A patient who has just received confirmation that she is pregnant is distressed because she has a seizure disorder that she manages with carbamazepine. Which is the nurse’s greatest concern?

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Conception and Fetal Development NCLEX Questions Quizlet Questions

Question 1 of 5

A patient who has just received confirmation that she is pregnant is distressed because she has a seizure disorder that she manages with carbamazepine. Which is the nurse’s greatest concern?

Correct Answer: D

Rationale: Carbamazepine is a teratogenic drug that poses risks of neural tube defects and craniofacial abnormalities, making this the greatest concern.

Question 2 of 5

The most basic information a maternity nurse should have concerning conception is that:

Correct Answer: D

Rationale: After implantation, the endometrium is called the decidua.

Question 3 of 5

Some of the embryo’s intestines remain within the umbilical cord during the embryonic period because the

Correct Answer: C

Rationale: During early development of the fetus, the umbilical cord is relatively larger compared to later stages of pregnancy. This is because the umbilical cord plays a crucial role in providing necessary nutrients, oxygen, and removing waste products from the developing baby. As the pregnancy progresses, the blood vessels in the umbilical cord mature and shrink in diameter, leading to a decrease in its overall size compared to the early stages. The larger size of the umbilical cord in early pregnancy facilitates efficient nutrient exchange between the mother and the developing fetus, supporting the baby's growth and development.

Question 4 of 5

A father and mother are carriers of phenylketonuria (PKU). Their 2-year-old daughter has PKU. The couple tells the nurse that they are planning to have a second baby. Because their daughter has PKU, they are sure that their next baby won't be affected. What response by the nurse is most accurate?

Correct Answer: C

Rationale: Each child produced by this couple has a 25% chance of being affected by PKU disorder.

Question 5 of 5

One of the assessments performed in the birth room is checking the umbilical cord for blood vessels. Which finding is considered to be within normal limits?

Correct Answer: A

Rationale: In a normal umbilical cord, there should be two vessels present - one artery and one vein. The most common finding is having one umbilical vein and two umbilical arteries, but it is also considered within normal limits to have one artery and one vein. This is important as an abnormal number of blood vessels in the umbilical cord can indicate potential issues like congenital abnormalities or genetic conditions.

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