Nokea
The prenatal nurse is discussing the functions of the placenta with a pregnant person at 6 weeks’ gestation. What statement by the pregnant person indicates to the nurse the patient understands the information?
- A. The placenta filters hormones to support the pregnancy.
- B. The placenta is responsible for fetal waste disposal.
- C. The placenta prevents all viruses from harming the fetus.
- D. The placenta regulates glucose levels in the fetus.
Correct Answer: B
Rationale: The placenta facilitates waste disposal and oxygen transfer. It does not filter all viruses or regulate fetal glucose.
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The most basic information a maternity nurse should have concerning conception is that:
- A. Ova are considered fertile 48 to 72 hours after ovulation.
- B. Sperm remain viable in the woman's reproductive system for an average of 12 to 24 hours.
- C. Conception is achieved when a sperm successfully penetrates the membrane surrounding the ovum.
- D. Implantation in the endometrium occurs 6 to 10 days after conception.
Correct Answer: D
Rationale: After implantation, the endometrium is called the decidua.
What term would the nurse use to document the lab results of a patient with a zero sperm count?
- A. azospermia
- B. oligospermia
- C. varicocele
- D. retrograde ejaculation
Correct Answer: A
Rationale: Azoospermia refers to the absence of sperm in the ejaculate, indicating a zero sperm count.
A man's wife is pregnant for the third time. One child was born with cystic fibrosis, and the other child is healthy. The man wonders what the chance is that this child will have cystic fibrosis. This type of testing is known as:
- A. Occurrence risk.
- B. Recurrence risk.
- C. Predictive testing.
- D. Predisposition testing.
Correct Answer: B
Rationale: The couple already has a child with a genetic disease so they will be given a recurrence risk test.
The nurse is counseling a patient regarding pregnancy. The patient lost her first two pregnancies in the second trimester of gestation for undetermined reasons. Which initial advice does the nurse provide for this patient?
- A. Consider adoption.
- B. Seek genetic studies.
- C. Plan for fertility tests.
- D. Attend grief counseling.
Correct Answer: B
Rationale: Following two spontaneous abortions, the nurse initially suggests genetic studies to identify any genetic factors causing the loss of previous pregnancies.
When should a woman start having pap smears?
- A. None
- B. At age 21.
- C. None
- D. None
Correct Answer: B
Rationale: Guidelines recommend starting pap smears at age 21.