Question

The nurse is educating a class of expectant parents about fetal development. What is considered fetal age of viability?

Answer 1

Correct Answers:

24

Rationale :

🟢 Fetal viability is the gestational age when a fetus can survive outside the uterus with medical support.

🟢 In most healthcare settings, 24 weeks is recognized as the threshold of viability due to advances in neonatal care.

🟢 Before 24 weeks, the fetal lungs and organs are typically too immature to support life.

🟢 Survival rates and long-term outcomes improve dramatically after this point.

🟢 This is an important milestone for prenatal counseling and decision-making.

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Answer 2

Correct Answers:

We can offer you and your partner testing to identify the chance of passing genetic conditions to your children

Rationale :

🔵 Carrier screening can assess both partners for genetic disorders before or during pregnancy.

🔵 Testing both individuals provides a more complete risk assessment for the offspring.

🔵 Early genetic counseling helps couples make informed reproductive choices.

🔵 Understanding carrier status can guide additional testing or interventions.

🔵 This approach supports autonomy and shared decision-making

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Answer 3

Correct Answers:

Increased blood plasma volume during pregnancy increases the risk for blood clots.

Rationale :

🟣 Blood plasma volume rises significantly in pregnancy, which contributes to changes in coagulation.

🟣 Pregnancy is a hypercoagulable state, increasing the risk of thromboembolic events.

🟣 Hormonal changes further enhance clotting factors and reduce anticoagulant levels.

🟣 This adaptation helps prevent hemorrhage but increases clot risk.

🟣 Monitoring for signs of thrombosis is essential in prenatal care.

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Answer 4

Correct Answers:

Liver

Rationale :

🟠 The ductus venosus allows oxygenated blood from the placenta to bypass the fetal liver and flow directly into the inferior vena cava.

🟠 This shunt ensures rapid delivery of highly oxygenated blood to the fetal heart and brain.

🟠 The fetal liver is only partially perfused during gestation.

🟠 After birth, the ductus venosus closes and normal hepatic circulation begins.

🟠 This is a key adaptation for efficient fetal oxygenation.

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Answer 5

Correct Answers:

Two arteries and one vein

Rationale :

🔴 The umbilical cord contains two arteries (carry deoxygenated blood from fetus to placenta) and one vein (carries oxygenated blood from placenta to fetus).

🔴 This configuration supports fetal circulation and nutrient/waste exchange.

🔴 Absence or abnormal number of vessels can indicate congenital anomalies.

🔴 Assessment of cord vessels is routine at birth.

🔴 Proper cord structure is essential for fetal well-being.

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Answer 6

Correct Answers:

Urinary urgency

Rationale :

🟡 Urinary urgency is common early in pregnancy due to increased blood flow and hormonal effects on the bladder.

🟡 The growing uterus can press on the bladder, increasing frequency and urgency.

🟡 Other first trimester discomforts include nausea and breast tenderness, but not supine hypotension (later) or heartburn (more common later).

🟡 It usually improves in the second trimester as the uterus rises out of the pelvis.

🟡 Teaching about normal changes helps reassure clients.

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Answer 7

Correct Answers:

Deepening pigmentation

Rationale :

🟢 Deepening pigmentation (like chloasma or linea nigra) is a presumptive sign—not probable—because it can occur in other situations.

🟢 Probable signs include abdominal enlargement, ballottement, and a positive pregnancy test (not definitive, but strong evidence).

🟢 Probable signs are detected by examiner and strongly suggest pregnancy.

🟢 Presumptive signs are subjective and felt by the woman herself.

🟢 Accurate differentiation helps avoid misdiagnosis.

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Answer 8

Correct Answers:

Quickening

Rationale :

🔵 Quickening describes the first fetal movements felt by the mother, usually between 16–20 weeks.

🔵 It is an important milestone for confirming pregnancy progress.

🔵 Quickening is subjective but often reassuring to the pregnant woman.

🔵 Documentation uses this term in prenatal records.

🔵 This feeling is distinct from other signs or symptoms.

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Answer 9

Correct Answers:

"Tell me more about your concerns.”

Rationale :

🟣 Open-ended questions encourage the client to share feelings and fears.

🟣 This is an example of therapeutic communication to build trust and rapport.

