Nokea
A woman who has just discovered she is pregnant states that the first day of her last menstrual period was July 10. What will be her expected date of birth (EDB)?
- A. April 10
- B. April 17
- C. May 10
- D. October 17
Correct Answer: B
Rationale: To determine the EDB (estimated date of birth), the woman should count from the first day of her last menstrual period. Count back 3 months and forward 7 days.
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When can the sex of the fetus be confirmed?
- A. Conception
- B. 2 weeks
- C. 6 weeks
- D. 9 weeks
Correct Answer: D
Rationale: At 9 weeks the genitalia are well defined.
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.
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.
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.
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.