Exam 1 OB NCLEX Questions 2023 WITH COMPLETE SOLUTIONS

A nursing student is preparing a prenatal class on the process of fetal circulation. The nursing instructor asks the student specifically to describe the process through the umbilical cord. Which of the following statements from the student is correct? 1. "The one artery carries freshly oxygenated blood and nutrient-rick blood back from the placenta to the fetus." 2. "The two arteries carry freshly oxygenated blood back from the placenta to the fetus." 3. "The two arteries in the umbilical cord carry deoxygenated blood and waste products away from the fetus to the placenta." 4. "The two veins in the umbilical cord carry blood that is high in carbon dioxide and other waste products away from the fetus to the placenta." 3. "The two arteries in the umbilical cord carry deoxygenated blood and waste products away from the fetus to the placenta." Rational: Blood pumped by the embryo's heart leaves the embryo through two umbilical arteries. When oxygenated, the blood is returned by one umbilical vein. A pregnant client tells the clinic nurse that she wants to k now the sex of her baby as soon as it can be determined. The nurse understands that the client should be able to find out at 12 weeks' gestation because by the end of the twelfth week: 1. The sex of the fetus can be determined by the appearance of the external genitalia. 2. The sex of the fetus can be determined because the external genitalia begin to differentiate. 3. The sex of the fetus can be determined because the testes are descended into the scrotal sac. 4. The sex of the fetus can be determined because the internal differences in males and females becomes apparent. 1. The sex of the fetus can be determined by the appearance of the external genitalia. Rational: By the end of the 12th week, the external genitalia of the fetus have developed to such a degree that the sex of the fetus can be determined visually. 00:32 01:36 A nurse is performing an assessment on a client who is at 38 weeks gestation and notes that the FHR is 174/bpm. On the basis of this finding, the appropriate nursing action is to: 1. Notify the physician 2. Document the findings. 3. Check the mother's heart rate 4. Tell the client that the FHR is normal. 1. Notify the physican Rational: The FHR depends on gestational age and ranges from 160-170/bpm in the 1st trimester, but slows with fetal growth to 120-160/bpm near or at term. Because the FHR is increased from the reference range, the nurse should notify the physican. A 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, the nurse responds that the reason for this is that it: 1. Promotoes the fertilized ovum's changes of survival. 2. Promotes the fertilized ovum's exposure to estrogen & progesterone. 3. Promotes the fertilized ovum's normal implantation in the top portion of the uterus. 4. Promotes the fertilized ovum's exposure to LH and FSH 3. Promotes the fertilized ovum's normal implantation in the top portion of the uterus. A nursing instructor is reviewing the menstrual cycle with a nursing student who will be conducing a prenatal teaching session. The instructor asks the student to describe the FSH and LF. The student accurately responds by stating that: 1. FSH & LH are secreted by the adrenal glands. 2. FSH & LH are released from the anterior pituitary gland 3. FSH & LH are secreted by the corpus luteum of the ovary 4. FSH & LH stimulate the formation of the milk during pregnancy. 2. FSH & LH are released from the anterior pituitary gland A nurse explains some of the purposes of the placenta to a client during a prenatal visit. The nurse determins that the client understands some of these purposes when the client states that the placenta: 1. Cushions and protects the baby 2. Maintains the temperature of the baby 3. Is the way the baby gets food and oxygen 4. Prevents all antibodies and viruses from passing to the baby. 3. Is the way the baby gets food and oxygen. A nursing instructor asks a nursing student to list the functions of the amniotic fluid. The student responds correctly by stating that which of the following are functions of the amniotic fluid? SELECT ALL THAT APPLY. 1. Allows for fetal movement 2. Is a measure of kidney function 3. Surrounds, cushions, and protects the fetus 4. Maintains the body temperature of the fetus 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 1. Allows for fetal movement 2. Is a measure of kidney function 3. Surrounds, cushions, and protects the fetus 4. Maintains the body temperature of the fetus A nurse is performing an assessment of a pregnant client who is at 28 wks gestation. The nurse measures the fundal height in centimeters and expects he finding to be which of the following? 1. 22 cm 2. 30 cm 3. 36 cm 4. 40 cm 2. 30 cm Rational: During the 2nd/3rd trimesters (18 wks-30wks), fundal height in cm approximately equals the fetus' age in weeks +/- 2cm. At 16 wks, the fundus can be located halfway between the symphysis pubis and the umbilicus. At 20-22 wks, the fundus is at the umbilicus. At 36 wks, the fundus is at the xiphoid process. A nurse is collecting data during an admission assessment of a client who is pregnant with twins. The client has a healthy 5-year-old child who was delivered at 38 wks and tells the nurse that she does not have a history of any type of abortion or fetal demise. The nurse would document the GTPAL for this client as: 1. G3, T2, P0, A0, L1 2. G2, T1, P0, A0, L1 3. G1, T1, P1, A0, L1 4. G2, T0, P0, A0, L1 2. G2, T1, P0, A0, L1