The nurse is reviewing fetal and maternal circulation with a group of nursing students. Which statement by a student demonstrates a need for further clarification?
"The placenta is the site of gas exchange for the fetus."
"The umbilical arteries carry deoxygenated blood from the fetus to the placenta."
"The fetal heart pumps blood to both the placenta and the developing organs."
"Maternal and fetal blood mix to allow for nutrient and oxygen exchange."
The Correct Answer is D
A. "The placenta is the site of gas exchange for the fetus."
This is correct because the placenta facilitates oxygen and carbon dioxide exchange between maternal and fetal circulation without direct blood mixing.
B. "The umbilical arteries carry deoxygenated blood from the fetus to the placenta."
This is correct because the two umbilical arteries carry deoxygenated blood from the fetus to the placenta, where gas exchange occurs.
C. "The fetal heart pumps blood to both the placenta and the developing organs."
This is correct because the fetal heart pumps oxygenated blood to its developing organs and sends deoxygenated blood to the placenta for gas exchange.
D. "Maternal and fetal blood mix to allow for nutrient and oxygen exchange."
This is incorrect because maternal and fetal blood do not mix under normal conditions. Instead, nutrients, gases, and waste products pass through the placental barrier via diffusion. If maternal and fetal blood mix, it could indicate a placental rupture or pathological condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Unexplained weight gain
This is incorrect because weight gain is not a characteristic symptom of endometriosis. Endometriosis primarily affects the reproductive organs and is associated with pain and infertility rather than metabolic or weight-related changes.
B. Pain during menstrual period
This is correct because dysmenorrhea (painful menstruation) is a hallmark symptom of endometriosis due to the presence of ectopic endometrial tissue responding to hormonal changes.
C. Pain during intercourse
This is correct because dyspareunia (pain during intercourse) is a common symptom of endometriosis due to the inflammatory and fibrotic changes caused by ectopic endometrial tissue.
D. Infertility
This is correct because endometriosis can lead to infertility due to scarring, adhesions, and inflammation affecting the fallopian tubes and ovaries. Many clients with endometriosis seek medical attention due to difficulty conceiving.
Correct Answer is C
Explanation
A. "Presence of late decelerations with each contraction during monitoring."
Late decelerations indicate uteroplacental insufficiency, which can lead to fetal hypoxia and distress. This is not a reassuring sign.
B. "Increased fetal movement between contractions."
While fetal movement is a positive sign, it is not the best indicator of fetal well-being in labor. Continuous FHR monitoring provides a better assessment.
C. "Fetal heart rate of 160 beats per minute with moderate variability."
A normal fetal heart rate (FHR) is 110–160 bpm, and moderate variability (6–25 bpm fluctuations) indicates a well-oxygenated fetus with an intact autonomic nervous system.
D. "Fetal heart rate consistently below 120 beats per minute with no accelerations."
A persistent FHR below 110 bpm (bradycardia) or minimal variability suggests possible fetal compromise.
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