Nokea
Expectant parents of twins tell the nurse they are having fraternal twins and are asking the nurse what that means. Which reply of the nurse is correct?
- A. Your twins will both be boys.
- B. Your twins are called monozygotic.
- C. You have one placenta and one of each of the fetal membranes called the chorion and amnion.
- D. Your twins will be as alike as any two siblings.
Correct Answer: D
Rationale: Fraternal twins are dizygotic, meaning they are as genetically similar as any other siblings.
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What is the purpose of the ovum’s zona pellucida?
- A. Prevents multiple sperm from fertilizing the ovum
- B. Stimulates the ovum to begin mitotic cell division
- C. Allows the 46 chromosomes from each gamete to merge
- D. Makes a pathway for more than one sperm to reach the ovum
Correct Answer: A
Rationale: The zona pellucida is a protective layer surrounding the ovum (egg cell). One of its primary functions is to prevent multiple sperm from fertilizing the egg by only allowing one sperm to penetrate and fertilize the ovum. This is crucial for ensuring that the resulting embryo has the correct genetic material (46 chromosomes) and does not have an abnormal number of chromosomes, which could lead to developmental issues. The zona pellucida acts as a physical barrier that helps to maintain the genetic integrity of the offspring.
The nurse explains to the patient at 28 weeks’ gestation not to lie flat on their back during the remainder of the pregnancy. What does this precaution prevent?
- A. acid reflux
- B. headaches
- C. pregnancy-induced hypertension
- D. vena cava syndrome
Correct Answer: D
Rationale: Lying flat can compress the vena cava, leading to reduced blood flow. Other options are unrelated.
A 35-year-old woman is 34 weeks pregnant and is diagnosed with oligohydramnios. She asks the nurse to explain how this could affect the pregnancy. Which should the nurse explain to the client? Select all that apply.
- A. The baby’s lungs may be underdeveloped.
- B. The umbilical cord may become compressed.
- C. The mother has developed diabetes mellitus.
- D. It is associated with fetal gastrointestinal abnormalities.
Correct Answer: C
Rationale: Oligohydramnios can cause underdeveloped lungs, compressed umbilical cords, fetal limb abnormalities, and is associated with renal issues. Gastrointestinal abnormalities are less likely.
The prenatal nurse is discussing fetal circulation with a student nurse. What statement by the student indicates to the prenatal nurse the student understands the information?
- A. The ductus arteriosus attaches the umbilical artery to the hepatic artery.
- B. The ductus venosus attaches the pulmonary artery to the aorta.
- C. The foramen ovale is located in the ventricular septum.
- D. There are two arteries and one vein in the umbilical cord.
Correct Answer: D
Rationale: The umbilical cord has two arteries and one vein. Other statements about fetal circulation are incorrect.
What is the purpose of carrier screening in the first trimester?
- A. to check the positioning of the fetus
- B. to assess for chromosomal abnormalities in the fetus
- C. to measure the heart rate of the fetus
- D. to identify potential genetic disorders that parents may carry
Correct Answer: D
Rationale: Carrier screening identifies genetic disorders parents may carry, which can affect the baby. It does not check positioning, heart rate, or chromosomal abnormalities directly.