Nokea
What medication would the nurse include in the discharge teaching for a patient after an egg retrieval?
- A. birth control pills
- B. follitropin
- C. estrogen supplementation
- D. ganirelix acetate
Correct Answer: C
Rationale: Estrogen supplementation is often prescribed after egg retrieval to support the endometrial lining for embryo transfer.
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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 adolescent tells the nurse she is taking isotretinoin (Accutane). Which statement is correct?
- A. Isotretinoin is teratogenic and associated with major fetal malformations, so the client should stop the medication immediately.
- B. None
- C. None
- D. None
Correct Answer: A
Rationale: Isotretinoin is known to cause severe fetal abnormalities.
What is the purpose of cell-free DNA screening done in the first trimester?
- A. to determining the gender of the fetus
- B. to check for multiple fetuses
- C. to assess the risk of chromosomal abnormalities in the fetus
- D. to measure the growth and development of the fetus
Correct Answer: C
Rationale: Cell-free DNA is used to assess the risk of chromosomal abnormalities. It does not determine gender or measure growth and development.
In which structure does fertilization usually occur?
- A. the ovary
- B. the uterus
- C. the fallopian tube
- D. the vagina
Correct Answer: C
Rationale: Fertilization typically occurs in the fallopian tube, where the sperm meets the ovum.
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.