Exam (elaborations)
Saunders NCLEX-PN Examination 7th Edition MATERNITY - ANTEPARTUM
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Saunders NCLEX-PN Examination 7th Edition MATERNITY - ANTEPARTUM
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Maternity(Antepartum) Nclex questions---saunders1. 3. Where fertilization occurs.
Rationale: Each fallopian tube is a hollow muscular tube that transports a
mature oocyte for final maturation and fertilization. Fertilization typically
occurs near the boundary between the ampulla and the isthmus of the tube.
The vagina is the organ of copulation, and the fetus develops in the uterus.
Estrogen is a hormone that is produced by the ovarian follicles, the corpus
luteum, the adrenal cortex, and the placenta during pregnancy.
Progesterone is a hormone that is secreted by the corpus luteum of the
ovary, the adrenal glands, and the placenta during pregnancy.: 1.The nurse is
collecting data from a pregnant client when the client asks the nurse about the
purpose of the fallopian tubes. Which is the accurate response the nurse should
make?
1.The organ of copulation
2.Where the fetus develops
3.Where fertilization occurs
4.The organ that secretes estrogen and progesterone
2. Correct Answer: 1, 4, 5
Rationale: A gynecoid pelvis is a normal female pelvis, and it is the most
favorable for successful labor and birth. Characteristics of a gynecoid pelvis
include a round shape, blunted ischial spines that are widely separated, a
diagonal conjugate of at least 12.5 cm to 13 cm, a wide pelvic arch, and an
adequate depth.: 2.The nurse working in a prenatal clinic reviews a client's chart
and notes that the primary health care provider documents that the client has a
gynecoid pelvis. The nurse plans care understanding that which findings are
characteristic of this type of pelvis? Select all that apply.
1.Round shape
2.Shallow depth
3.Narrow pubic arch
4.Diagonal conjugate measures 12.5 cm to 13 cm
5.Blunt, somewhat widely separated ischial spines
3. 4. Provides an exchange of nutrients and waste products between the
mother and the fetus
, Maternity(Antepartum) Nclex questions---saunders
Rationale: The placenta provides an exchange of nutrients and waste
products between the mother and the fetus. The amniotic fluid surrounds,
cushions, and protects the fetus and allows for fetal movement. The
amniotic fluid also maintains the body temperature of the fetus.: 3.The client
asks the nurse about the purpose of the placenta. The nurse plans to respond to
the client knowing which about the placenta?
1.Cushions and protects the fetus
2.Maintains the body temperature of the fetus 3.Surrounds the fetus and allows for
fetal movement 4.Provides an exchange of nutrients and waste products between
the mother and the fetus
4. 2. Two umbilical arteries and one umbilical vein
Rationale: Blood pumped by the fetus's heart leaves the fetus through two
umbilical arteries. After the blood is oxygenated, it is then returned by one
umbilical vein. The umbilical arteries carry deoxygenated blood and waste
products from the fetus, and the umbilical vein carries oxygenated blood
and provides oxygen and nutrients to the fetus.: 4.The nurse is describing the
process of fetal circulation to a client during a prenatal visit. The nurse should tell
the client that fetal circulation consists of which components?
1.Two umbilical veins and one umbilical artery
2.Two umbilical arteries and one umbilical vein 3.Arteries that carry oxygenated
blood to the fetus 4.Veins that carry deoxygenated blood to the fetus
5. 3.Connects the umbilical vein to the inferior vena cava
Rationale: The ductus venosus connects the umbilical vein to the inferior
vena cava. The foramen ovale is a temporary opening between the right and
left atria. The ductus arteriosus joins the aorta and the pulmonary artery.:
5.A nursing student is assigned to a client in labor. The nursing instructor asks the
student to describe fetal circulation, specifically the ductus venosus. The instructor
determines that the student understands the structure of the ductus venosus if the
student states which about the ductus venosus?
1.Connects the pulmonary artery to the aorta
2.Is an opening between the right and left atria 3.Connects the umbilical vein to
the inferior vena cava 4.Connects the umbilical artery to the inferior vena cava
, Maternity(Antepartum) Nclex questions---saunders
6. 3. 150 beats per minute
Rationale: Fetal heart rate depends on gestational age. It is normally 160 to
170 beats per minute during the first trimester, but it slows with fetal growth
to
110 to 160 beats per minute near or at term.: 6.During a prenatal visit, the nurse
checks the fetal heart rate (FHR) of a client in the third trimester of pregnancy. The
nurse determines that the FHR is normal if which heart rate is noted?
1.80 beats per minute
2.100 beats per minute
3.150 beats per minute
4.180 beats per minute
7. 3.It stimulates uterine development to provide an environment for the
fetus and stimulates the breasts to prepare for lactation.
Rationale: Estrogen stimulates uterine development to provide an
environment for the fetus and it stimulates the breasts to prepare for
lactation. Progesterone maintains the uterine lining for implantation and
relaxes all smooth muscle. Human placental lactogen stimulates the
metabolism of glucose and converts the glucose to fat. Human chorionic
gonadotropin prevents the involution of the corpus luteum and maintains
the production of progesterone until the placenta is formed.: 7.The nurse is
reinforcing teaching to a pregnant woman about the physiological effects and
hormonal changes that occur during pregnancy. The woman asks the nurse about
the purpose of estrogen. The nurse bases the response on which purpose of
estrogen?
1.It maintains the uterine lining for implantation.
2.It stimulates the metabolism of glucose and converts glucose to fat.
3.It stimulates uterine development to provide an environment for the fetus and
stimulates the breasts to prepare for lactation.
4.It prevents the involution of the corpus luteum and maintains the production of
progesterone until the placenta is formed.
8. 2. " Do you plan to have any other children?"
, Maternity(Antepartum) Nclex questions---saunders
Rationale: Sterilization is a method of contraception for couples who have
completed their families. It should be considered a permanent end to fertility
because reversal surgery is not always successful. The nurse would ask the
couple about their plans for having children in the future. Options 1, 3, and 4
are unrelated to this procedure.: 8.A couple comes to the family planning clinic
and asks about sterilization procedures. Which question by the nurse helps
determine whether this method of family planning is appropriate?
1."Have either of you ever had surgery?"
2."Do you plan to have any other children?"
3."Do either of you have diabetes mellitus?"
4."Do either of you have problems with high blood pressure?"
9. 2. July 27. 2020
Rationale: The accurate use of Nägele's rule requires that the woman have a
regular 28-day menstrual cycle. Subtract 3 months from the first day of the
last menstrual period, add 7 days, and then adjust the year as appropriate.
In this case, the first day of the LMP was October 20, 2019. When you
subtract 3 months, you get July 20, 2019. If you add 7 days, you get July 27,
2019. Add 1 year to this, and you get the estimated date of birth: July 27,
2020.: 9.The client arrives at the prenatal clinic for her first prenatal assessment.
The client tells the nurse that the first day of her last menstrual period (LMP) was
October 20, 2019. Using Nägele's rule, the nurse determines the estimated date of
birth is which date?
1.July 12, 2020
2.July 27, 2020
3.August 12, 2020
4.August 27, 2020
10. 4. 16 and 20 weeks' gestation
Rationale: Quickening is fetal movement that usually first occurs between 16
and 20 weeks' gestation. The expectant mother first notices subtle fetal
movements during this time, and these gradually increase in intensity.
Options 1, 2, and 3 are incorrect; these gestational time frames are too early
for quickening.: 10. A pregnant client asks the nurse in the clinic when she will be
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