In practical terms regarding genetic health care, nurses should be aware that:
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HESI RN · Fetal Development
Question 2 of 40
Which immunoglobulin is the only one that crosses the placenta during pregnancy?
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HESI RN · Fetal Development
Question 3 of 40
A female patient with a history of infertility is scheduled to have a hysterosalpingogram. Which findings can be detected with this procedure? Select all that apply.
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HESI RN · Fetal Development
Question 4 of 40
The nurse is explaining fetal circulation to a group of nursing students. Which information should be included in the teaching session? (Select all that apply.)
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HESI RN · Fetal Development
Question 5 of 40
The measurement of lecithin in relation to sphingomyelin (L/S ratio) is used to determine fetal lung maturity. Which ratio reflects maturity of the lungs?
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HESI RN · Fetal Development
Question 6 of 40
After counseling with an obstetrician about infertility, a couple is advised to undergo testicular sperm aspiration. The nurse is aware that the procedure may be recommended for which infertility?
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HESI RN · Fetal Development
Question 7 of 40
Fetal circulation includes 3 shunts. Match each shunt to its physiologic action. Ductus venosus
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Question 8 of 40
The time period immediately following fertilization results in which circumstance?
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HESI RN · Fetal Development
Question 9 of 40
Identify the health care provided during a home birth. Select all that apply.
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HESI RN · Fetal Development
Question 10 of 40
What is the point after which an ovum is fertilized and becomes impenetrable to any other sperm?
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HESI RN · Fetal Development
Question 11 of 40
At 16 weeks of gestation a pregnant person states, 'The most dangerous time is the first 3 months, so I shouldn’t have to worry from now on about any dangers to the baby.' What is the nurse's most appropriate response?
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HESI RN · Fetal Development
Question 12 of 40
You are observing for fetal heart rate (FHR) accelerations in a nonstress test (NST) for a woman who is 26 weeks pregnant. The average FHR baseline is 145 to 155 beats per minute (bpm). Within 20 minutes, the FHR accelerated to 165 bpm six times, for 10 to 15 seconds. How should you interpret this information?
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HESI RN · Fetal Development
Question 13 of 40
As relates to the structure and function of the placenta, the maternity nurse should be aware that:
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Question 14 of 40
Match each term with its description. Trophoblast
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HESI RN · Fetal Development
Question 15 of 40
What hormone is secreted by the corpus luteum after ovulation?
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HESI RN · Fetal Development
Question 16 of 40
With regard to chromosome abnormalities, nurses should be aware that:
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HESI RN · Fetal Development
Question 17 of 40
A 27-year-old patient presents with injuries sustained in a motor vehicle accident. She was wearing her seatbelt and has multiple bruises and scrapes along her abdomen. She complains of pain 3/10 in her abdomen. She is G1P0 and is at 14 weeks’ gestation. A bedside ultrasound scan confirms that the fetus is stable and not in any distress. The patient is Rh negative, and her husband is Rh positive. What do you anticipate being the next step?
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HESI RN · Fetal Development
Question 18 of 40
The nurse is assessing a newborn immediately after birth. After assigning the first Apgar score
of 9, the nurse notes two vessels in the umbilical cord. What is the nurse’s next action?
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HESI RN · Fetal Development
Question 19 of 40
What is the purpose of chorionic villus sampling (CVS) in the first trimester?
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Question 20 of 40
The nurse is providing education to a pregnant person regarding the nausea and vomiting of pregnancy. Identify the relief measures the nurse would discuss. Select all that apply.
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HESI RN · Fetal Development
Question 21 of 40
Why do infants born at 25 weeks' gestation have a poor survival rate?
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HESI RN · Fetal Development
Question 22 of 40
The nurse is auscultating the fetal heart rate (FHR) on a patient at 37 weeks’ gestation. The nurse notes a line of darkened pigmentation on the pregnant person’s abdomen starting at the symphysis pubis and ending at the sternum. How does the nurse document this finding?
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HESI RN · Fetal Development
Question 23 of 40
What is an example of a statement by the patient that indicates effective teaching by the nurse about methods to improve fertility?
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HESI RN · Fetal Development
Question 24 of 40
The nurse caring for the laboring woman should know that meconium is produced by:
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HESI RN · Fetal Development
Question 25 of 40
The nurse is reviewing the schedule for the OB/GYN she works for. In reviewing a patient’s chart, the nurse notes the patient is 32 weeks pregnant, has hypertension, and had a previous fetal death. What test does the nurse anticipate the provider will order?
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HESI RN · Fetal Development
Question 26 of 40
At which point in the pregnancy can a woman first feel fetal movement (quickening)?
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HESI RN · Fetal Development
Question 27 of 40
Which statement best describes the changes that occur during the fetal period of development?
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HESI RN · Fetal Development
Question 28 of 40
The nurse is counseling a couple who just learned their 16-week fetus tested positive for a serious genetic disorder. Which action by the nurse is inappropriate upon learning that the couple plan to continue the pregnancy?
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HESI RN · Fetal Development
Question 29 of 40
The nurse is explaining the process of cell division during the preembryonic period to a group of nursing students. Which statement best describes the characteristics of the morula?
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HESI RN · Fetal Development
Question 30 of 40
The nurse is providing care to a pregnant person at 32 weeks’ gestation. The nurse expects to observe what change in the pregnant person’s spine?
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HESI RN · Fetal Development
Question 31 of 40
A patient at 13 weeks gestation asks the nurse how her baby is nourished during pregnancy. Which information does the nurse use to explain the process to the mother?
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HESI RN · Fetal Development
Question 32 of 40
Conjoined twins are formed at which point of gestation?
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HESI RN · Fetal Development
Question 33 of 40
A female patient is concerned about an inability to become pregnant after trying for 1 year. Which information collected during a health history causes the nurse the greatest amount of concern about possible infertility?
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HESI RN · Fetal Development
Question 34 of 40
The nurse is assessing the knowledge of new parents with a child born with maple syrup urine disease (MSUD). This is an autosomal recessive inherited disorder, which means that:
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HESI RN · Fetal Development
Question 35 of 40
A woman is 15 weeks pregnant with her first baby. She asks how long it will be before she feels the baby move. The best answer is:
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HESI RN · Fetal Development
Question 36 of 40
The nurse would anticipate that a patient with elevated levels of which hormone would require radiologic imaging of the brain?
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HESI RN · Fetal Development
Question 37 of 40
What initiates the shedding of the endometrial lining in a nonpregnant woman?
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HESI RN · Fetal Development
Question 38 of 40
What protects the blood vessels in a healthy umbilical cord?
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HESI RN · Fetal Development
Question 39 of 40
The fetal heartbeat should be visible on ultrasound by the:
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HESI RN · Fetal Development
Question 40 of 40
A 37-year-old patient is being seen for her first OB appointment after having a positive pregnancy test at home. She thinks she is about 6 weeks pregnant. She and her husband have been trying to conceive for 7 years, and she has a history of three spontaneous abortions. What antepartum testing do you anticipate the provider ordering at today’s visit?
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