C HAPTER 03: F ETAL D EVELOPMENT
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. A woman who is 25 weeks pregnant asks the nurse what her fetus looks
like. What does the nurse explain is one physical characteristic present in
a 25-week-old fetus?
a. Lanugo covering the body
b. Constant motion
c. Skin that is pink and smooth
d. Eyes that are closed
ANS: A
By 25 weeks, the body of the fetus is covered with lanugo, the eyes are
open, the skin is wrinkled, and the fetus has definite periods of
movement and sleeping.
DIF: Cognitive Level: Comprehension REF: Page 39
OBJ: 5 TOP: Prenatal Development KEY: Nursing
Process Step: Implementation MSC: NC LEX: Health
Promotion and Maintenance: Growth and Development
2. At what point in prenatal development do the lungs begin to produce
surfactant?
a. 17 weeks
b. 20 weeks
, c. 25 weeks
d. 30 weeks
ANS: C
During week 25, the alveoli begin to produce surfactant, which enables
the alveoli to stay open for adequate lung oxygenation to occur.
DIF: Cognitive Level: Knowledge REF: Page 39 OBJ: 5
TOP: Prenatal Development KEY: Nursing Process
Step: N/A MSC: NC LEX: Health Promotion and
Maintenance: Growth and Development
3. A woman missed her menstrual period 1 week ago and has come to the
doctors office for a pregnancy test. Which placental hormone is measured
in pregnancy tests?
a. Progesterone
b. Estrogen
c. Human chorionic gonadotropin
d. Human placental lactogen
ANS: C
Human chorionic gonadotropin is the basis for most pregnancy tests. It
is detectable in maternal blood as soon as implantation occurs, usuall y
7 to 9 days after fertilization.
DIF: Cognitive Level: Knowledge REF: Page 41 TOP:
Accessory Structures of Pregnancy KEY: Nursing Process
, Step: Data Collection MSC: NC LEX: Health Promotion
and Maintenance: Growth and Development
4. When preparing to teach a class about prenatal development, the nur se
would include information about folic acid supplementation. What is folic
acid known to prevent?
a. Congenital heart defects
b. Neural tube defects
c. Mental retardation
d. Premature birth
ANS: B
It is now known that folic acid supplements can prevent neural tube
defects such as spina bifida.
DIF: Cognitive Level: Comprehension REF: Page 39
TOP: Prenatal Development KEY: Nursing Process
Step: Planning MSC: NC LEX: Health Promotion and
Maintenance: Growth and Development
5. The nurse is educating a class of expectant parents about fetal
development. What is considered fetal age of viabilit y?
a. 14 weeks
b. 20 weeks
c. 25 weeks
d. 30 weeks
ANS: B
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. A woman who is 25 weeks pregnant asks the nurse what her fetus looks
like. What does the nurse explain is one physical characteristic present in
a 25-week-old fetus?
a. Lanugo covering the body
b. Constant motion
c. Skin that is pink and smooth
d. Eyes that are closed
ANS: A
By 25 weeks, the body of the fetus is covered with lanugo, the eyes are
open, the skin is wrinkled, and the fetus has definite periods of
movement and sleeping.
DIF: Cognitive Level: Comprehension REF: Page 39
OBJ: 5 TOP: Prenatal Development KEY: Nursing
Process Step: Implementation MSC: NC LEX: Health
Promotion and Maintenance: Growth and Development
2. At what point in prenatal development do the lungs begin to produce
surfactant?
a. 17 weeks
b. 20 weeks
, c. 25 weeks
d. 30 weeks
ANS: C
During week 25, the alveoli begin to produce surfactant, which enables
the alveoli to stay open for adequate lung oxygenation to occur.
DIF: Cognitive Level: Knowledge REF: Page 39 OBJ: 5
TOP: Prenatal Development KEY: Nursing Process
Step: N/A MSC: NC LEX: Health Promotion and
Maintenance: Growth and Development
3. A woman missed her menstrual period 1 week ago and has come to the
doctors office for a pregnancy test. Which placental hormone is measured
in pregnancy tests?
a. Progesterone
b. Estrogen
c. Human chorionic gonadotropin
d. Human placental lactogen
ANS: C
Human chorionic gonadotropin is the basis for most pregnancy tests. It
is detectable in maternal blood as soon as implantation occurs, usuall y
7 to 9 days after fertilization.
DIF: Cognitive Level: Knowledge REF: Page 41 TOP:
Accessory Structures of Pregnancy KEY: Nursing Process
, Step: Data Collection MSC: NC LEX: Health Promotion
and Maintenance: Growth and Development
4. When preparing to teach a class about prenatal development, the nur se
would include information about folic acid supplementation. What is folic
acid known to prevent?
a. Congenital heart defects
b. Neural tube defects
c. Mental retardation
d. Premature birth
ANS: B
It is now known that folic acid supplements can prevent neural tube
defects such as spina bifida.
DIF: Cognitive Level: Comprehension REF: Page 39
TOP: Prenatal Development KEY: Nursing Process
Step: Planning MSC: NC LEX: Health Promotion and
Maintenance: Growth and Development
5. The nurse is educating a class of expectant parents about fetal
development. What is considered fetal age of viabilit y?
a. 14 weeks
b. 20 weeks
c. 25 weeks
d. 30 weeks
ANS: B
