Question

Saunders Comprehensive Review NCLEXRN Maternity

Answer 1

1.A nursing student is preparing a prenatal class on the process of fetal circulation. The nursing instructor asks the student specifically to describe the process through the umbilical cord. Which of the following statements from the student is correct?

"The two arteries in the umbilical cord carry deoxygenated blood & waste products away from the fetus to the placenta."

2. A nursing student is assigned to care for a client in labor. A nursing instructor asks the student to describe fetal circulation, specifically the ductus venous. The nursing instructor determines that the student understands fetal circulation if the student states that the ductus venous:

Connects the umbilical vein to the inferior vena cava.

3. A pregnant client tells the clinic nurse that she wants to know the sex of her baby as soon as it can be determined. The nurse understands that he client should be able to find out at 12 weeks' gestation because by the end of the twelfth week:

The sex of the fetus can be determined by the appearance of the external genitalia.

4. A nurse is performing as assessment on a client who is at 38 weeks' gestation & notes that the fetal heart rate is 174 beats/min. On the basis of this finding, the appropriate nursing action is to:

Notify the physician.

5. A nurse is conducting a prenatal class on the female reproductive system. When a client in the class asks why the fertilized ovum stays in the fallopian tube for 3 days, the nurse responds that the reason for this is that it:

Promotes the fertilized ovum's normal implantation in the top portion of the uterus.

6.A nursing instructor is reviewing the menstrual cycle with a nursing student who will be conducting a prenatal teaching session. The instructor asks the student to describe the follicle-stimulating hormone (FSH) & the luteinizing hormone (LH). The student accurately responds by stating that:

FSH & LH are released from the anterior pituitary gland.

7. A couple comes to the family planning clinic & asks about sterilization procedures. Which question by the nurse would determine if this method of family planning would be appropriate?

"Do you plan to have any other children?"

8.A nurse should explain which of the following to a pregnant client found to have a gynecoid pelvis?

That her type of pelvis is the most favorable for labor & birth.

9.A nurse explains some of the purposes of the placenta to a client during a prenatal visit. The nurse determines that the client understands some of these purposes when the client states that the placenta:

Is the way the baby gets food & oxygen.

10.A nursing instructor asks a nursing student to list the functions of the amniotic fluid. The student responds correctly by stating that which of the following are functions of amniotic fluid:

* Allows for fetal movement

* Is a measure of kidney function

* Surrounds, cushions, & protects the fetus.

* Maintains the body temperature of the fetus.

11. A nurse is performing an assessment of a pregnant client who is at 28 weeks of gestation. The nurse measures the fundal height in centimeters & expects the finding to be which of the following?

30 cm

12. A nurse is collecting data during an admission assessment of a client who is pregnant with twins. The client has a healthy 5-year-old child who was delivered at 38 weeks & tells the nurse that she does not have a Hx of any type of abortion or fetal demise. The nurse would document the GTPAL for this client as

G=2, T=1, P=0, A=0, L=1

13. A pregnant client is seen in a health care clinic for a regular prenatal visit. The client tells the nurse that she is experiencing irregular contractions, & the nurse determines that she is experiencing Braxton Hicks contractions. Based on this finding, which nursing action is appropriate?

Inform the client that these contractions are common & may occur throughout the pregnancy.

14. A nurse is providing instructions to a pregnant client with genital herpes about the measures that are needed to protect the fetus. The nurse tells the client that:

A cesarea will be necessary if vaginal lesions are present at the time of delivery .