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The nurse is collecting data from a pregnant client when the client asks the nurse about the
purpose of the fallopian tubes. Which is the accurate response the nurse should make?
A. The organ of copulation
B. Where the fetus develops
C. Where fertilization occurs
D. The organ that secretes estrogen and progesterone - ANSWER C
(Each fallopian tube is a hollow muscular tube that transports a mature oocyte for final
maturation and fertilization)
The nursing instructor asks a nursing student to list the functions of amniotic fluid. The
student needs further teaching if which responses are made? (Select all that apply)
A. Allows for fetal movement
B. Is a measure of kidney function
C. Surrounds, cushions, and protects the fetus
D. Maintains the body temperature of the fetus
E. Prevents large particles such as bacteria from passing to the fetus
F. Provides an exchange of nutrients and waste products between the mother and the fetus -
ANSWER EF
(The amniotic fluid surrounds, cushions, and protects the fetus. The placenta, not the
amniotic fluid, prevents large particles such as bacteria from passing to the fetus, and the
placenta provides an exchange of nutrients and waste products between the mother and the
fetus. Amniotic fluid allows the fetus to move freely, it maintains the body temperature of
the fetus, and it helps to measure kidney function because the amount of fluid is based on
the amount of urination from the fetus.)
1
,The nurse working in a prenatal clinic reviews a client's chart ands notes that the primary
health care provider documents that the client has a gynecoid pelvis. The nurse plans care
understanding that which findings are characteristic of this type of pelvis? (Select all that
apply)
A. Round shape
B. Shallow depth
C. Narrow pubic arch
D. Diagonal conjugate measures 12.5cm to 13cm
E. Blunt, somewhat widely separated ischial spines - ANSWER ADE
(A gynecoid pelvis is a normal female pelvis, and it is the most favorable for successful labor
and birth. Characteristics of a gynecoid pelvis include round shape, blunted ischial spines
that are widely separated, a diagonal conjugate of at least 12.5 cm to 13 cm, a wide pelvic
arch, and an adequate depth.)
The client asks the nurse about the purpose of the placenta. The nurse plans to respond to
the client knowing which about the placenta?
A. Cushions and protects the fetus
B. Maintains the body temperature of the fetus
C. Surrounds the fetus and allows for fetal movement
D. Provides an exchange of nutrients and waste products between the mother and the fetus
- ANSWER D
(The placenta provides an exchange of nutrients and waste products between the mother
and the fetus.)
The nurse is describing the process of fetal circulation to a client during a prenatal visit. The
nurse should tell the client that fetal circulation consists of which components?
A. Two umbilical veins and one umbilical artery
B. Two umbilical arteries and one umbilical vein
2
,C. Arteries that carry oxygenated blood to the fetus
D. Veins that carry deoxygenated blood to the fetus - ANSWER B
(Blood pumped by the fetus's heart leaves the fetus through two umbilical arteries. After the
blood is oxygenated, it is then returned by one umbilical vein. The umbilical arteries carry
deoxygenated blood and waste products from the fetus and the umbilical vein carries
oxygenated blood and provides oxygen and nutrients to the fetus.)
A nursing student is assigned to a client in labor. The nursing instructor asks the student to
describe fetal circulation, specifically the ductus venosus. The instructor determines that the
student understands the structure of the ductus venosus if the student states which about
the ductus venosus?
A. Connects the pulmonary artery to the aorta
B. Is an opening between the right and left atria
C. Connects the umbilical vein to the inferior vena cava
D. Connects the umbilical artery to the inferior vena cava - ANSWER C
(The ductus venosus connects the umbilical vein to the inferior vena cava.)
During a prenatal visit, the nurse checks the fetal heart rate of a client in the third trimester
of pregnancy. The nurse determines that the FHR is normal if which heart rate is noted?
A. 80 bpm
B. 100 bpm
C. 150 bpm
D. 180 bpm - ANSWER C
(Fetal heart rate depends on gestational age. It is normally 160-170 bpm during the first
trimester, but it slows with fetal growth to 110-160 bpm near or at term.)
3
, The nurse is reinforcing teaching to a pregnant woman about the physiological effects and
hormonal changes that occur during pregnancy. The woman asks the nurse about the
purpose of estrogen. The nurse bases the response on which purpose of estrogen?
A. It maintains the uterine lining for implantation
B. It stimulates the metabolism of glucose and converts glucose to fat
C. It stimulates uterine development to provide an environment for the fetus and stimulates
the breasts to prepare for lactation
D. It prevents the involution of the corpus luteum and maintains the production of
progesterone until the placenta is formed - ANSWER C
(Estrogen stimulates uterine development to provide an environment for the fetus and it
stimulates the breasts to prepare for lactation.)
The nursing student is asked to describe the size of the uterus in a non pregnant client.
Which response indicates an understanding of the anatomy of this structure?
A. "The uterus weighs about 2 ounces."
B. "The uterus weighs about 2.2 pounds."
C. "The uterus has a capacity of about 50 milliliters."
D. " The uterus is round in shape and weighs approximately 1000 grams." - ANSWER A
(Before conception, the uterus is a small, pear-shaped organ that is contained entirely in the
pelvic cavity. Before pregnancy, the uterus weighs approximately 60g and it has a capacity of
about 10mL. At the end of pregnancy, the uterus weighs approximately 1000g and it has a
capacity that is sufficient for the fetus, the placenta, and the amniotic fluid.)
A couple comes to the family planning clinic and asks about sterilization procedures. Which
question by the nurse helps determine whether this method of family planning is
appropriate?
