Nokea
The upper uterus is the best place for the fertilized ovum to implant due to which anatomical adaptation?
- A. Maternal blood flow is lower.
- B. Placenta attaches most firmly.
- C. Uterine endometrium is softer.
- D. Developing baby is best nourishe
Correct Answer: D
Rationale: The correct answer is D because the upper uterus provides the developing baby with the best nourishment due to increased blood flow and nutrient supply. This area allows for optimal growth and development of the fetus. Maternal blood flow is higher in the upper uterus, not lower (A). While the placenta attaches firmly in the upper uterus, it is not the main reason for the implantation site (B). The uterine endometrium is softer in the lower uterus, not the upper, making choice C incorrect. In summary, the upper uterus is ideal for implantation due to increased nourishment for the developing baby, making choice D the correct answer.
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The nurse works in a urologist’s office. A male patient is scheduled for routine fertility testing. For which test does the nurse refrain from making preparation?
- A. STI screening
- B. Hormonal levels
- C. Sexual functioning
- D. Ejaculate analysis
Correct Answer: C
Rationale: The correct answer is C: Sexual functioning. The nurse should refrain from making preparation for sexual functioning testing because this is not typically part of routine fertility testing. The focus of routine fertility testing for a male patient in a urologist's office would be on assessing sperm health and quality, which includes tests like semen analysis (choice D). STI screening (choice A) may be necessary to rule out any infections that could affect fertility, and hormonal levels (choice B) are important to assess the endocrine system's role in fertility. However, sexual functioning testing is not directly related to assessing fertility issues in this context.
What is the purpose of maternal assays and multiple marker screenings performed in the first trimester of pregnancy?
- A. to determine the gender of the fetus
- B. to assess the risk of chromosomal abnormalities in the fetus
- C. to monitor the growth and development of the placenta
- D. to detect any potential maternal infections
Correct Answer: B
Rationale: The correct answer is B: to assess the risk of chromosomal abnormalities in the fetus. Maternal assays and multiple marker screenings in the first trimester are used to evaluate the risk of conditions like Down syndrome. These tests measure levels of certain proteins and hormones in the mother's blood to assess the likelihood of chromosomal abnormalities in the fetus. Options A, C, and D are incorrect because determining the gender of the fetus, monitoring placental growth, and detecting maternal infections are not the primary purposes of these screenings in the first trimester.
Sally comes in for her first prenatal examination. This is her first child. She asks you (the nurse), 'How does my baby get air inside my uterus?' The correct response is:
- A. The baby's lungs work in utero to exchange oxygen and carbon dioxide.
- B. The baby absorbs oxygen from your blood system.
- C. The placenta provides oxygen to the baby and excretes carbon dioxide into your bloodstream.
- D. The placenta delivers oxygen-rich blood through the umbilical artery to the baby's abdomen.
Correct Answer: C
Rationale: The placenta functions by supplying oxygen and excreting carbon dioxide to the maternal bloodstream.
The nurse is counseling a female patient who has unsuccessfully attempted to become pregnant through a variety of methods and treatments for infertility. Which psychosocial manifestation is the nurse most likely to recognize?
- A. Close connections with extended family
- B. Strong intimate relationship with her partner
- C. Difficulty accepting pregnancy if it does occur
- D. Greater focus on career and job opportunities
Correct Answer: C
Rationale: The correct answer is C: Difficulty accepting pregnancy if it does occur. A patient who has struggled with infertility may have developed emotional barriers or fears related to pregnancy due to past disappointments. This psychosocial manifestation is common in individuals who have faced challenges with fertility. It is important for the nurse to recognize and address this potential issue during counseling.
A: Close connections with extended family is not the most likely psychosocial manifestation in this scenario. While extended family support can be beneficial, it may not be the primary concern for a patient struggling with infertility.
B: Strong intimate relationship with her partner is important for coping with infertility, but it is not the most likely manifestation for the nurse to recognize in this scenario.
D: Greater focus on career and job opportunities is not the most likely psychosocial manifestation for a patient struggling with infertility. While some individuals may prioritize their career, the primary concern in this case is related to emotional challenges with pregnancy acceptance.
A patient at 37 weeks gestation arrives at the labor and delivery unit and reports a rupture of her membranes. Which factor causes the nurse to anticipate the HCP will prescribe a medical method of labor induction?
- A. The fetus is viable and the barrier for a sterile uterine environment is breached.
- B. The fetus is at risk for “drying out” and causing the mother to have a dry birth.
- C. The mother must be maintained on complete bedrest until contractions begin.
- D. The mother is at risk for developing an infection and passing it to the fetus.
Correct Answer: A
Rationale: The correct answer is A: The fetus is viable and the barrier for a sterile uterine environment is breached. At 37 weeks gestation, the fetus is considered full-term and capable of surviving outside the womb. Rupture of membranes increases the risk of infection as it exposes the fetus to the vaginal flora. Therefore, a medical method of labor induction may be prescribed to prevent complications such as intrauterine infection.
Choices B, C, and D are incorrect:
B: The fetus "drying out" and causing a dry birth is not a valid reason for labor induction.
C: Bedrest until contractions begin is not a standard approach for managing ruptured membranes.
D: While infection risk is a concern with ruptured membranes, the primary reason for induction is to prevent harm to the fetus due to the breach in the sterile uterine environment, not just maternal infection.