Which statements about amniotic fluid are correct? Select all that apply.
- A. Provides fetal nutrition
- B. Cushions the fetus from injury
- C. Enables the fetus to grow
- D. Enables the fetus to practice swallowing
Correct Answer: D
Rationale: Amniotic fluid cushions the fetus, enables growth, maintains a stable thermal environment, and allows the fetus to practice swallowing.
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A nurse is providing prenatal education to a patient who is at 20 weeks gestation. Which of the following statements indicates that the teaching has been effective?
- A. I will avoid exercising during pregnancy to protect my baby.
- B. I will drink plenty of water and rest when I feel tired.
- C. I will eat for two to ensure my baby gets enough nutrition.
- D. I will attend all of my prenatal visits and follow my doctor's advice.
Correct Answer: D
Rationale: The correct answer is D because attending all prenatal visits and following the doctor's advice is crucial for monitoring the health of both the mother and the baby. It ensures early detection of any potential issues and proper management throughout the pregnancy. This statement shows the patient's commitment to their prenatal care, which is essential for a healthy pregnancy outcome.
Explanation for why other choices are incorrect:
A: Avoiding exercise completely is not recommended during pregnancy, as moderate exercise is beneficial for both the mother and the baby.
B: While staying hydrated and resting when tired are important, they do not solely indicate effective prenatal education.
C: Eating for two is a common misconception; the focus should be on a balanced diet rather than overeating.
The nurse notes each of the following findings in a 10-week gestation client. Which of the findings would enable the nurse to tell the client that she is positively pregnant?
- A. Fetal heart rate via Doppler.
- B. Positive pregnancy test.
- C. Positive Chadwick’s sign.
- D. Montgomery gland enlargements.
Correct Answer: A
Rationale: A fetal heart rate detected via Doppler is a positive sign of pregnancy. A positive pregnancy test, Chadwick’s sign, and Montgomery gland enlargements are probable signs but not definitive.
The nurse explains that the birth weight of monozygotic twins is frequently below average. What is the most likely cause?
- A. Inadequate space in the uterus
- B. Inadequate blood supply
- C. Inadequate maternal health
- D. Inadequate placental nutrition
Correct Answer: D
Rationale: The single placenta may not be able to provide adequate nutrition to two fetuses.
What is the most common site for fertilization?
- A. Lower segment of the uterus
- B. Outer third of the fallopian tube near the ovary
- C. Upper portion of the uterus
- D. Area of the fallopian tube farthest from the ovary
Correct Answer: B
Rationale: Fertilization takes place in the outer third of the fallopian tube, which is closest to the ovary.
A gravid woman who recently emigrated from mainland China is being seen at her first prenatal visit. She was never vaccinated in her home country. An injection to prevent which of the following communicable diseases should be administered to the woman during her pregnancy?
- A. Influenza.
- B. Mumps.
- C. Rubella.
- D. Varicella.
Correct Answer: A
Rationale: Influenza vaccination is safe and recommended during pregnancy to protect both the mother and fetus. Vaccines for Mumps, Rubella, and Varicella are live attenuated vaccines and are contraindicated during pregnancy.