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NCLEX RN® Review
NCLEX RN® Review
This activity contains 10 questions.
A nurse is teaching a couple about the process of fertilization. Which statement by the couple would indicate understanding of fertilization?
"Fertilization takes place in the fimbria (outer third) of the fallopian tube."
"Fertilization takes place in the uterine cavity."
"Fertilization takes place in the isthmus (inner third) of the fallopian tube."
"Fertilization takes place in the ampulla (outer third) of the fallopian tube."
A nurse in the fertility clinic is teaching clients about the process of fertilization. Which statement by the client would not require further teaching by the nurse?
"Transportation of the sperm to the fallopian tube takes an average of 12-24 hours after ejaculation."
"Testosterone in the semen helps to transport the sperm by increasing uterine smooth muscle contractions."
"Progesterone increases peristalsis in the fallopian tubes during ovulation, moving the ovum toward the uterus."
"If the sperm plasma membrane is not removed (capacitation), the sperm will not be able to fertilize the ovum."
A pregnant client is concerned about a blow to the abdomen if she continues to play basketball during her pregnancy. The nurse's response is based upon her knowledge of which of the following facts concerning amniotic fluid?
The total amount of amniotic fluid during pregnancy is 300 mL.
Amniotic fluid functions as a cushion to protect against mechanical injury.
The fetus does not contribute to the production of amniotic fluid.
Amniotic fluid is slightly acidic.
A client states that she had a spontaneous abortion 12 months ago. The client asks if her hormones may have contributed to the loss of the pregnancy. The nurse's response is based upon her knowledge of which of the following facts?
Implantation occurs when progesterone levels are low.
hCG reaches a maximum level at 4 weeks gestation.
Progesterone decreases the contractility of the uterus.
Progesterone is only produced by the corpus luteum during pregnancy.
A nurse is teaching a group of student nurses about amniotic fluid. Which of the following statements by the student nurse reflects an understanding of the fetus's contribution to the quality of amniotic fluid? Select all that apply.
"The fetus contributes to the volume of amniotic fluid by excreting urine."
"Approximately 400 mL of amniotic fluid flows out of the fetal lungs each day."
"The fetus swallows about 600 mL of the fluid in 24 hours."
"A fetus can move freely and develop normally, even if there is no amniotic fluid."
The nurse is preparing an educational workshop on fetal development. Which statement by the student would require the nurse to explain further?
"True knots are usually associated with a cord that is too long."
"The average cord length at term is 22 inches."
"The umbilical cord normally contains two veins and one artery."
"The high blood volume and Wharton's jelly content of the umbilical cord prevents compression of the cord."
At 17 weeks pregnant, a mother asks the nurse questions about the development of her baby. The mother states that it may be too early to visualize any body structures via ultrasound. The nurse's best response in relation to fetal development at 17 weeks is:
Myelination of the spinal cord has occurred.
Differentiation of hard and soft palate can be seen.
The earlobes are soft with little cartilage.
Hard tissue (enamel) for teeth has developed.
The nurse is preparing an educational workshop on the time frames for fetal exposure to potential teratogens. Which defect is most likely to occur at 7 weeks gestation?
The shortening of fingers and toes
A cleft lip
Septal or aortic abnormalities
A cleft palate
A client in the prenatal clinic tells the nurse that her sister has twins. The client is concerned that she may also have twins. The nurse's response is based upon her knowledge of which of the following facts?
The chance of dizygotic twins decreases with maternal age up to about 35 years.
Monozygotic twins always share a common amniotic sac.
The survival rate of monozygotic twins is about 10% higher than that of dizygotic twins.
Genetic factors in the mother may lead to elevated serum gonadotropin levels, causing double ovulation.
A nurse is instructing her students where to listen for a uterine souffle. Each student has placed the fetoscope on the pregnant woman's abdomen. Based on the following placements of the fetoscopes, the student most likely to hear a uterine souffle is the one who placed her fetoscope on which of the following areas?
Under the area of the umbilical cord of the fetus
Just above the symphysis pubis
Over the area of the umbilical cord of the fetus
Just below the symphysis pubis
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