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, Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment 1.
The hormone first detected by a blood test about 11 days after conception and in urine tests about
12-14 days after conception is?
hCG
A decrease in estrogen and progesterone during the menstrual cycle results in what?
Shedding of the endometrium
A pregnant woman states, "My husband hopes I will give him a boy because we have three
girls". What will the nurse explain to this woman?
If a sperm carrying a Y chromosome fertilizes an ovum, then a boy is produced
During the physical examination for the first prenatal visit, it is noted that Chadwick's sign is
present. What is Chadwick's sign?
Bluish or purplish discoloration of the vulva, vagina, and cervix
A nurse is preparing to measure the uterine funds of a client who is at 32 weeks of gestation. The
nurse can expect to find that the measurement will be at ____ cm
32
What organ does the ducts venous shunt blood away from in fetal circulation?
Liver
A woman reports that her last menstrual period began on August 5, 2019. What is the woman's
expected delivery date using Naegele's rule?
May 12, 2020
A woman's emotional reaction during the second trimester of pregnancy may be characterized
by?
fantasies about the baby's appearance
The functions of the placenta are to:
1. Supply oxygen to the fetus
2. produce hormones
3. provide protection from infection
A nurse is reinforcing teaching with a client about how to reduce the risk of giving birth to a
newborn who has a neutral tube defect. Which of the following instructions should the nurse
include in the teaching?
Eat foods fortified with folic acid
The substance that provides support and protection for the vessels inside the umbilical cord is?
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, Wharton's Jelly
The major male hormone of reproduction, testosterone, is produced in the ?
adrenal glands
A woman comes into the clinic for her first prenatal visit. Her obstetrical history is recorded. She
has a 10-month-old son delivered five days before his due date, a five-year-old son that was born
at 36 weeks of age, and a seven-year-old daughter born at 38 weeks. She has also lost a
pregnancy at 12 weeks. Using GTPAL what is her history
G4 T2 P1 A1 L3
What is the total number of chromosomes in a mature sperm or mature ovum?
23
At how many weeks gestational does the fetal lungs start to produce surfactant
25 weeks
The primary purpose of amniotic fluid is to
protect the fetus during development
The fertilized ovum usually implants in the
upper portion of the fallopian tube
Woman have all their ova at the time they are born
true
The nurse reminds the prenatal patient that she should add ___ kcal to her daily intake to nourish
the fetus in the first trimester
300
A nurse in a prenatal clinic is determining a clients estimated date of delivery using Naegele's
rule. The first day of her last menstrual period was May 4, 2020. Which of the following dates
should the nurse tell the client is her estimated date of delivery?
February 11, 2021
A nurse is reinforcing nutritional teaching with a client who is 8 weeks of gestation. Which of
the following statements should the nurse include?
You should increase your folic acid intake during your pregnancy
During which time frame does the embryonic stage last?
Two through 8 weeks after conception
A nurse is reinforcing teaching about common discomfort of pregnancy during the first trimester
with a client who is pregnant. Which of the following manifestations should the nurse include in
the teaching?
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, urinary frequency
The nurse assesses the progress from the announcement stage of fatherhood to the acceptance
stage when the patient reports which actions by the father?
1. Have revised his financial plan
2. Helped select a crib
3. Traded his sports car for a sedian
A nurse is reinforcing teaching about immunizations with a woman in her first trimester of
pregnancy whose diagnostic testing indicates she does not have immunity to rubella. The nurse
should recommend that the client receive a measles, mumps, rubella (MMR) vaccine at which of
the following times?
Prior to discharge from the hospital after giving birth
The primary goal of prenatal care is to assure the woman of
the healthiest outcome possible
When will the embryo's heart being beating?
By the end of week 3
What of the following is considered a positive sign of pregnancy
positive urine pregnancy test
According to the FDA, medications in this category are contraindicated for use in pregnancy
Category X
Ovulation cycle in order:
1. Increase of FSH
2. Secretion of LH
3. Release of an egg
4. Release of progesterone by corpus luteum
5. Fertilization of the ovum
6. Implantation into the endometrium
The normal volume of amniotic fluid is approximately _______ mL at 37 weeks of gestation
1,000
What will the prenatal visit schedule for a woman with an uncomplicated pregnancy?
Every 4 weeks until 28 weeks, then every 2 weeks until 36 weeks, then weekly until delivery
The usual location of fertilization is?
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