The nurse is answering a phone call from a pregnant person. The pregnant person informs the nurse she has had several sharp pains in the right lower abdomen this week. What is the priority question the nurse should ask the pregnant person?

Correct Answer: A

Rationale: The correct answer is A: How many weeks pregnant are you? This is the priority question because sharp pains in the right lower abdomen could indicate an ectopic pregnancy or appendicitis, both of which are serious conditions requiring immediate medical attention. Knowing the gestational age will help the nurse determine the likelihood of these complications. Choice B: How much water are you drinking every day? is not the priority question as it is unlikely to be related to the sharp pains in the right lower abdomen. Choice C: When was your last bowel movement? is not the priority question as it is not directly related to the sharp pains in the right lower abdomen. Choice D: Are you lactose intolerant? is not the priority question as it is not likely to be the cause of sharp pains in the right lower abdomen for a pregnant person.

Correct Answer: A

Rationale: The correct answer is A: OB/GYN. Obstetricians are trained to provide care during pregnancy, labor, and delivery in various settings, including private homes. Family practice physicians and maternal-fetal medicine specialists typically work in hospitals. Certified nurse-midwives can attend home births, but they are not the only obstetric providers who do so. OB/GYNs have the necessary expertise and skills to manage complications that may arise during home births, making them suitable providers for this setting.

Correct Answer: A

Rationale: The correct answer is A: hospital with LDRP and NICU units. Hospitals with Labor-Delivery-Recovery-Postpartum (LDRP) and Neonatal Intensive Care Unit (NICU) provide the most comprehensive care for labor, birth, and immediate postpartum and newborn care. LDRP units allow women to stay in one room for the entire birthing process, ensuring continuity of care. The NICU is crucial for providing specialized care to newborns with complications. In-hospital birthing centers lack the full range of medical resources available in hospitals, free-standing birthing centers may not have immediate access to emergency care, and home births carry risks due to limited medical interventions available.

Correct Answer: B

Rationale: The correct answer is B: Morula. At approximately 3 days post-fertilization, the zygote undergoes multiple cell divisions, forming a 16-cell mass known as a morula. This stage precedes the formation of a blastocyst, which occurs around day 5. The trophoblast refers to the outer layer of cells in the blastocyst responsible for implantation, while the embryoblast is the inner cell mass that gives rise to the embryo. Therefore, the morula stage accurately represents the 16-cell mass at this specific developmental timeline.

Correct Answer: B

Rationale: The correct answer is B: It is a monoamnionic, monochorionic twin gestation. In this type of pregnancy, twins share the same amniotic sac (monoamnionic) and placenta (monochorionic). This situation increases the risk of cord entanglement, leading to potential complications. The other choices are incorrect because they do not describe a pregnancy with the same level of risk for cord entanglement. Choice A, diamnionic, monochorionic, implies two amniotic sacs, reducing the risk of cord entanglement. Choice C, monoamnionic, dichorionic, describes a less risky scenario with two separate placentas. Choice D, diamnionic, dichorionic, indicates two separate sacs and placentas, also reducing the risk of cord entanglement.