🟣 Avoids minimizing the client’s anxiety or giving false reassurance.

🟣 Allows the nurse to address specific concerns and educate accordingly.

🟣 Supports a positive and safe health.

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Answer 10

Correct Answers:

Perineum

Rationale :

🟠 The perineum is the area of tissue between the vaginal opening and anus.

🟠 It is important for obstetric care, especially during childbirth and episiotomy procedures.

🟠 Maintaining its integrity supports postpartum recovery.

🟠 Proper identification aids in education and assessment.

🟠 Damage or trauma to this area can affect urinary, sexual, and bowel functions.

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QLexNursing

1 :
The nurse is educating a class of expectant parents about fetal development. What is considered fetal age of viability?

2 :
A nurse is providing education to a client and their reproductive partner when the client asks about testing for hereditary genetic disorders, particularly the type their partner has. Which of the following responses should the nurse provide:

3 :
A nurse in a provider's office is caring for a client who is at 8 weeks of gestation and asks about increased risk for blood clots. Which of the following statements should the nurse make?

4 :
In fetal circulation, the ductus venosus diverts blood from which of the following organs?

5 :
A nurse is caring for a newborn. How many blood vessels should the nurse expect to observe in the newborn's umbilical cord?

6 :
A nurse is reinforcing teaching about common discomforts of pregnancy during the first trimester with a client who is pregnant. Which of the following manifestations should the nurse include in the teaching?

7 :
The following are probable signs of pregnancy, except?

8 :
A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day. The nurse should use which of the following terms to document this finding?

9 :
A nurse is caring for a female client who is scheduled to have a pelvic examination. The client tells the nurse, "I'm really nervous because I've never had a pelvic exam before." Which of the following is an appropriate therapeutic response by the nurse?

10 :
The tissue between the vaginal opening and the anus is known as the

QLexNursing

1 : The nurse is educating a class of expectant parents about fetal development. What is considered fetal age of viability?

2 : A nurse is providing education to a client and their reproductive partner when the client asks about testing for hereditary genetic disorders, particularly the type their partner has. Which of the following responses should the nurse provide:

3 : A nurse in a provider's office is caring for a client who is at 8 weeks of gestation and asks about increased risk for blood clots. Which of the following statements should the nurse make?

4 : In fetal circulation, the ductus venosus diverts blood from which of the following organs?

5 : A nurse is caring for a newborn. How many blood vessels should the nurse expect to observe in the newborn's umbilical cord?

6 : A nurse is reinforcing teaching about common discomforts of pregnancy during the first trimester with a client who is pregnant. Which of the following manifestations should the nurse include in the teaching?

7 : The following are probable signs of pregnancy, except?

8 : A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day. The nurse should use which of the following terms to document this finding?

9 : A nurse is caring for a female client who is scheduled to have a pelvic examination. The client tells the nurse, "I'm really nervous because I've never had a pelvic exam before." Which of the following is an appropriate therapeutic response by the nurse?

10 : The tissue between the vaginal opening and the anus is known as the

1 :
The nurse is educating a class of expectant parents about fetal development. What is considered fetal age of viability?

2 :
A nurse is providing education to a client and their reproductive partner when the client asks about testing for hereditary genetic disorders, particularly the type their partner has. Which of the following responses should the nurse provide:

3 :
A nurse in a provider's office is caring for a client who is at 8 weeks of gestation and asks about increased risk for blood clots. Which of the following statements should the nurse make?

4 :
In fetal circulation, the ductus venosus diverts blood from which of the following organs?

5 :
A nurse is caring for a newborn. How many blood vessels should the nurse expect to observe in the newborn's umbilical cord?

6 :
A nurse is reinforcing teaching about common discomforts of pregnancy during the first trimester with a client who is pregnant. Which of the following manifestations should the nurse include in the teaching?

7 :
The following are probable signs of pregnancy, except?

8 :
A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day. The nurse should use which of the following terms to document this finding?

9 :
A nurse is caring for a female client who is scheduled to have a pelvic examination. The client tells the nurse, "I'm really nervous because I've never had a pelvic exam before." Which of the following is an appropriate therapeutic response by the nurse?

10 :
The tissue between the vaginal opening and the anus is known as the