Question 1

What is the most basic information that a nurse should be able to share with a client who asks about the process of conception?

Accepted Answer

A)  Ova are considered fertile 48 to 72 hours after ovulation. 
B)  Sperm remain viable in the woman's reproductive system for an average of 12 to 24 hours. 
C)  Conception is achieved when a sperm successfully penetrates the membrane surrounding the ovum. 
D)  Implantation in the endometrium occurs 6 to 10 days after conception. 
A)  Ova are considered fertile 48 to 72 hours after ovulation. 
B)  Sperm remain viable in the woman's reproductive system for an average of 12 to 24 hours. 
C)  Conception is achieved when a sperm successfully penetrates the membrane surrounding the ovum. 
D)  Implantation in the endometrium occurs 6 to 10 days after conception.

Question 2

Which information regarding amniotic fluid is important for the nurse to understand?

Accepted Answer

A)  Amniotic fluid serves as a source of oral fluid and a repository for waste from the fetus. 
B)  Volume of the amniotic fluid remains approximately the same throughout the term of a healthy pregnancy. 
C)  The study of fetal cells in amniotic fluid yields little information. 
D)  A volume of more than 2 L of amniotic fluid is associated with fetal renal abnormalities. 
A)  Amniotic fluid serves as a source of oral fluid and a repository for waste from the fetus. 
B)  Volume of the amniotic fluid remains approximately the same throughout the term of a healthy pregnancy. 
C)  The study of fetal cells in amniotic fluid yields little information. 
D)  A volume of more than 2 L of amniotic fluid is associated with fetal renal abnormalities.

Question 3

Which statement regarding the development of the respiratory system is a high priority for the nurse to understand?

Accepted Answer

A)  The respiratory system does not begin developing until after the embryonic stage. 
B)  The infant's lungs are considered mature when the L/S ratio is 1:1, at approximately 32 weeks of gestation. 
C)  Maternal hypertension can reduce maternal-placental blood flow, accelerating lung maturity. 
D)  Fetal respiratory movements are not visible on ultrasound scans until at least 16 weeks of gestation. 
A)  The respiratory system does not begin developing until after the embryonic stage. 
B)  The infant's lungs are considered mature when the L/S ratio is 1:1, at approximately 32 weeks of gestation. 
C)  Maternal hypertension can reduce maternal-placental blood flow, accelerating lung maturity. 
D)  Fetal respiratory movements are not visible on ultrasound scans until at least 16 weeks of gestation.

Question 4

A woman asks the nurse,"What protects my baby's umbilical cord from being squashed while the baby's inside of me?" What is the nurse's best response?

Accepted Answer

A)  "Your baby's umbilical cord is surrounded by connective tissue called Wharton's jelly, which prevents compression of the blood vessels." 
B)  "Your baby's umbilical cord floats around in blood and amniotic fluid." 
C)  "You don't need to be worrying about things like that." 
D)  "The umbilical cord is a group of blood vessels that are very well protected by the placenta." 
A)  "Your baby's umbilical cord is surrounded by connective tissue called Wharton's jelly, which prevents compression of the blood vessels." 
B)  "Your baby's umbilical cord floats around in blood and amniotic fluid." 
C)  "You don't need to be worrying about things like that." 
D)  "The umbilical cord is a group of blood vessels that are very well protected by the placenta."

Question 5

Which structure is responsible for oxygen and carbon dioxide transport to and from the maternal bloodstream?

Accepted Answer

A)  Decidua basalis 
B)  Blastocyst 
C)  Germ layer 
D)  Chorionic villi 
A)  Decidua basalis 
B)  Blastocyst 
C)  Germ layer 
D)  Chorionic villi

Question 6

A woman is 15 weeks pregnant with her first baby.She asks how long it will be before she feels the baby move.What is the nurse's best answer?

