Nokea
A pregnant teenager presents with the following complaints. Which complaint could be an indicator of a serious complication?
- A. Painful hemorrhoids
- B. Linea nigra
- C. Visual disturbances
- D. Low back pain
Correct Answer: C
Rationale: Visual disturbances may be an indicator of increased blood pressure and retained fluids. These are indicators of eclampsia. Hemorrhoids, linea nigra, and back pain are common discomforts of pregnancy.
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The nurse concludes that the prenatal patient has no need for further instruction when she correctly states that amniocentesis can determine which of the baby's characteristics?
- A. Sex
- B. Maturity
- C. Approximate weight
- D. Health
- E. Genetic defects
Correct Answer: A,B,D,E
Rationale: The amniocentesis can reveal the sex, maturity, health, and some genetic defects.
Which hormone is secreted by the placenta?
- A. Follicle-stimulating hormone (FSH)
- B. Alpha-fetoprotein (AFP)
- C. Human chorionic gonadotropin (HCG)
- D. Luteinizing hormone (LH)
Correct Answer: C
Rationale: The placenta functions as an endocrine gland, secreting estrogen, progesterone, and HCG.
Which is a positive sign of pregnancy?
- A. Positive pregnancy test
- B. Positive Chadwick sign
- C. Ultrasonic tracing of the fetus
- D. Positive Goodell sign
Correct Answer: C
Rationale: A positive sign of pregnancy is an ultrasonic tracing of the fetus. A positive pregnancy test, positive Chadwick sign, and positive Goodell sign are all probable signs of pregnancy.
What do the arteries in the umbilical cord carry?
- A. Nutrients to the fetus from the placenta
- B. Oxygenated blood to perfuse the placenta
- C. Antibodies from the fetus to the mother
- D. Deoxygenated blood back to the placenta
Correct Answer: D
Rationale: The arteries of the umbilical cord are unique in that they carry deoxygenated blood back to the placenta.
What does the increase in circulating blood volume during pregnancy cause in the mother?
- A. Shortness of breath
- B. Frontal headaches
- C. Decreased white blood cell count
- D. Decreased hemoglobin
Correct Answer: D
Rationale: Maternal circulating volume increases 30% to 40%, causing a virtual decrease in hemoglobin.