A nurse is caring for a laboring person who is in the first stage of labor. What is the most important intervention to support the person during this stage?

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Atrium Health Womens Care Maternal Fetal Monitoring Questions

Question 1 of 5

A nurse is caring for a laboring person who is in the first stage of labor. What is the most important intervention to support the person during this stage?

Correct Answer: A

Rationale: The correct answer is A: provide non-pharmacological pain relief. During the first stage of labor, it is crucial to prioritize non-pharmacological pain relief techniques such as breathing exercises, massage, and positioning to help manage the discomfort and promote comfort. This approach aligns with the goal of supporting the person's natural labor process and minimizing interventions that could potentially affect the progress of labor. Administering pain relief (B) or analgesics (C) may not be necessary or advisable at this stage unless specifically requested by the laboring person or deemed appropriate by the healthcare provider. Administering IV fluids (D) is important for hydration but is not the most critical intervention during the first stage of labor.

Question 2 of 5

A patient asks the nurse when her infant’s heart will begin to pump blood. What will the nurse reply?

Correct Answer: A

Rationale: In embryonic development, the heart is the first functional organ to develop. The correct answer is A) By the end of week 3. By the end of the third week of gestation, the baby's heart begins to beat and pump blood. This milestone is crucial as it marks the beginning of the circulatory system in the developing embryo. Understanding this timeline is important for healthcare providers to monitor the normal development of the fetus and detect any abnormalities early on. Option B) Beginning in week 8 is incorrect as the baby's heart starts beating much earlier, by the end of week 3, not in week 8. Option C) At the end of week 16 is also incorrect as the heart is already pumping blood by week 3, not at the end of week 16. Option D) Beginning in week 24 is incorrect as the heart has been functioning for a significant amount of time by week 24, so this answer is too late in the timeline of fetal development. Understanding the timeline of fetal development, especially the development of vital organs like the heart, is crucial for healthcare providers working in maternal-fetal care. It allows them to assess the normal progression of pregnancy and intervene promptly if any issues arise. This information is essential for providing quality prenatal care and ensuring the health and well-being of both the mother and the developing fetus.

Question 3 of 5

The nurse is educating a class of expectant parents about fetal development. What is considered fetal age of viability?

Correct Answer: B

Rationale: In the context of fetal development, the correct answer is B) 20 weeks for fetal age of viability. Viability refers to the ability of a fetus to survive outside the womb. Around 20 weeks gestation, a fetus has reached a stage where it may have a chance of survival with intensive medical care, although outcomes can vary. Option A) 14 weeks is too early for fetal viability as vital organ systems are not fully developed at this stage to support life outside the womb. Option C) 25 weeks and option D) 30 weeks are closer to the actual fetal viability period, but they are not as widely accepted as the 20-week mark in medical practice. Educationally, it is crucial for expectant parents to understand fetal development milestones like viability to make informed decisions and prepare for the potential outcomes of their pregnancy. This knowledge empowers parents to engage in discussions with healthcare providers and be proactive in their prenatal care to promote the health and well-being of both the mother and the fetus.

Question 4 of 5

A nurse is teaching a lesson on fetal development to a class of high school students and explains the primary germ layers. What are the germ layers? (Select all that apply.)

Correct Answer: A

Rationale: The correct answer is A) Ectoderm. In embryonic development, the primary germ layers are the three layers of cells that form early in the process. The ectoderm is one of these layers and gives rise to structures such as the skin, nervous system, and sensory organs. It is essential for the development of the central nervous system and the epidermis. Option B) Endoderm is incorrect because it gives rise to the lining of the gastrointestinal tract, respiratory tract, and associated glands, but it is not one of the primary germ layers. Option C) Mesoderm is also incorrect as it gives rise to structures such as muscle, bone, blood, and the circulatory system, but it is not a primary germ layer. Option D) Plastoderm is a distractor and not a recognized term in embryonic development. In an educational context, understanding the primary germ layers is crucial as it forms the basis of embryonic development and lays the foundation for the formation of different organ systems in the body. Teaching high school students about these concepts provides them with a fundamental understanding of human development and sets the stage for more advanced studies in biology and healthcare fields.

Question 5 of 5

Put the embryonic/fetal characteristics in the correct order of occurrence from week 3 to week 36 of gestation. Put a comma and space between each answer choice (a, b, c, d, etc.)

Correct Answer: C

Rationale: Primitive spinal cord and brain appear at 3 weeks. Neural tube closes at 4 weeks. Skull and jaw ossify at 6 weeks. Spleen stops forming blood cells and bone marrow takes over at 29 weeks. Subcutaneous fat is present at 36 weeks. This sequence reflects the chronological progression of key developmental milestones.

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