Childbearing Families Exam 1

A nurse is counseling a pregnant client who is asking what the placenta does.  Which response(s) are correct?

The placenta takes away waste from the baby into your blood.

The placenta passes oxygen from your blood to the baby's blood.

The placenta makes hormones important to maintaining the pregnancy.

Moves blood from pulmonary arteries to the aorta

Ductus arteriosus

Moves oxygenated blood from the placenta to the fetus

Umbilical vein

Moves de-oxygenated blood from fetus to the placenta

Umbilical arteries

Moves blood from right atrium to left atrium

Foramen ovale

A nurse obtaining a history from a pregnant client is asked how long a normal pregnancy should last.  Which is the most accurate answer?

About 280 days from the first day of the last normal menstrual period

The nurse is advising a pregnant client who is concerned that she drank alcohol at a party just before her missed period was due.  Which period of development is the most vulnerable to disruption by teratogens?

Embryonic

If fertilization and implantation do not occur, which hormonal changes trigger menses?

Decrease in progesterone, decrease in estrogen

Solid ball of cells before implantation

Morula

Creates placental tissue

Trophoblast

One of the two fetal membrane

Amnion

Hollow ball of cells that implants into uterus

Blastocyst

Fingerlike projections that become the placenta

Chorionic villi

A positive pregnancy test is?

probable, not positive

What client is at highest risk for nutritional problems during her pregnancy?

31 year old at 22 weeks gestation, pregnant with twins, prepregnant weight 95 pounds, current weight 111 pounds.

The nurse is setting up an appointment for a pregnant client at low risk who is currently 34 weeks gestation.  When should the next routine appointment be scheduled?

In two weeks

The nurse interviewing a pregnant client on her first prenatal visit notes the following pregnancy history:  vaginal birth of twins at 33 weeks gestation, both healthy, miscarriage at 8 weeks gestation, cesarean birth of a breech baby at 38 weeks gestation, also healthy.  How would the nurse describe the pregnancy history using GTPAL?

4 1 1 1 3

Which test result in a woman at 24 weeks gestation requires immediate action?

Positive RPR