Question 1

The nurse is caring for a young man with testicular cancer who is preparing for removal of the left testicle.The patient asks,"Does this mean I won't be able to father a child?" Which is the nurse's best response?

Accepted Answer

D

Question 2

The nurse admits a woman in the second trimester of pregnancy to the obstetric clinic for her regular examination.The patient asks the nurse if it is safe to take acetaminophen for minor pain during pregnancy.Which is the nurse's best response?

Accepted Answer

The best response from the nurse would be to encourage the patient to discuss medication options with her healthcare provider to ensure that the safest option is chosen. While acetaminophen is generally considered safe for use during pregnancy, it is important to take into account any other medications the patient may be taking, as well as any other health factors that may affect the safety of the medication. Option A is not completely accurate, as while acetaminophen is generally considered safe during pregnancy, it is still important to check with a healthcare provider before taking any medication. Option B is not practical or realistic, as some women may need to take medication during pregnancy for various reasons. Option C is not entirely helpful, as the patient is specifically asking about the safety of acetaminophen during pregnancy, and discussing past use of other medications may not provide the necessary information to answer the patient's question.

Question 3

Which statement indicates a mother understood the information about the function of the placenta taught by the nurse?

Accepted Answer

The placenta acts as a barrier and exchange system between the mother's and the baby's blood, without the two blood supplies mixing directly. It also produces hormones necessary for pregnancy maintenance until delivery, which is accurately described in option D.

Question 4

A woman delivers an infant assessed prenatally at 34 weeks' gestation.Which nursing assessment indicates the baby's gestation is closer to term than anticipated?

Accepted Answer

Earlobes that are firm and not easily creased indicate a more mature infant, suggesting the baby's gestation is closer to term.

Question 5

A pregnant woman lives in a community that is experiencing a measles outbreak because of a lack of immunization.The woman says she heard that measles are teratogenic and does not know what that means.Which statement by the nurse best explains this concept?

Accepted Answer

Teratogenic refers to substances that can cause harm to the developing fetus and lead to birth defects or abnormal development. Measles virus is considered teratogenic because it can cross the placenta and infect the fetus, potentially causing harm or birth defects. Option A refers to the risk of illness in the baby rather than teratogenicity. Option C is a possible outcome of severe teratogenic exposure but is not specific to measles. Option D is not accurate as miscarriage is not a common outcome of measles exposure in pregnancy.

Question 6

An adult woman's laboratory studies indicate a lack of estrogen production.As a result,the nurse anticipates the patient's history will report which finding?

Accepted Answer

Estrogen is crucial for the regulation of the menstrual cycle and for the maintenance of a healthy pregnancy. A lack of estrogen can lead to ovulatory dysfunction, which can make it difficult for a woman to become pregnant.

Question 7

The nurse is teaching a class about female reproduction for middle school girls.Which statement made by one of the students requires the nurse to correct a misunderstanding?

Accepted Answer

This statement is incorrect because females have a clitoris that can become engorged and sensitive during sexual arousal, similar to the male penis. Therefore, the nurse should correct this misunderstanding by explaining the presence and function of the clitoris.

Question 8

A fetal ultrasound demonstrates a cardiac anomaly in a 22-week fetus.The mother says,"My baby is sick,all because I insisted on having a cup of coffee last week." Which statement by the nurse is most appropriate?

Accepted Answer

The fetal heart is fully formed by 8 weeks of gestation, so consuming coffee at 22 weeks would not affect the development of the baby's heart. This statement provides accurate information and reassurance.

Question 9

A patient who recently delivered twins has learned that each baby has a different father.How does the nurse interpret this finding?

Accepted Answer

This finding indicates that the twins are dizygotic (fraternal) because they have different fathers. It is not possible for monozygotic (identical) twins to have different fathers. It is also unlikely that there was a mistake in testing. Different gestational ages may result from a variety of factors, but having different fathers is not one of them.

Question 10

The nurse receives an order to administer a Category A medication to a pregnant patient.Which is the nurse's best action?

Accepted Answer

Category A medications are considered safe for use in pregnancy, as they have not shown an increased risk of fetal abnormalities in controlled human studies. Therefore, the nurse should administer the medication as ordered.

Question 11

Which finding during a nursing assessment of twins supports the diagnosis of dizygotic twins?

Accepted Answer

Dizygotic (fraternal) twins result from the fertilization of two separate eggs by two separate sperm. Therefore, they are genetically no more alike than siblings born at different times. They can be the same or different gender, have different physical characteristics such as hair color, and have different birth weights. One twin requiring oxygen at birth is not specific to dizygotic twins and could occur in monozygotic (identical) twins as well.

Question 12

Which finding is normal when assessing a newborn shortly after birth?

Accepted Answer

A normal umbilical cord has two arteries and one vein. The arteries carry deoxygenated blood and waste products from the fetus to the placenta, and the vein carries oxygenated blood and nutrients from the placenta to the fetus.

Question 13

The newborn nursery nurse admits a baby born with a congenital defect of the digestive tract and recognizes this is due to an anomaly in which layer during cell differentiation?

Accepted Answer

The digestive tract is derived from the endoderm layer during cell differentiation. Congenital defects in the digestive tract can occur due to problems during the development of the endoderm layer.

Question 14

The nurse receives an order to administer a Category X medication to a woman of childbearing age who denies pregnancy.Which action will the nurse take before administering this medication?

Accepted Answer

Category X medications are contraindicated in pregnant women because they can cause fetal harm or defects. Before administering a Category X medication to a woman of childbearing age who denies pregnancy, the nurse should request an order to perform a serum pregnancy test to confirm if the woman is indeed not pregnant. This is a crucial step that should not be overlooked, as the medication can have serious consequences on fetal development if taken during pregnancy. Asking the woman if there is any chance of pregnancy may not be reliable, as some women may not be aware that they are pregnant or may not disclose their pregnancy status. Administering the medication or requesting an order for a different medication without confirming the pregnancy status would be inappropriate and could put the woman and potential fetus at risk.

Question 15

A mother goes into preterm labor and delivers a baby who weighs 435 g and has fused eyelids.The nurse assesses the infant at what stage of gestational development?

Accepted Answer

Fused eyelids are a characteristic of a fetus at the 5th month of gestational development. The infant's weight of 435 g also corresponds to a gestational age of around 22-23 weeks, which is the beginning of the 5th month.

Question 16

The mother of a premature newborn is crying and tells the nurse the neonatologist said the baby will need surgery to close the patent ductus arteriosus.She asks what this is.Which is the best explanation?

Accepted Answer

Patent ductus arteriosus is an opening between the aorta and the pulmonary artery that is present during fetal development and typically closes shortly after birth. If it remains open, it can cause problems with oxygenation and circulation, which is why surgery may be necessary to close it.

Question 17

The nurse caring for a family shortly after a birth overhears the father of the baby say,"Well,you gave me another daughter.I guess you can't produce boys." Which is the nurse's best response?

Accepted Answer

The sex of a baby is determined by the sperm from the father, which can carry either an X or a Y chromosome, while the mother's egg only carries an X chromosome.

Quiz 3: Human Reproduction and Fetal Development