31. At 17 weeks’ gestation, a fetus isn’t considered to be ballottable. Ballottement means that:*1 pointA. The examiner feels rebound movement of the fetusB. The client feels irregular, painless, uterine contractionsC. The client feels fetal movementD. The examiner feels fetal movement32. What is the functional life span of the sperm once it is deposited in the female reproductive organ?*1 pointA. 24 HRSB. 48 HRSC. 6 DaysD. 2-3 Days33. In explaining the development of her baby, you identified in chronological order growth of the fetus as it occurs in pregnancy as:*1 pointA. ovum, embryo, zygote, fetus, infantB. zygote, ovum, embryo, fetus, infantC. ovum, zygote, embryo, fetus, infantD. zygote, ovum, fetus, embryo, infant34. A nurse performs a prenatal assessment on a client in the first trimester of pregnancy and discovers that the client frequently consumes alcohol beverages. The nurse initiates to assist the client to avoid alcohol consumption in order to:*1 pointA. Promotes the normal psychosocial adaptation of the mother to pregnancyB. Reduces the potential for fetal growth restriction in uteroC. Minimizes the potential for placental abruptions during the intrapartum periodD. Reduces the risk of teratogenic effects to developing fetal organs, tissues and structures35. A curve passage of the pelvis that slows and controls the speed of birth therefore reduces sudden pressure changes in the fetal head, which might rupture cerebral arteries*1 pointA. Pelvic InletB. Pelvic CavityC. Pelvic OutletD. Ischial Spine36. The portion of the bone on which the person sits:*1 pointA. Ischial SpinesB. Symphysis PubisC. IliumD. Ischuim37. Which breast structure is responsible for the production of breast milk?*1 pointA. NipplesB. AreolaC. Acinar CellsD. Lactiferous Ducts38. The cell that results from the fertilization of the ovum by the spermatozoon is called the?*1 pointA. BlastocystB. MorulaC. ZygoteD. Embryo39. A primigravida complains of morning sickness. The nurse should plan to teach her to:*1 pointA. Increase fluid intakeB. Eat three small meals a dayC. Increase calcium in her dietD. Avoid long periods without food40. The nurse should explain to the newly pregnant primigravida that the fetal heartbeat will first be heard with:*1 pointA. A fetoscope around 8 weeksB. A fetoscope at 12 to 14 weeksC. An electronic Doppler after 17 weeksD. An electronic Doppler at 10-12 weeks41. A client at 10 weeks gestation tells the nurse that she voids often, without dysuria, and would like to know what to do. The nurse is aware that this client will have to:*1 pointA. Decrease fluid intakeB. Contact her physician as soon as possibleC. Maintain increased fluid intake during the dayD. Try to resist the urge to void as long as possible42. A pregnant client is experiencing nausea and vomiting. The nurse is aware that this discomfort:*1 pointA. Is always present in early pregnancyB. Will disappear when lightening occursC. Is a common response to an unwanted pregnancyD. Maybe related to the human chorionic gonadotropin (HCG) level43. A client who is 10 weeks pregnant returns for her second prenatal visit. She asks why she has to urinate so often. The nurse tells her that urinary frequency in the first trimester is:*1 pointA. Caused by the baby’s head descending into the uterusB. Influenced by the enlarging uterus, which is still contained in the pelvisC. A result of the mother’s kidneys filtering more waste products because of growing fetusD. Mostly a physiologic phenomenon that results from knowing that the pregnancy has occurred44. Which among the following does not pertain to fertilization?*1 pointA. ConceptionB. ImpregnationC. FecundationD. Nidation45. In the male, a primary reason for the scrotal sac to be descended is to:*1 pointA. Rapidly squeeze the sperm from their storage site into the urethra.B. Release an alkaline fluid that helps provide an environment favorable for sperm motility and metabolism.C. Promote sexual arousal during intercourse.D. Maintain a temperature lower than that of the body to ensure spermatogenesis.46. A nurse is preparing to check the fetal heart rate of a pregnant woman who is at gestational week 16. Which piece of equipment will the nurse most appropriately use to check the fetal heart rate?*1 pointA. An adult stethoscopeB. Fetal heart monitorC. Bell of stethoscopeD. Doppler47. The fetus can hear by:*1 pointA. 24 weeksB. 12 weeksC. 16 weeksD. 20 weeks48. The nurse has instructed the group about the functions of the placenta. After giving the instruction, the nurse knows that a client needs further instruction when she says that the hormones produced by the placenta include:*1 pointA. TestosteroneB. EstrogenC. ProgesteroneD. Human Chorionic Gonadotrophin49. Secondary sex characteristics in male are the following except:*1 pointA. GynecomastiaB. Growth of testesC. Increased in the diameter of the pelvisD. Penile growth50. Spermatogenesis takes place in the male’s:*1 pointA. Prostate glandB. Bulbourethral glandC. Semeniferous tubulesD. Leydig’s cells
