Nokea
A patient at 34 weeks gestation is undergoing an ultrasound. The nurse notes that the amniotic fluid is estimated at between 500 and 600 mL. Which deduction does the nurse make from this finding?
- A. Oligohydramnios is present.
- B. Fluid is normal for gestation age.
- C. Polyhydramnios has formed.
- D. Follow-up ultrasound is warranted.
Correct Answer: A
Rationale: Oligohydramnios, or low amniotic fluid, is indicated by the reduced volume, requiring close monitoring.
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Fetal circulation includes 3 shunts. Match each shunt to its physiologic action. Foramen ovale
- A. Connects the pulmonary artery and the aorta, bypassing the lungs.
- B. Connects the right and left atria.
- C. Connects the right and left ventricles.
- D. Allows the umbilical vein to bypass the liver to flow into the inferior vena cava.
Correct Answer: B
Rationale: Foramen ovale connects the right and left atria.
Reva Rubin identified several maternal tasks the pregnant person undertakes during pregnancy. What actions by the pregnant person are included in these tasks? Select 4 that apply.
- A. develops attachment to the fetus
- B. schedules a childbirth class
- C. encourages the partner’s attachment to the fetus
- D. acknowledges the fetus as a separate person
Correct Answer: B
Rationale: Maternal tasks include developing attachment, acknowledging the fetus, and placing the fetus's needs above their own.
The most critical time of development during pregnancy is during organogenesis, where teratogens can cause congenital abnormalities. When is this time period?
- A. At the time of fertilization
- B. During the zygote period
- C. During the embryonic period
- D. At 20 weeks gestation
Correct Answer: C
Rationale: Organogenesis occurs during the embryonic period, where teratogens have the highest impact.
When should a woman start having pap smears?
- A. None
- B. At age 21.
- C. None
- D. None
Correct Answer: B
Rationale: Guidelines recommend starting pap smears at age 21.
Identify the physician who is certified to provide the most comprehensive perinatal care.
- A. family practice
- B. obstetrician
- C. surgeon
- D. maternal-fetal medicine
Correct Answer: D
Rationale: Maternal-fetal medicine specialists provide comprehensive perinatal care. Other physicians have more limited scopes.