Nokea
The nurse is reviewing the hormonal blood work from a patient who is tracking their cycle to try to conceive this month. The patient’s estradiol and progesterone levels are low. What statement would the nurse include in the patient teaching?
- A. “You have already ovulated this month. Let us know if you are not pregnant, and we will try again next month.”
- B. “You should have intercourse tonight and tomorrow. This is the best time to try to conceive.”
- C. “You are at the very beginning of your cycle and will be getting your period very soon.”
- D. “We can’t tell where you are in your cycle from this blood work. You may need to repeat it next week.”
Correct Answer: C
Rationale: Low estradiol and progesterone levels suggest the patient is in the early follicular phase, just before menstruation.
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The nurse is explaining the function of the placenta to a pregnant patient. Which statement indicates to the nurse that further clarification is necessary?
- A. “My baby gets oxygen from the placent
- B. “The placenta functions to help excrete waste products.”
- C. “The nourishment that I take in passes through the placent
- D. The placenta helps maintain a stable temperature for my baby.”
Correct Answer: D
Rationale: While the statement "The nourishment that I take in passes through the placenta" is generally correct in the context of the placenta providing nutrients to the fetus, it does not fully convey the process accurately. The primary function of the placenta is to facilitate the exchange of oxygen, nutrients, and waste products between the mother and the fetus through the mother's blood supply. It is not a direct passage of nourishment that the mother takes in; rather, it involves a complex process of diffusion and transport to ensure the fetus receives the necessary nutrients and oxygen. Therefore, further clarification is needed to ensure the patient has a complete understanding of this essential function of the placenta.
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.
The nurse is providing education about the newborn to a pregnant person and the soon-to-be grandparents. What information is the most important for the nurse to discuss to assist the extended family in adapting to their new role?
- A. how to bathe the newborn
- B. extended family role expectations
- C. childbirth preparation
- D. breast-feeding
Correct Answer: B
Rationale: Addressing extended family role expectations helps them adapt to the newborn. Other choices focus on practical baby care.
What occurs in the intervillous space in the developing placenta?
- A. None
- B. Oxygen and nutrients perfuse across the chorion villi to enter fetal circulation.
- C. None
- D. None
Correct Answer: B
Rationale: This is the primary function of the intervillous space.
What are probable signs of pregnancy? Select all that apply.
- A. amenorrhea
- B. fetal movement
- C. Goodell sign
- D. positive pregnancy test
Correct Answer: B
Rationale: Probable signs include Goodell sign, positive pregnancy test, and skin hyperpigmentation. Amenorrhea and fetal movement are subjective or definitive signs.