Question
- At 17 weeks’ gestation, a fetus isn’t considered to be ballottable. Ballottement means that:*1 pointA. The examiner feels rebound movement of the fetusB. The client feels irregular, painless, uterine contractionsC. The client feels fetal movementD. The examiner feels fetal movement32. What is the functional life span of the sperm once it is deposited in the female reproductive organ?*1 pointA. 24 HRSB. 48 HRSC. 6 DaysD. 2-3 Days33. In explaining the development of her baby, you identified in chronological order growth of the fetus as it occurs in pregnancy as:*1 pointA. ovum, embryo, zygote, fetus, infantB. zygote, ovum, embryo, fetus, infantC. ovum, zygote, embryo, fetus, infantD. zygote, ovum, fetus, embryo, infant34. A nurse performs a prenatal assessment on a client in the first trimester of pregnancy and discovers that the client frequently consumes alcohol beverages. The nurse initiates to assist the client to avoid alcohol consumption in order to:1 pointA. Promotes the normal psychosocial adaptation of the mother to pregnancyB. Reduces the potential for fetal growth restriction in uteroC. Minimizes the potential for placental abruptions during the intrapartum periodD. Reduces the risk of teratogenic effects to developing fetal organs, tissues and structures35. A curve passage of the pelvis that slows and controls the speed of birth therefore reduces sudden pressure changes in the fetal head, which might rupture cerebral arteries1 pointA. Pelvic InletB. Pelvic CavityC. Pelvic OutletD. Ischial Spine36. The portion of the bone on which the person sits:*1 pointA. Ischial SpinesB. Symphysis PubisC. IliumD. Ischuim37. Which breast structure is responsible for the production of breast milk?*1 pointA. NipplesB. AreolaC. Acinar CellsD. Lactiferous Ducts38. The cell that results from the fertilization of the ovum by the spermatozoon is called the?*1 pointA. BlastocystB. MorulaC. ZygoteD. Embryo39. A primigravida complains of morning sickness. The nurse should plan to teach her to:*1 pointA. Increase fluid intakeB. Eat three small meals a dayC. Increase calcium in her dietD. Avoid long periods without food40. The nurse should explain to the newly pregnant primigravida that the fetal heartbeat will first be heard with:*1 pointA. A fetoscope around 8 weeksB. A fetoscope at 12 to 14 weeksC. An electronic Doppler after 17 weeksD. An electronic Doppler at 10-12 weeks41. A client at 10 weeks gestation tells the nurse that she voids often, without dysuria, and would like to know what to do. The nurse is aware that this client will have to:*1 pointA. Decrease fluid intakeB. Contact her physician as soon as possibleC. Maintain increased fluid intake during the dayD. Try to resist the urge to void as long as possible42. A pregnant client is experiencing nausea and vomiting. The nurse is aware that this discomfort:*1 pointA. Is always present in early pregnancyB. Will disappear when lightening occursC. Is a common response to an unwanted pregnancyD. Maybe related to the human chorionic gonadotropin (HCG) level43. A client who is 10 weeks pregnant returns for her second prenatal visit. She asks why she has to urinate so often. The nurse tells her that urinary frequency in the first trimester is:*1 pointA. Caused by the baby’s head descending into the uterusB. Influenced by the enlarging uterus, which is still contained in the pelvisC. A result of the mother’s kidneys filtering more waste products because of growing fetusD. Mostly a physiologic phenomenon that results from knowing that the pregnancy has occurred44. Which among the following does not pertain to fertilization?