Accepted Answer

A)  "You should have felt the baby move by now." 
B)  "Within the next month, you should start to feel fluttering sensations." 
C)  "The baby is moving; however, you can't feel it yet." 
D)  "Some babies are quiet, and you don't feel them move." 
A)  "You should have felt the baby move by now." 
B)  "Within the next month, you should start to feel fluttering sensations." 
C)  "The baby is moving; however, you can't feel it yet." 
D)  "Some babies are quiet, and you don't feel them move."

Question 7

A client arrives for her initial prenatal examination.This is her first child.She asks the nurse,"How does my baby get air inside my uterus?" What is the correct response by the nurse?

Accepted Answer

A)  "The baby's lungs work in utero to exchange oxygen and carbon dioxide." 
B)  "The baby absorbs oxygen from your blood system." 
C)  "The placenta provides oxygen to the baby and excretes carbon dioxide into your bloodstream." 
D)  "The placenta delivers oxygen-rich blood through the umbilical artery to the baby's abdomen." 
A)  "The baby's lungs work in utero to exchange oxygen and carbon dioxide." 
B)  "The baby absorbs oxygen from your blood system." 
C)  "The placenta provides oxygen to the baby and excretes carbon dioxide into your bloodstream." 
D)  "The placenta delivers oxygen-rich blood through the umbilical artery to the baby's abdomen."

Question 8

A woman who is 16 weeks pregnant asks the nurse,"Is it possible to tell by ultrasound if the baby is a boy or girl yet?" What is the best answer?

Accepted Answer

A)  "A baby's sex is determined as soon as conception occurs." 
B)  "The baby has developed enough to enable us to determine the sex by examining the genitals through an ultrasound scan." 
C)  "Boys and girls look alike until approximately 20 weeks after conception, and then they begin to look different." 
D)  "It might be possible to determine your baby's sex, but the external organs look very similar right now." 
A)  "A baby's sex is determined as soon as conception occurs." 
B)  "The baby has developed enough to enable us to determine the sex by examining the genitals through an ultrasound scan." 
C)  "Boys and girls look alike until approximately 20 weeks after conception, and then they begin to look different." 
D)  "It might be possible to determine your baby's sex, but the external organs look very similar right now."

Exam 12: Conception and Fetal Development

What is the most basic information that a nurse should be able to share with a client who asks about the process of conception?

Which information regarding amniotic fluid is important for the nurse to understand?

Which statement regarding the development of the respiratory system is a high priority for the nurse to understand?

A woman asks the nurse,"What protects my baby's umbilical cord from being squashed while the baby's inside of me?" What is the nurse's best response?

Which structure is responsible for oxygen and carbon dioxide transport to and from the maternal bloodstream?

A woman is 15 weeks pregnant with her first baby.She asks how long it will be before she feels the baby move.What is the nurse's best answer?

A client arrives for her initial prenatal examination.This is her first child.She asks the nurse,"How does my baby get air inside my uterus?" What is the correct response by the nurse?

A woman who is 16 weeks pregnant asks the nurse,"Is it possible to tell by ultrasound if the baby is a boy or girl yet?" What is the best answer?

21st Century Maternity and Women’s Health Nursing

Community Care: The Family and Culture

Nursing and Genomics

Assessment and Health Promotion

Violence Against Women

Reproductive System Concerns

Sexually Transmitted and Other Infections

Contraception and Abortion

Infertility

Problems of the Breast

Structural Disorders and Neoplasms of the Reproductive System

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Postpartum Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Assessment of High Risk Pregnancy

Hypertensive Disorders

Hemorrhagic Disorders

Endocrine and Metabolic Disorders

Medical-Surgical Disorders

Mental Health Disorders and Substance Abuse

Labor and Birth Complications

Postpartum Complications

Nursing Care of the High Risk Newborn

Acquired Problems of the Newborn

Hemolytic Disorders and Congenital Anomalies

Perinatal Loss, Bereavement, and Grief

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