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 placenta allows exchange of oxygen, nutrients, and waste products between the mother and fetus by:
- A. Contact between maternal blood and fetal capillaries within the chorionic villi.
- B. Interaction of maternal and fetal pH levels within the endometrial vessels.
- C. A mixture of maternal and fetal blood within the intervillous spaces.
- D. Passive diffusion of maternal carbon dioxide and oxygen into the fetal capillaries.
Correct Answer: A
Rationale: Fetal capillaries within the chorionic villi are bathed with oxygen-rich and nutrient-rich maternal blood within the intervillous spaces.
A pregnant woman at 25 weeks' gestation tells the nurse that she dropped a pan last week and her baby jumped at the noise. Which response by the nurse is most accurate?
- A. That must have been a coincidence; babies can't respond like that.
- B. The fetus is demonstrating the aural reflex.
- C. Babies respond to sound starting at about 24 weeks of gestation.
- D. Let me know if it happens again; we need to report that to your midwife.
Correct Answer: C
Rationale: Babies respond to sound starting at about 24 weeks of gestation.
What is the portion of the endometrium beneath the blastocyst known as?
- A. Decidua basalis
- B. Chorionic villi
- C. Decidua vera
- D. Decidua capsularis
Correct Answer: A
Rationale: The decidua basalis is the portion of the endometrium beneath the blastocyst.
What information would the nurse include when teaching a patient newly diagnosed with Huntington disease about having children?
- A. “Both you and your partner must carry the gene for your children to get the disease.”
- B. “The gene is found on the X chromosome. Only male children have a risk of inheriting the disease.”
- C. “You have a 50 percent chance of passing the gene on to your children.”
- D. “It occurs only when the chromosomes don’t divide correctly, causing one cell to have too many chromosomes.”
Correct Answer: C
Rationale: Huntington disease is autosomal dominant, so there is a 50% chance of passing the gene to offspring.
A pregnant woman in her first trimester is considering prenatal testing. The nurse is providing patient education regarding prenatal testing in the first trimester. What statement accurately reflects the nurse’s education?
- A. Prenatal testing in the first trimester primarily focuses on determining the gender of the fetus.
- B. Prenatal testing in the first trimester helps assess the risk of abnormalities in the fetus.
- C. Prenatal testing in the first trimester monitors the growth and development of the placenta.
- D. Prenatal testing in the first trimester is primarily performed to detect potential maternal infections.
Correct Answer: B
Rationale: Prenatal testing in the first trimester focuses on assessing the risk of fetal abnormalities, not gender, placenta, or infections.