Nokea
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.
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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.
What patient statement indicates the need for further education about amniocentesis?
- A. “It can be used to test for neural tube defects.”
- B. “It is performed between 15 and 20 weeks’ gestation.”
- C. “It is performed using a sterile needle to withdraw a sample of amniotic fluid.”
- D. “The sample can be obtained using a transcervical approach.”
Correct Answer: D
Rationale: Amniocentesis is performed transabdominally, not transcervically, to obtain amniotic fluid.
A maternity nurse should be aware of which fact about the amniotic fluid?
- A. It serves as a source of oral fluid and a repository for waste from the fetus.
- B. The volume remains about the same throughout the term of a healthy pregnancy.
- C. A volume of less than 300 mL is associated with gastrointestinal malformations.
- D. A volume of more than 2 L is associated with fetal renal abnormalities.
Correct Answer: A
Rationale: Amniotic fluid serves as a source of oral fluid, serves as a repository for waste from the fetus, cushions the fetus, and helps maintain a constant body temperature.
During formation of the germ layer in the embryo, which layer gives rise to the nervous system?
- A. Ectoderm
- B. Mesoderm
- C. Endoderm
- D. Entoderm
Correct Answer: A
Rationale: The ectoderm forms the nervous system, along with the skin and sensory organs.
The nurse is planning a prenatal class on fetal development. Which characteristics of prenatal development should the nurse include for a fetus of 24 weeks, based on fertilization age? (Select all that apply.)
- A. Ear cartilage firm
- B. Skin wrinkled and red
- C. Testes descending toward the inguinal rings
- D. Surfactant production nears mature levels
Correct Answer: A
Rationale: A. Ear cartilage firm: By 24 weeks, the fetus's ear cartilage has developed and become firm, allowing the ears to be more defined in shape.