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In fetal circulation, the ductus venosus diverts blood from which of the following organs?

Lungs

Heart

Kidney

Liver

Answer and Explanation

The Correct Answer is D

A. The lungs are bypassed by the foramen ovale and ductus arteriosus in fetal circulation, not the ductus venosus.

B. The heart is a critical pumping organ, so no blood is diverted away from it in fetal circulation.

C. The kidneys process blood, but fetal blood bypasses the liver via the ductus venosus rather than the kidneys.

D. The ductus venosus allows oxygen-rich blood from the umbilical vein to bypass the liver and flow directly into the inferior vena cava, ensuring that well-oxygenated blood reaches vital fetal organs, such as the brain and heart, more efficiently.

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Correct Answer is B

Explanation

A. Lightening refers to the sensation of the baby "dropping" into the pelvis, which typically occurs in the third trimester before labor, not at 18 weeks of gestation.

B. Quickening describes the first perception of fetal movement, often described as fluttering, and commonly occurs between 16 to 20 weeks of gestation.

C. Ballottement refers to the passive movement of the fetus when gently pushed, typically assessed during a physical examination, not a maternal sensation.

D. Chloasma is a skin change involving dark patches on the face and is unrelated to fetal movement or maternal sensations.

A. "Psychological disorders may occur due to the impact on the client's quality of life." B. "Persistent nausea and vomiting are expected during the first trimester." C. "Clients who have hyperemesis gravidarum may seek care early in their pregnancy." D. "Measures can be taken to prevent this disease from occurring."

Correct Answer is A

Explanation

A. Psychological disorders may occur due to the impact on the client's quality of life is correct. Hyperemesis gravidarum can have a significant psychological impact on the client, leading to mental health issues such as depression, anxiety, and stress due to the prolonged discomfort and inability to perform daily activities.

B. Persistent nausea and vomiting are expected during the first trimester is inaccurate. While mild nausea and vomiting (morning sickness) is common during the first trimester, hyperemesis gravidarum involves severe nausea and vomiting that extends beyond the normal range and can occur at any point in pregnancy.

C. Clients who have hyperemesis gravidarum may seek care early in their pregnancy is not always true. Some clients may delay seeking care, thinking it’s normal pregnancy discomfort, while others may seek help immediately due to the severity of their symptoms.

D. Measures can be taken to prevent this disease from occurring is not correct. There are no known methods to prevent hyperemesis gravidarum, although some risk factors may increase the likelihood of developing it, such as high hCG levels or carrying multiples.

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In fetal circulation, the ductus venosus diverts blood from which of the following organs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day. The nurse should use which of the following terms to document this finding?

Correct Answer is B

Explanation

A nurse is assisting with the planning of a presentation about the impact of hyperemesis gravidarum on client health. Which of the following statements should the nurse include?

Correct Answer is A

Explanation

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