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A woman entering the 22nd week of pregnancy complains that she has become unsightly because of chloasma. What should the nurse recommend to reduce the appearance of the chloasma?
- A. Use heavy makeup.
- B. Take extra doses of vitamin A.
- C. Avoid exposure to the sun.
- D. Reduce caffeine intake.
Correct Answer: C
Rationale: At week 22, skin pigment changes called chloasma are found. Avoiding exposure to the sun will reduce the pigmentation.
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Why is the nurse concerned about a patient in her first trimester of pregnancy being exposed to German measles?
- A. The disease is capable of causing a spontaneous abortion.
- B. The disease is capable of causing birth defects.
- C. The disease is capable of causing high fever and convulsions.
- D. The disease is capable of interfering with placental implantation.
Correct Answer: B
Rationale: Rubella is a known teratogen, which can cause birth defects.
At what week of fetal development can the nurse expect to first hear fetal heart tones with an amplified stethoscope?
- A. 10
- B. 12
- C. 14
- D. 16
Correct Answer: D
Rationale: During week 16, the fetal heart can be heard with an amplified stethoscope.
The newly diagnosed primigravida who is 6 weeks pregnant states "I don't feel like I have a real baby inside me." To reassure the mother the nurse provides reassurance that which of the following is functioning in the 6-week-old embryo?
- A. Brain
- B. Lungs
- C. Hands
- D. Heart
Correct Answer: D
Rationale: At 6 weeks, the fetus has a pumping heart.
A patient has been diagnosed with a tubal pregnancy. What is the typical outcome of a tubal pregnancy?
- A. The patient will carry the pregnancy to term and have a cesarean delivery.
- B. The patient will have to remain in bed for the remainder of the pregnancy.
- C. The patient will spontaneously abort this ectopic pregnancy.
- D. The patient will require surgery to remove the zygote.
Correct Answer: D
Rationale: Any pregnancy where implantation occurs outside the uterine cavity is called ectopic. Tubal pregnancies usually must be resolved by surgical removal of the zygote.
Where does implantation of the fertilized ovum usually occur?
- A. Lower uterine wall
- B. Side of the uterus
- C. Fundus of the uterus
- D. Body of the uterus
Correct Answer: C
Rationale: Implantation usually occurs in the fundus of the uterus.