Physiology And Changes In Pregnancy/Fetal Development

15 Questions | Total Attempts: 4058

SettingsSettingsSettings
Physiology And Changes In Pregnancy/Fetal Development - Quiz

Test


Questions and Answers
  • 1. 
    Which hormone is secreted by the placenta after 12th week gestation and is primarily responsible for maintenance of the pregnancy?
    • A. 

      Progestrone

    • B. 

      Prolactin

    • C. 

      Estrogen

    • D. 

      BHCG

  • 2. 
    A pregnant client asks when she should be able to hear the baby's heartbeat. The nurse's best response is
    • A. 

      FHT are heard by doppler at 6-7 weeks gestation

    • B. 

      FHT are heard by doppler at 10-12 weeks gestation

    • C. 

      FHT are heard by doppler at 16-18 weeks gestation

    • D. 

      FHT are heard by doppler at 20-23 weeks gestation

  • 3. 
    Implantation occurs approximately how soon after fertilization?
    • A. 

      2 days

    • B. 

      6 days

    • C. 

      10 days

    • D. 

      14 days

  • 4. 
    Which of the following is true regarding embryonic period
    • A. 

      It starts at fertilization and continues through day 48 of fetal development

    • B. 

      It starts at the end of implantation and continues through day 48 of fetal development

    • C. 

      It starts at fertilization and continues through day 56 of fetal development

    • D. 

      It starts approximately 7 days after fertilization and proceeds through day 56 of fetal development

  • 5. 
    The eyelids of fetus remain fused through what gestational age by LMP?
    • A. 

      15th

    • B. 

      20th

    • C. 

      25th

    • D. 

      30th

  • 6. 
    The best time to avoid teratogens to prevent major congenital defects is
    • A. 

      Early pregnancy

    • B. 

      Late pregnancy

    • C. 

      Prior to birth

    • D. 

      Prior to sexual intercourse

  • 7. 
    Why is the embryonic period such a high-risk time for the development of major birth defects?
    • A. 

      Basic structures of all major body organs are completed during this time

    • B. 

      Placental circulation is established during this time

    • C. 

      Refinement of organ function occurs during this time

    • D. 

      Teratogen exposure is highest at this time

  • 8. 
    When does the embryonic heart begins to beat?
    • A. 

      At conception

    • B. 

      2 weeks post conception

    • C. 

      Weeks 3-4 post conception

    • D. 

      Weeks 8-9 post conception

  • 9. 
    During preconceptual counselling a client has a non immune rubella. Once she is immunized how long she should wait before becoming pregnant?
    • A. 

      1 month

    • B. 

      3 months

    • C. 

      No wait is needed

  • 10. 
    When evaluating BP in pregnant woman at 22 weeks gestation, the nurse practitioner can anticipate that the BP will
    • A. 

      Be at its lowest point during the second trimester

    • B. 

      Decrease gradually until term

    • C. 

      Remain stable within prepregnancy values

  • 11. 
    Which of the following is not used as means to date a pregnanc
    • A. 

      Quantitative hCG

    • B. 

      Sure date of LMP

    • C. 

      Uterine sizing

    • D. 

      Ultrasound

  • 12. 
    The physiological basis for pseudoanemia in pregnancy is
    • A. 

      There is a decrease in RBCs resulting in decreased oxygen carrying capacity

    • B. 

      There is an increase in both RBCs and plasma with plasma increasing at greater proportion

    • C. 

      There is an increase in plasma volume while RBCs count does not increase

    • D. 

      There is an increase in plasma volume while RBCs count decreases

  • 13. 
    All of the following are assessed during the client H&P. Which would be classified as "probable sign" of pregnancy
    • A. 

      Breast enlargement and tenderness

    • B. 

      Cessation of menstruation

    • C. 

      Softening of the cervix

    • D. 

      FHTs of 140 bpm

  • 14. 
    Client asks:" my period is a week late". Is it too early for pregnancy test? which of the following responses would be the most appropriate?
    • A. 

      A pregnancy test would be accurate at this time

    • B. 

      For accuracy, you should be at least 2 weeks late

    • C. 

      Have you been sexually active?

    • D. 

      Would you be upset if you were pregnant?

  • 15. 
    A pregnant client with BMI 22 normal range asks how she should be gaining weight during pregnancy. The most appropriate response would be
    • A. 

      3-4 pounds in the first trimester then 1 pound per week for the remainder of the pregnancy

    • B. 

      A total of 20-25 pounds

    • C. 

      1 pound a week during first two trimesters, then 2 pounds per week during third

    • D. 

      1 pound a week throughout the pregnancy