the fetus during
development

The fertilized ovum usually implants in the - ANSWER-upper portion of the fallopian
tube

Woman have all their ova at the time they are born - ANSWER-true

The nurse reminds the prenatal patient that she should add ___ kcal to her daily intake
to nourish the fetus in the first trimester - ANSWER-300

A nurse in a prenatal clinic is determining a clients estimated date of delivery using
Naegele's rule. The first day of her last menstrual period was May 4, 2020. Which of the
following dates should the nurse tell the client is her estimated date of delivery? -
ANSWER-February 11, 2021

A nurse is reinforcing nutritional teaching with a client who is 8 weeks of gestation.
Which of the following statements should the nurse include? - ANSWER-You should
increase your folic acid intake during your pregnancy

During which time frame does the embryonic stage last? - ANSWER-Two through 8
weeks after conception

A nurse is reinforcing teaching about common discomfort of pregnancy during the first
trimester with a client who is pregnant. Which of the following manifestations should the
nurse include in the teaching? - ANSWER-urinary frequency

The nurse assesses the progress from the announcement stage of fatherhood to the
acceptance stage when the patient reports which actions by the father? - ANSWER-1.
Have revised his financial plan

, 2. Helped select a crib
3. Traded his sports car for a sedian

A nurse is reinforcing teaching about immunizations with a woman in her first trimester
of pregnancy whose diagnostic testing indicates she does not have immunity to rubella.
The nurse should recommend that the client receive a measles, mumps, rubella (MMR)
vaccine at which of the following times? - ANSWER-Prior to discharge from the hospital
after giving birth

The primary goal of prenatal care is to assure the woman of - ANSWER-the healthiest
outcome possible

When will the embryo's heart being beating? - ANSWER-By the end of week 3

What of the following is considered a positive sign of pregnancy - ANSWER-positive
urine pregnancy test

According to the FDA, medications in this category are contraindicated for use in
pregnancy - ANSWER-Category X

Ovulation cycle in order: - ANSWER-1. Increase of FSH
2. Secretion of LH
3. Release of an egg
4. Release of progesterone by corpus luteum
5. Fertilization of the ovum
6. Implantation into the endometrium

A nurse is reinforcing teaching about fetal development with a group of women who are
pregnant. Which of the following statements should the nurse include in the teaching? -
ANSWER-very fine hairs, called lanugo, cover your baby's entire body by week 36 of
pregnancy

The three germ layers of the embryo are the - ANSWER-ectoderm, mesoderm, and
endoderm

A nurse is caring for a female client who is scheduled to have a pelvic examination. The
client tells the nurse, "I'm really nervous because I've never had a pelvic exam before,"
Which of the following is an appropriate therapeutic response by the nurse? -
ANSWER-Tell me more about your concerns

What factor can decrease sperm production and possibly affect a couple trying to
conceive? - ANSWER-The testes being too warm

The nurse is responsible to examine the umbilical cord of the newborn infant. The nurse
knows that? - ANSWER-The umbilical cord has 2 arteries and 1 vein

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