Nokea
During a pregnant woman’s second trimester anatomy scan, the fetus was in breech position. The patient is now 34 weeks pregnant and asks how she can tell if the baby is in the right position. What test might be ordered to determine this?
- A. a biophysical profile
- B. an ultrasound
- C. a fetoscopy
- D. a nonstress test
Correct Answer: B
Rationale: An ultrasound can determine the fetus's position. Other tests are not typically used for this purpose.
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An infertile couple voices concern to the nurse about assisted reproductive technologies (ART). The nurse agrees that ART has created numerous dilemmas. Which potential questions does the nurse discuss with the couple? Select all that apply.
- A. Which partner has ownership of the embryos?
- B. Should a child be told about donors or surrogates?
- C. Are there parental rights for sperm donors?
- D. Does a fertility donor have financial obligations?
Correct Answer: D
Rationale: Ownership of embryos, informing children about donors, parental rights, and the fate of surplus embryos are all dilemmas associated with ART. Financial obligations of fertility donors may vary and are not commonly emphasized in counseling.
The nurse is teaching a class about embryonic and fetal development to couples in the early stage of pregnancy. For which reason does the nurse emphasize the first 8 weeks of gestation?
- A. Pregnancies often abort before or at this time of development.
- B. Lack of size and movement prevents confirmation of pregnancy.
- C. All organ systems are developing during this period.
- D. Factors that can interrupt the pregnancy are no longer a concern.
Correct Answer: C
Rationale: The first 8 weeks are critical as all organ systems are developing, making it a sensitive period for any interruptions.
What condition would the nurse suspect when a patient calls to report feeling very bloated after egg retrieval 3 days ago?
- A. ovarian hyperstimulation syndrome
- B. ectopic pregnancy
- C. ovarian hemorrhage
- D. hydrosalpinx
Correct Answer: A
Rationale: Ovarian hyperstimulation syndrome (OHSS) is a potential complication of egg retrieval, causing bloating and abdominal discomfort.
What keeps the endometrium from shedding if conception occurs?
- A. The anterior pituitary temporarily stops producing luteinizing hormone (LH) and follicle stimulating hormone (FSH).
- B. Human chorionic gonadotropin maintains the corpus luteum, keeping estrogen and progesterone levels high.
- C. None
- D. None
Correct Answer: B
Rationale: hCG maintains the corpus luteum which prevents endometrial shedding.
How many mature ova result from a single cycle of oogenesis?
- A. 1
- B. 2
- C. 3
- D. 4
Correct Answer: A
Rationale: Oogenesis produces one mature ovum per cycle, along with polar bodies that degenerate.