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NR 327 Maternal Newborn Exam 1 TB with complete verified solutions 2025
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NR 327 Maternal Newborn Exam 1 TB with complete verified solutions 2025
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NR 327 Maternal NewbornExam 1 TB with complete
verified solutions 2025
An expectant father asks the nurse, "Which part of the mature
sperm contains the male chromosome?" What is the correct
response by the nurse? - answer The head of the sperm
One of the assessments performed in the birth room is checking the
umbilical cord for blood vessels. Which finding is considered to be
within normal limits? - answer Two arteries and one vein
What is the purpose of the ovum's zona pellucida? - answer
Prevents multiple sperm from fertilizing the ovum
The nurse is explaining the process of cell division during the
preembryonic period to a group of nursing students. Which
statement best describes the characteristics of the morula? -
answer Solid ball composed of the first cells formed after
fertilization
The upper uterus is the best place for the fertilized ovum to implant
due to which anatomical adaptation? - answer Developing baby is
best nourished.
Some of the embryo's intestines remain within the umbilical cord
during the embryonic period because the - answer abdomen is too
small to contain all the organs while they are developing.
A patient who is 16 weeks pregnant with her first baby asks how
long it will be before she feels the baby move. Which is the nurse's
,best answer? - answer "Within the next month you should start to
feel fluttering sensations."
Which statement best describes the changes that occur during the
fetal period of development? - answer Maturation of organ systems
An expectant mother says to the nurse, "When my sister's baby was
born, it was covered in a cheese-like coating. What is the purpose of
this coating?" The correct response by the nurse is to explain that
the purpose of vernix caseosa is to - answer protect the fetal skin
from amniotic fluid.
An expectant mother, diagnosed with oligohydramnios, asks the
nurse what this condition means for the baby. Which statement
should the nurse provide for the patient? - answer
Oligohydramnios can cause poor fetal lung development.
The nurse is conducting a staff in-service on multifetal pregnancy.
Which statement regarding dizygotic twin development should the
nurse include in the teaching session? - answer Dizygotic twins
arise from two fertilized ova and may be the same sex or different
sexes.
An infant is diagnosed with fetal anemia. Which information would
support this clinical diagnosis? - answer Passive immunity
The nurse is explaining the function of the placenta to a pregnant
patient. Which statement indicates to the nurse that further
clarification is necessary? - answer "The placenta helps maintain a
stable temperature for my baby."
The nurse is assessing a newborn immediately after birth. After
assigning the first Apgar score of 9, the nurse notes two vessels in
the umbilical cord. What is the nurse's next action? - answer
Assess for other abnormalities of the infant.
,A pregnant patient asks the nurse how her baby gets oxygen to
breathe. What is the nurse's best response? - answer "Oxygen-rich
blood is delivered through the umbilical vein to the baby."
During vital sign assessment of a pregnant patient in her third
trimester, the patient complains of feeling faint, dizzy, and agitated.
Which nursing intervention is most appropriate? - answer Have the
patient turn to her left side and recheck her blood pressure in 5
minutes.
A pregnant woman has come to the emergency department with
complaints of nasal congestion and epistaxis. Which is the correct
interpretation of these symptoms by the health care provider? -
answer Estrogen causes increased blood supply to the mucous
membranes and can result in congestion and nosebleeds.
While providing education to a primiparous patient regarding the
normal changes of pregnancy, what is an important information for
the nurse to share regarding Braxton Hicks contractions? - answer
These occur throughout pregnancy, but you may not feel them until
the third trimester.
What is the physiologic reason for vascular volume increasing by
40% to 60% during pregnancy? - answer Provides adequate
perfusion of the placenta
Physiologic anemia often occurs during pregnancy due to - answer
dilution of hemoglobin concentration.
Which finding is a positive sign of pregnancy? - answer
Visualization of fetus by ultrasound
, A patient in her first trimester complains of nausea and vomiting.
The patient asks, "Why is this happening?" What is the nurse's best
response? - answer "It may be due to changes in hormones."
A patient in her first trimester complains of nausea and vomiting.
The patient asks, "Why is this happening?" What is the nurse's best
response? - answer "It may be due to changes in hormones."
The patient has just learned that she is pregnant and overhears the
gynecologist saying that she has a positive Chadwick's sign. When
the patient asks the nurse what this means, how would the nurse
respond? - answer "This sign occurs normally in pregnancy, when
estrogen causes increased blood flow in the area of the cervix."
An expected change during pregnancy is a darkly pigmented
vertical midabdominal line. The nurse recognizes this alteration as -
answer linea nigra.
What is the best explanation that the nurse can provide to a patient
who is concerned that she has "pseudoanemia" of pregnancy? -
answer Inform her that because of the pregnancy, her blood
volume has increased, leading to a substantial dilution effect on her
serum blood levels, and that most women experience this condition.
Which physiologic finding is consistent with normal pregnancy? -
answer Cardiac output increases during pregnancy.
A pregnant woman complains of frequent heartburn. The patient
states that she has never had these symptoms before and wonders
why this is happening now. The most appropriate response by the
nurse is to - answer explain to the patient that physiologic changes
caused by the pregnancy make her more likely to experience these
types of symptoms.
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