NSPN 7100 Final Exam UPDATED
QUESTIONS AND CORRECT ANSWERS
5 Areas of Knowing - CORRECT ANSWER 1. Knowing the profession: scope of
practice/competencies
2. Knowing the case: theory knowledge
3. Knowing the person: individuals wishes/preferences
4. Knowing the patient: knowledge of their admission/hx/risk factors
5. Knowing the self: awareness of strengths/limitations
What is involved in decision making? - CORRECT ANSWER 1. Cues
2. Judgement
3. Decision making
4. Evaluation
Benefits of preconception care - CORRECT ANSWER - reduced pre term births
- reduced incidence of unintended pregnancies
- better neonatal health outcomes
- better maternal health outcomes
- reduced risk of environmental exposure to teratogens/toxins
What are the placentas jobs? - CORRECT ANSWER - continuous supply of O2
- removes CO2 and waste
- produces hormones that facilitate development
- preps body for birth and lactation
When does the fetal heart start beating?/When is maternal-fetal circulation in place? -
CORRECT ANSWER Day 17
,By the end of the third week, villi are capable of carrying out the exchange
What are the two steroid placental hormones? - CORRECT ANSWER Estrogen and
progesterone
What are the two protein placental hormones? - CORRECT ANSWER Human
chorionic gonadotropin
Human chorionic somatommatropin
What are the metabolic functions of the placenta? - CORRECT ANSWER 1.
respiration
2. nutrition
3. excretion
4. storage
How many veins/arteries in the umbilical cord? - CORRECT ANSWER One vein, two
arteries
Substance that surrounds the umbilical cord: - CORRECT ANSWER Wharton's jelly
What are the two fetal membranes? - CORRECT ANSWER Chorion: outer
Amnion: inner
Describe chorion development - CORRECT ANSWER Develops from trophoblasts
and has hair like projections known as chorionic villi that penetrate the decidua basalis to
form the placenta
Describe amnion development - CORRECT ANSWER inner cell membrane lying
closer to the fetus that becomes the covering of the umbilical cord and then combines with
the chorion to be the amniotic sac
, What is a normal amount of amniotic fluid at term - CORRECT ANSWER 700-800ml
Oligohydramnios - CORRECT ANSWER <300ml
Polyhydramnios - CORRECT ANSWER >2L
Components of amniotic fluid - CORRECT ANSWER Dissolved solids, fetal skin/hair,
vernix caseosa
Name the functions of the amniotic fluid - CORRECT ANSWER - acts as a cushion for
the fetus
- allows freedom of movement
- thermoregulation
- prevents cord from tangling
- prevents against infection
- provides fluid for the fetus to swallow and breathe
Describe fetal growth vs fetal development - CORRECT ANSWER Growth: increase
in number of cells and size of cells
Development: differentiation of cells/functional and structural changes
What is FGR - CORRECT ANSWER when a fetus does not meet their expected
growth due to an underlying pathology
Describe the 3 phases of intrauterine development - CORRECT ANSWER 0-2 weeks:
ovum (cell differentiation/implantation)
2-8 weeks: embryonic (organogenesis)
9-40 weeks: fetal (organs continue to develop)
QUESTIONS AND CORRECT ANSWERS
5 Areas of Knowing - CORRECT ANSWER 1. Knowing the profession: scope of
practice/competencies
2. Knowing the case: theory knowledge
3. Knowing the person: individuals wishes/preferences
4. Knowing the patient: knowledge of their admission/hx/risk factors
5. Knowing the self: awareness of strengths/limitations
What is involved in decision making? - CORRECT ANSWER 1. Cues
2. Judgement
3. Decision making
4. Evaluation
Benefits of preconception care - CORRECT ANSWER - reduced pre term births
- reduced incidence of unintended pregnancies
- better neonatal health outcomes
- better maternal health outcomes
- reduced risk of environmental exposure to teratogens/toxins
What are the placentas jobs? - CORRECT ANSWER - continuous supply of O2
- removes CO2 and waste
- produces hormones that facilitate development
- preps body for birth and lactation
When does the fetal heart start beating?/When is maternal-fetal circulation in place? -
CORRECT ANSWER Day 17
,By the end of the third week, villi are capable of carrying out the exchange
What are the two steroid placental hormones? - CORRECT ANSWER Estrogen and
progesterone
What are the two protein placental hormones? - CORRECT ANSWER Human
chorionic gonadotropin
Human chorionic somatommatropin
What are the metabolic functions of the placenta? - CORRECT ANSWER 1.
respiration
2. nutrition
3. excretion
4. storage
How many veins/arteries in the umbilical cord? - CORRECT ANSWER One vein, two
arteries
Substance that surrounds the umbilical cord: - CORRECT ANSWER Wharton's jelly
What are the two fetal membranes? - CORRECT ANSWER Chorion: outer
Amnion: inner
Describe chorion development - CORRECT ANSWER Develops from trophoblasts
and has hair like projections known as chorionic villi that penetrate the decidua basalis to
form the placenta
Describe amnion development - CORRECT ANSWER inner cell membrane lying
closer to the fetus that becomes the covering of the umbilical cord and then combines with
the chorion to be the amniotic sac
, What is a normal amount of amniotic fluid at term - CORRECT ANSWER 700-800ml
Oligohydramnios - CORRECT ANSWER <300ml
Polyhydramnios - CORRECT ANSWER >2L
Components of amniotic fluid - CORRECT ANSWER Dissolved solids, fetal skin/hair,
vernix caseosa
Name the functions of the amniotic fluid - CORRECT ANSWER - acts as a cushion for
the fetus
- allows freedom of movement
- thermoregulation
- prevents cord from tangling
- prevents against infection
- provides fluid for the fetus to swallow and breathe
Describe fetal growth vs fetal development - CORRECT ANSWER Growth: increase
in number of cells and size of cells
Development: differentiation of cells/functional and structural changes
What is FGR - CORRECT ANSWER when a fetus does not meet their expected
growth due to an underlying pathology
Describe the 3 phases of intrauterine development - CORRECT ANSWER 0-2 weeks:
ovum (cell differentiation/implantation)
2-8 weeks: embryonic (organogenesis)
9-40 weeks: fetal (organs continue to develop)