*1 pointA. ConceptionB. ImpregnationC. FecundationD. Nidation45. In the male, a primary reason for the scrotal sac to be descended is to:*1 pointA. Rapidly squeeze the sperm from their storage site into the urethra.B. Release an alkaline fluid that helps provide an environment favorable for sperm motility and metabolism.C. Promote sexual arousal during intercourse.D. Maintain a temperature lower than that of the body to ensure spermatogenesis.46. A nurse is preparing to check the fetal heart rate of a pregnant woman who is at gestational week 16. Which piece of equipment will the nurse most appropriately use to check the fetal heart rate?*1 pointA. An adult stethoscopeB. Fetal heart monitorC. Bell of stethoscopeD. Doppler47. The fetus can hear by:*1 pointA. 24 weeksB. 12 weeksC. 16 weeksD. 20 weeks48. The nurse has instructed the group about the functions of the placenta. After giving the instruction, the nurse knows that a client needs further instruction when she says that the hormones produced by the placenta include:*1 pointA. TestosteroneB. EstrogenC. ProgesteroneD. Human Chorionic Gonadotrophin49. Secondary sex characteristics in male are the following except:*1 pointA. GynecomastiaB. Growth of testesC. Increased in the diameter of the pelvisD. Penile growth50. Spermatogenesis takes place in the male’s:*1 pointA. Prostate glandB. Bulbourethral glandC. Semeniferous tubulesD. Leydig’s cells
Solution
- A. The examiner feels rebound movement of the fetus
- C. 6 Days
- C. ovum, zygote, embryo, fetus, infant
- D. Reduces the risk of teratogenic effects to developing fetal organs, tissues and structures
- B. Pelvic Cavity
- D. Ischium
- C. Acinar Cells
- C. Zygote
- D. Avoid long periods without food
- B. A fetoscope at 12 to 14 weeks
- C. Maintain increased fluid intake during the day
- D. Maybe related to the human chorionic gonadotropin (HCG) level
- B. Influenced by the enlarging uterus, which is still contained in the pelvis
- D. Nidation
- D. Maintain a temperature lower than that of the body to ensure spermatogenesis.
- D. Doppler
- A. 24 weeks
- A. Testosterone
- C. Increased in the diameter of the pelvis
- C. Semeniferous tubules
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1. Ms. Marcelo asks how long she will be in labor. All of the following factors will influence the length of her labor EXCEPT:*1 pointA. Mental attitude of the motherB. Size of the placentaC. Position of the fetus in the uteroD. Power of uterine contractions2. When the client returns to bed, she is encouraged to assume a position of comfort but preferably not to lie on her back. Supine position is likely to predispose her to:*1 pointA. BackacheB. DyspneaC. HypotensionD. Nausea3. The client asks the nurse about regaining her pre-pregnant weight. The nurse explains that the physiologic changes that results to weight loss during the first six weeks postpartum is due to the following EXCEPT:*1 pointA. Uterine bleedingB. Lochial dischargeC. Increase urine outputD. Increase perspiration4. The nurse is taking the vital signs of a woman who delivered a healthy newborn infant 4 hours ago. The nurse notes that the mother’s temperature is 37. 8 ˚C. Which of the following actions would be most appropriate?*1 pointA. Retake the temperature in 15 minutesB. Document the findingsC. Notify the physicianD. Increased hydration by encouraging oral fluids5. A fully dilated woman was rushed in the delivery unit. As the head is being delivered, which action should the nurse do next?*1 pointA. Place a slight pressure on the fundusB. Deliver the posterior shoulder of the neonateC. Check the neonate’s neck for umbilical cordD. Suction the mouth of the neonate6. Glessy determines that a client is in the second stage of labor and may start pushing. What marks the beginning of the second stage and what marks the end?*1 pointA. Cervical dilation of 7 to 8 cm; complete cervical dilationB. Complete cervical dilation; delivery of the neonateC. Cervical dilation of 7 to 8cm; delivery of the placentaD. Complete cervical dilation; delivery of the placenta7. Nurse Glessy is aware that the following would be an inappropriate indication of placental detachment?