Nokea
A 36-year-old G2P0 patient has been told that she has hydramnios. She asks what might have caused this and if it will cause complications. What is the nurse’s correct response?
- A. It is a decrease in the amount of amniotic fluid that occurs as a result of a neural tube defect.
- B. It is an increase in the amount of amniotic fluid, which can compress the baby’s cord.
- C. It is an increase in amniotic fluid that can occur as a result of having diabetes mellitus.
- D. It is a decrease in the amount of amniotic fluid that can cause preterm labor.
Correct Answer: C
Rationale: Hydramnios involves increased amniotic fluid, often linked to diabetes mellitus and may compress the umbilical cord.
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The nurse is explaining fetal circulation to a student. Which statement by the nurse is correct?
- A. There is an opening between the atria that allows blood to flow directly to the lungs for oxygenation.
- B. There is a shunt between the aorta and the pulmonary vein that bypasses the lungs.
- C. The ductus arteriosus allows blood to flow from the pulmonary artery to the aorta.
- D. The foramen ovale closes just before birth.
Correct Answer: C
Rationale: The ductus arteriosus allows blood to bypass the lungs, directing it from the pulmonary artery to the aorta.
The nurse is counseling a female patient diagnosed with anovulation as a cause of infertility. Which information does the nurse provide to the patient? Select all that apply.
- A. Methods for dietary planning
- B. Consultation for myomectomy
- C. Refrain from unprotected sex
- D. Surgical correction of fallopian tubes
Correct Answer: A
Rationale: Methods for dietary planning and clomiphene citrate instructions are crucial for managing anovulation. The other options are unrelated or less effective for this condition.
What medication would the nurse include in the discharge teaching for a patient after an egg retrieval?
- A. birth control pills
- B. follitropin
- C. estrogen supplementation
- D. ganirelix acetate
Correct Answer: C
Rationale: Estrogen supplementation is often prescribed after egg retrieval to support the endometrial lining for embryo transfer.
What is the portion of the endometrium beneath the blastocyst known as?
- A. Decidua basalis
- B. Chorionic villi
- C. Decidua vera
- D. Decidua capsularis
Correct Answer: A
Rationale: The decidua basalis is the portion of the endometrium beneath the blastocyst.
What are the number and type of chromosomes in a normal mature gamete?
- A. 22 autosomes
- B. 22 autosomes and one sex chromosome
- C. 46 chromosomes
- D. 23 autosomes
Correct Answer: B
Rationale: Gametes have 22 autosomes and one sex chromosome, resulting in 23 chromosomes in total.