The growing fetus

Question 1

1. What lunar month is considered the age of gestation when sex (gender) of the fetus can be determined?
A. Second
B. Third
C. Fifth
D. Fourth

Answer 1

D. Fourth

Question 2

2. Mrs. Lim has missed three periods and thinks she might be pregnant. During her first visit to the prenatal clinic, it is confirmed that she is pregnant. If Mrs. Lim’s last menstrual period (LMP) began on April 10, 2009, what is her estimated date of confinement (EDC)/delivery (EDD) according to Naegele’s Rule?
A. March17
B. July 3
C. January 3
D. January 17

Answer 2

D. January 17

Question 3

3. The senior head nursing student in the maternity unit was asked to calculate the EDD of Mrs. Juan, pregnant for the second time, whose LMP is April 10, 2009. What is Mrs. Juan’s EDD/EDC?
A. January 27
B. January 30
C. January 25
D. January 20

Answer 3

D. January 20

Question 4

4. What is the fetal structure that serves as a bypass or shunt connecting the left and right atria of the heart?
A. Ductus venosus
B. Ductus arteriosus
C. Foramen ovale
D. umbilical arteries

Answer 4

C. Foramen ovale

Question 5

5. The clinical instructor is having a discussion with her students on fetal circulation. Which of the following
   statements indicate understanding of the umbilical cord?
   A. “The umbilical cord is composed of two arteries and one vein.”
   B. “The umbilical cord is composed of one artery and two veins.”
   C. “The umbilical cord is composed of one artery and one vein.”
   D. “The umbilical cord is composed of two veins.”

Answer 5

A. The umbilical is composed of two arteries and one vein.

Question 6

6. After 35 weeks’ gestation, fetal lung maturity is signified by a rise in the level of which surfactant?
A. Sphingomyelin
B. Lecithin
C. Alphafetoprotein
D. Estriol

Answer 6

B. Lecithin

Question 7

7. During a scheduled prenatal visit, primigravid Viola asks, “How does my baby breathe inside me?” The nurse responds by explaining the fetal circulation, stating that circulation of oxygenated blood begins with which of the following?
A. Umbilical Vein
B. Ductus venosus
C. Ductus arteriosus
D. Umbilical arteries

Answer 7

A. Umbilical vein

Question 8

8. To be able to hear the fetal heart tone as early as 14 weeks of gestation, the nurse should use a:
A. Fetoscope
B. Doppler device
C. Stethoscope
D. Internal fetal monitor

Answer 8

A. Doppler device

Question 9

9. An obstetric client at 8 weeks’ gestation asked the nurse if her heart is already beating at this time. The
   correct answer of the nurse is that:
   A. Fetal heartbeat can first be heard at 12 weeks’ gestation using a Doppler.
   B. They have to perform an ultrasound to see if her baby’s heart is beating.
   C. Fetal heart beats as early as one month.
   D. At this time, the signs and symptoms of pregnancy that she experiences are the indicators that her baby is
   alive

Answer 9

B. They have to perform an ultrasound to see if her baby’s heart is beating.

Question 10

10. Fetal structure that carries blood from the umbilical vein to the inferior vena cava:
A. Foramen ovale
B. Ductus arteriosus
C. Ductus venosus
D. Aorta

Answer 10

C. Ductus venosus