ATI RN
Atrium Health Womens Care Maternal Fetal Monitoring Questions
Question 1 of 5
What change occurs at the same time as quickening?
Correct Answer: C
Rationale: The correct answer is C) Kidneys secrete urine. Quickening is the term used to describe the first fetal movements felt by a pregnant woman, usually occurring around 16-20 weeks of gestation. This milestone coincides with the development of the fetal kidneys, which begin to produce urine around the same time. Option A) "Fetal heart begins to beat" is incorrect because the fetal heart actually starts beating around 6 weeks into pregnancy, much earlier than the time of quickening. Option B) "Lanugo covers the body" is incorrect as lanugo, the fine hair that covers a fetus, typically appears around 17-20 weeks but is not directly related to quickening. Option D) "Fingernails begin to form" is incorrect as fingernails start forming earlier in pregnancy, around 11-12 weeks, and are not specifically linked to the timing of quickening. Understanding these developmental milestones in pregnancy is important for healthcare providers in monitoring the progress of the fetus and ensuring proper maternal and fetal health. Knowing the timing of when certain changes occur helps in assessing the well-being of both the mother and the developing baby.
Question 2 of 5
What is the total number of chromosomes contained in a mature sperm or ovum?
Correct Answer: B
Rationale: In reproductive biology and genetics, understanding the number of chromosomes in sperm and ova is crucial. The correct answer is B) 23 chromosomes. This is because sperm and ova are gametes, which are haploid cells containing half the number of chromosomes found in somatic cells (diploid cells). When a sperm fertilizes an ovum during conception, the resulting zygote will have the full complement of 46 chromosomes. Option A) 22 chromosomes is incorrect because having only 22 chromosomes would not result in a complete set necessary for normal human development. Option C) 44 chromosomes is incorrect as it represents a diploid number, which is found in somatic cells, not in gametes. Option D) 46 chromosomes is incorrect because that is the total number of chromosomes found in a somatic cell, not in a mature sperm or ovum. Understanding the chromosomal composition of gametes is essential in comprehending concepts like genetic inheritance, chromosomal disorders, and embryonic development. This knowledge is fundamental in fields such as genetics, obstetrics, and reproductive medicine. It forms the basis for discussions on genetic counseling, infertility treatments, and prenatal screening. By grasping this concept, healthcare professionals can better educate and support patients in making informed decisions regarding their reproductive health.
Question 3 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 starts to form early at around week 3. By the end of week 3, the baby's heart begins to beat and pump blood, making option A the correct answer. This is a crucial milestone in fetal development as it marks the beginning of the circulatory system's functionality, allowing for the transport of nutrients and oxygen to the growing fetus. The incorrect options can be explained as follows: - Option B (Beginning in week 8): By week 8, the heart is already formed and beating; it does not start pumping blood at this time. - Option C (At the end of week 16): By the end of week 16, the heart has been functioning for weeks, so this is not the correct timing for the start of blood pumping. - Option D (Beginning in week 24): By week 24, the heart has been pumping blood for quite some time, so this is not the correct timing for the start of blood circulation. Understanding the timeline of embryonic development, especially the formation and functionality of vital organs like the heart, is crucial in obstetric and neonatal care. Nurses and healthcare providers must possess this knowledge to educate expectant mothers on fetal development and provide accurate information and reassurance during pregnancy.
Question 4 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 the fetal age of viability. Viability refers to the point in pregnancy at which a fetus is considered capable of surviving outside the womb with medical support. At around 20 weeks gestation, the fetus has reached a stage where it may have a chance of survival if born prematurely. This milestone is significant in obstetrics and neonatology as it marks a critical point in the continuum of fetal development. Option A) 14 weeks is too early for fetal viability as at this stage, the fetus is still in the first trimester and not yet developed enough to survive outside the womb. Option C) 25 weeks and Option D) 30 weeks are both beyond the generally accepted age of viability (around 24 weeks) but they are not the standard point at which viability is typically considered. Educationally, understanding fetal viability is crucial for expectant parents as it highlights the importance of prenatal care, monitoring, and the potential outcomes in case of premature birth. This knowledge empowers parents to make informed decisions and be prepared for any possible scenarios during pregnancy and childbirth.
Question 5 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: In embryology, understanding the primary germ layers is crucial as they give rise to all the tissues and organs in the human body. The correct answer is A) Ectoderm. The ectoderm is one of the primary germ layers that develops into the nervous system, skin, hair, and nails. This layer is responsible for forming the outermost layer of the embryo. Option B) Endoderm is incorrect because it gives rise to the innermost layer of the digestive and respiratory tracts, as well as some internal organs like the liver and pancreas. Option C) Mesoderm is incorrect because it forms the middle layer of the embryo and develops into structures such as muscles, bones, blood, and the circulatory system. Option D) Plastoderm is not a correct germ layer and is a distractor in this question. In an educational context, teaching high school students about the primary germ layers helps them understand the complexity of human development and how different tissues and organs originate from these fundamental layers. This knowledge is essential for students interested in fields like medicine, biology, or embryology. Understanding the germ layers lays the foundation for comprehending the intricate process of fetal development and organogenesis.