*1 pointA. Abrupt lengthening of the cordB. Increase in the number of contractionsC. Relaxation of the uterusD. Increased vaginal bleeding8. Karen didn’t recognize for over an hour that she was in labor. A sign of true labor is:*1 pointA. Sudden increase energy from epinephrine releaseB. “Nagging” but constant pain in the lower backC. Urinary urgency from increased bladder pressureD. “Show” or release of the cervical mucus plug9. Karen asks you which fetal position and presentation are ideal. Your best answer would be:*1 pointA. Right Occipitoanterior with full flexionB. Left transverse anterior in moderate flexionC. Right occipitoposterior with no flexionD. Left sacroanterior with full flexion10. During the assessment of a client in labor the cervix is determined to be 4cm dilated. The nurse understands that this client is in the stage of labor known as:*1 pointA. FirstB. SecondC. ThirdD. Fourth11. The nurse is aware that a client at 40 weeks’ gestation is experiencing true labor if:*1 pointA. cervical dilatation has occurredB. the pains become more noticeableC. her membranes have rupturedD. the fetal heart rate baseline decreases12. A postpartum nurse is caring for a client who delivered a viable newborn infant 2 hours ago. The nurse palpates the fundus and notes the character of the lochia. Which characteristic of the lochia would the nurse expect to note at this time?*1 pointA. white-colored lochiaB. serosanguinous lochiaC. pink-colored lochiaD. dark red-colored lochia13. A nurse is monitoring a postpartum client in the fourth stage of labor. Which of the following findings, if noted by the nurse, would indicate a complication related to a laceration of the birth canal?*1 pointA. Presence of dark red lochiaB. Palpation of the fundus at the level of the umbilicusC. Palpation of the uterus as a firm contracted ballD. The saturation of more than one perineal pad per hour14. It has been 12 hours since the client’s delivery of a newborn. The nurse assesses the mother to the process of involution and documents that it is progressing normally when palpation of the client’s fundus is noted:*1 pointA. at the level of the umbilicusB. midway between the umbilicus and the symphysis pubisC. one finger breath below the umbilicusD. two finger breadths below the umbilicus15. Mr. Young’s wife cervix is dilated 8cm. There is a sudden increase in the amount of bloody show. She vomits and her legs begin to tremble. She then becomes very irritable and cries out, “I can’t take it anymore.” At this time which of the following actions is most appropriate:*1 pointA. give her a dose of PRN of her pain relief medicationB. notify her physician of the possibility of hemorrhageC. review the breathing techniques with her againD. explain that she is progressing normally through labor16. A nurse is assisting in caring for a woman in labor who is receiving oxytoxin by intravenous infusion. The nurse monitors the client, knowing that which of the following indicates an adequate contraction pattern?*1 pointA. Three to five contractions in a 10-minute period, with resultant cervical dilatationB. One contraction per minute, with resultant cervical dilatationC. Four contractions every 5 minutes, with resultant cervical dilatationD. One contraction every 10 minutes without resultant cervical dilatation17. Approximately 15 minutes after delivery of a viable term neonate, a multiparous patient complains of chilling sensation. Which of the following would the nurse do next?*1 pointA. decrease the rate of IV fluidsB. assess the patient’s pulse rateC. assess the amount of blood lossD. provide the patient with warm blanket18. A nurse assists in the vaginal delivery of a newborn infant. After the delivery, the nurse observes the umbilical cord lengthen and a spurt of blood from the vagina. The nurse documents these observations as sign of:*1 pointA. uterine atonyB. hematomaC. placental separationD. placenta previa19. A postpartal client has been complaining about the “afterpains” that occur while breastfeeding and questions you about them. You explain to her that they are due to the fact that:*1 pointA. the baby is sucking too vigorously and should nurse more oftenB. the baby’s sucking stimulates the uterus to contractC. she is tense during breastfeeding, resulting in uterine spasmsD. she is probably recalling her labor experience at feeding20. A nurse performs an assessment on a client who is 4 hours postpartum. The nurse notes that the client has cool, clammy skin and is restless and excessively thirsty. The nurse prepares immediately to:*1 pointA. begin fundal massage and start oxygen by maskB. begin hourly pad counts and reassure the clientC. elevate the head of the bed and assess vital signsD. assess for hypovolemia and notify the health care provider
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