A. "Have either of you ever had surgery?"
B. "Do you plan to have any other children?"
C. "Do either of you have any other children?"
4
The nurse is collecting data from a pregnant client when the client asks the nurse about the
purpose of the fallopian tubes. Which is the accurate response the nurse should make?
A. The organ of copulation
B. Where the fetus develops
C. Where fertilization occurs
D. The organ that secretes estrogen and progesterone - ANSWER C
(Each fallopian tube is a hollow muscular tube that transports a mature oocyte for final
maturation and fertilization)
The nursing instructor asks a nursing student to list the functions of amniotic fluid. The
student needs further teaching if which responses are made? (Select all that apply)
A. Allows for fetal movement
B. Is a measure of kidney function
C. Surrounds, cushions, and protects the fetus
D. Maintains the body temperature of the fetus
E. Prevents large particles such as bacteria from passing to the fetus
F. Provides an exchange of nutrients and waste products between the mother and the fetus -
ANSWER EF
(The amniotic fluid surrounds, cushions, and protects the fetus. The placenta, not the
amniotic fluid, prevents large particles such as bacteria from passing to the fetus, and the
placenta provides an exchange of nutrients and waste products between the mother and the
fetus. Amniotic fluid allows the fetus to move freely, it maintains the body temperature of
the fetus, and it helps to measure kidney function because the amount of fluid is based on
the amount of urination from the fetus.)
1
,The nurse working in a prenatal clinic reviews a client's chart ands notes that the primary
health care provider documents that the client has a gynecoid pelvis. The nurse plans care
understanding that which findings are characteristic of this type of pelvis? (Select all that
apply)
A. Round shape
B. Shallow depth
C. Narrow pubic arch
D. Diagonal conjugate measures 12.5cm to 13cm
E. Blunt, somewhat widely separated ischial spines - ANSWER ADE
(A gynecoid pelvis is a normal female pelvis, and it is the most favorable for successful labor
and birth. Characteristics of a gynecoid pelvis include round shape, blunted ischial spines
that are widely separated, a diagonal conjugate of at least 12.5 cm to 13 cm, a wide pelvic
arch, and an adequate depth.)
The client asks the nurse about the purpose of the placenta. The nurse plans to respond to
the client knowing which about the placenta?
A. Cushions and protects the fetus
B. Maintains the body temperature of the fetus
C. Surrounds the fetus and allows for fetal movement
D. Provides an exchange of nutrients and waste products between the mother and the fetus
- ANSWER D
(The placenta provides an exchange of nutrients and waste products between the mother
and the fetus.)
The nurse is describing the process of fetal circulation to a client during a prenatal visit. The
nurse should tell the client that fetal circulation consists of which components?
A. Two umbilical veins and one umbilical artery
B. Two umbilical arteries and one umbilical vein
2
,C. Arteries that carry oxygenated blood to the fetus
D. Veins that carry deoxygenated blood to the fetus - ANSWER B
(Blood pumped by the fetus's heart leaves the fetus through two umbilical arteries. After the
blood is oxygenated, it is then returned by one umbilical vein. The umbilical arteries carry
deoxygenated blood and waste products from the fetus and the umbilical vein carries
oxygenated blood and provides oxygen and nutrients to the fetus.)
A nursing student is assigned to a client in labor. The nursing instructor asks the student to
describe fetal circulation, specifically the ductus venosus. The instructor determines that the
student understands the structure of the ductus venosus if the student states which about
the ductus venosus?
A. Connects the pulmonary artery to the aorta
B. Is an opening between the right and left atria
C. Connects the umbilical vein to the inferior vena cava
D. Connects the umbilical artery to the inferior vena cava - ANSWER C
(The ductus venosus connects the umbilical vein to the inferior vena cava.)
During a prenatal visit, the nurse checks the fetal heart rate of a client in the third trimester
of pregnancy. The nurse determines that the FHR is normal if which heart rate is noted?
A. 80 bpm
B. 100 bpm
C. 150 bpm
D. 180 bpm - ANSWER C
(Fetal heart rate depends on gestational age. It is normally 160-170 bpm during the first
trimester, but it slows with fetal growth to 110-160 bpm near or at term.)
3
, The nurse is reinforcing teaching to a pregnant woman about the physiological effects and
hormonal changes that occur during pregnancy. The woman asks the nurse about the
purpose of estrogen. The nurse bases the response on which purpose of estrogen?
A. It maintains the uterine lining for implantation
B. It stimulates the metabolism of glucose and converts glucose to fat
C. It stimulates uterine development to provide an environment for the fetus and stimulates
the breasts to prepare for lactation
D. It prevents the involution of the corpus luteum and maintains the production of
progesterone until the placenta is formed - ANSWER C
(Estrogen stimulates uterine development to provide an environment for the fetus and it
stimulates the breasts to prepare for lactation.)
The nursing student is asked to describe the size of the uterus in a non pregnant client.
Which response indicates an understanding of the anatomy of this structure?
A. "The uterus weighs about 2 ounces."
B. "The uterus weighs about 2.2 pounds."
C. "The uterus has a capacity of about 50 milliliters."
D. " The uterus is round in shape and weighs approximately 1000 grams." - ANSWER A
(Before conception, the uterus is a small, pear-shaped organ that is contained entirely in the
pelvic cavity. Before pregnancy, the uterus weighs approximately 60g and it has a capacity of
about 10mL. At the end of pregnancy, the uterus weighs approximately 1000g and it has a
capacity that is sufficient for the fetus, the placenta, and the amniotic fluid.)
A couple comes to the family planning clinic and asks about sterilization procedures. Which
question by the nurse helps determine whether this method of family planning is
appropriate?
A. "Have either of you ever had surgery?"
B. "Do you plan to have any other children?"
C. "Do either of you have any other children?"
4
