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A nurse is caring for a client during an initial prenatal visit. The client’s last menstrual period was 18 weeks ago. Which of the following actions should the nurse plan to take?

Calculate the estimated date of birth.

Obtain the client’s personal and family medical history.

Obtain information about prior pregnancies.

Check the client’s urine with a reagent strip.

Schedule the client for prenatal laboratory testing.

Discuss chorionic villus sampling with the client.

Answer and Explanation

Correct Answer : A,B,C,D,E

Choice A rationale

Calculating the estimated date of birth involves determining the gestational age. Gestational age is crucial for monitoring fetal development and timing prenatal care.

Choice B rationale

Obtaining the client’s personal and family medical history helps identify genetic risks, potential complications, and health conditions that may affect pregnancy and delivery.

Choice C rationale

Obtaining information about prior pregnancies provides insight into potential risks and outcomes. Previous pregnancy complications can indicate risks for the current pregnancy.

Choice D rationale

Checking the client’s urine with a reagent strip screens for urinary tract infections, protein, and glucose levels. UTIs can cause complications, while protein and glucose levels help monitor maternal health.

Choice E rationale

Scheduling the client for prenatal laboratory testing, such as blood work and ultrasounds, helps assess maternal and fetal health. Tests like blood type, Rh factor, and infectious diseases are essential for prenatal care.

Choice F rationale

Discussing chorionic villus sampling is not necessary at 18 weeks of gestation. CVS is typically performed between 10-13 weeks for early genetic testing.

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Correct Answer is D

Explanation

Choice A rationale

The ductus arteriosus does not connect the umbilical artery to the inferior vena cava. It connects the pulmonary artery to the aorta, bypassing the lungs in fetal circulation.

Choice B rationale

The ductus arteriosus carries deoxygenated blood from the right side of the heart to the aorta. It does not carry oxygenated blood from the left side of the heart.

Choice C rationale

The ductus arteriosus is not located between the right and left atrium. It is a blood vessel connecting the pulmonary artery to the aorta in fetal circulation.

Choice D rationale

In fetal circulation, the pulmonary artery and aorta are connected via the ductus arteriosus. This allows blood to bypass the fetal lungs, which are not yet functional.

NGN QUESTIONS

A. 21-day pills mixed type. B. Mixed type- estrogen and progesterone. C. Estrogen-only. D. Progesterone only.

Correct Answer is D

Explanation

Choice A rationale

21-day mixed type pills contain estrogen and progesterone, which can reduce milk supply in breastfeeding mothers and are not recommended.

Choice B rationale

Mixed type pills with estrogen and progesterone are not ideal for breastfeeding mothers as estrogen can interfere with milk production and affect milk quality.

Choice C rationale

Estrogen-only pills are not suitable for breastfeeding mothers as estrogen can decrease milk supply and affect infant feeding patterns, leading to poor weight gain in infants.

Choice D rationale

Progesterone-only pills are recommended for breastfeeding mothers as they do not affect milk supply and are safe for the infant while providing effective contraception.

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A nurse is caring for a client during an initial prenatal visit. The client’s last menstrual period was 18 weeks ago. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement below accurately describes the role of the ductus arteriosus?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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