Physiology And Changes In Pregnancy/Fetal Development

15 Questions | By WomanInLove | Last updated: Mar 22, 2022 | Total Attempts: 4058

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Physiology And Changes In Pregnancy/Fetal Development - Quiz

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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