ATI RN
Fetal Development NCLEX Questions Questions
Question 1 of 5
What is the purpose of carrier screening in the first trimester?
Correct Answer: D
Rationale: In the context of pharmacology and fetal development, carrier screening in the first trimester serves the purpose of identifying potential genetic disorders that parents may carry. This screening is crucial as it allows healthcare providers to assess the risk of certain genetic conditions being passed on to the baby. By identifying carriers of specific genetic mutations, interventions can be planned to manage and mitigate the risks associated with these conditions. Option A, checking the positioning of the fetus, is incorrect as carrier screening does not involve assessing the physical position of the fetus but rather focuses on genetic information. Option B, assessing for chromosomal abnormalities, while important, is not the primary purpose of carrier screening in the first trimester. Option C, measuring the heart rate of the fetus, is also unrelated to carrier screening. In an educational context, understanding the importance of carrier screening helps healthcare professionals provide comprehensive care to expectant parents. It highlights the role of genetic testing in prenatal care and emphasizes the significance of early identification of potential genetic risks to facilitate informed decision-making and appropriate interventions to support the health and well-being of both the parents and the baby.
Question 2 of 5
During a pregnant woman’s second trimester anatomy scan, the fetus was in breech position. The patient is now 34 weeks pregnant and asks how she can tell if the baby is in the right position. What test might be ordered to determine this?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) an ultrasound. An ultrasound is commonly used to determine the position of the fetus in the womb. It allows the healthcare provider to visualize the baby's position and confirm whether it is in the breech position or has moved into the cephalic (head down) position, which is ideal for a vaginal delivery. A) a biophysical profile is a test that assesses the fetus's well-being by evaluating various parameters like fetal movement, breathing, muscle tone, amniotic fluid levels, and heart rate. While this test provides valuable information about fetal health, it is not specifically used to determine fetal position. C) a fetoscopy is an invasive procedure where a thin, lighted instrument is inserted into the uterus to directly visualize the fetus. This procedure is typically reserved for specific diagnostic purposes and is not routinely used to assess fetal position. D) a nonstress test is a test that monitors the fetal heart rate in response to its movements. While this test is important for assessing fetal well-being, it does not provide information about the fetal position. Educationally, understanding the importance of fetal positioning in pregnancy is crucial for both healthcare providers and expectant mothers. Knowing the fetal position helps in planning for labor and delivery, especially in cases where interventions may be necessary to ensure a safe birth. Ultrasound remains a non-invasive and effective tool for assessing fetal position, making it a common choice in clinical practice.
Question 3 of 5
What are probable signs of pregnancy? Select all that apply.
Correct Answer: B
Rationale: In the context of fetal development, probable signs of pregnancy refer to those signs that strongly suggest the presence of a developing fetus. Among the options provided, only fetal movement (Option B) is a probable sign of pregnancy. This is because fetal movement, also known as quickening, is a definitive sign of pregnancy and indicates the presence of a living fetus in the uterus. A) Amenorrhea, the absence of menstruation, is a presumptive sign of pregnancy and not a probable sign. It can be caused by factors other than pregnancy. C) Goodell sign, which refers to softening of the cervix, is a probable sign of pregnancy but is not among the options provided as correct. D) A positive pregnancy test is a presumptive sign of pregnancy as it can be influenced by other factors such as medications or certain medical conditions. Educationally, understanding the difference between probable, presumptive, and positive signs of pregnancy is crucial for healthcare providers, especially in pharmacology. This knowledge helps in accurate diagnosis and appropriate management of pregnant patients. Recognizing fetal movement as a probable sign can aid in providing appropriate prenatal care and support to pregnant individuals.
Question 4 of 5
The nurse is caring for a pregnant person at 28 weeks’ gestation who has started noticing an increase in vaginal discharge that does not have an odor. What is the appropriate response by the nurse to the pregnant person’s concern?
Correct Answer: C
Rationale: The correct response, Option C, "A slight increase in vaginal discharge is expected at 28 weeks of gestation," is appropriate because during pregnancy, hormonal changes can lead to an increase in vaginal discharge, which is typically normal unless accompanied by other symptoms like odor, itchiness, or irritation. It is crucial for the nurse to reassure the pregnant person that this change is a common occurrence in pregnancy and not necessarily a cause for concern. Option A, "The discharge is because of the weight of the uterus on your bladder," is incorrect as it does not address the specific issue of vaginal discharge and attributes it to a different anatomical factor. Option B, "The discharge means you have a urinary tract infection," is incorrect because urinary tract infections typically present with symptoms such as burning during urination, frequent urination, and possibly fever, rather than just an increase in vaginal discharge. Option D, "There is nothing to worry about," is incorrect as it dismisses the pregnant person's concerns without providing appropriate information or reassurance. In an educational context, understanding the normal physiological changes that occur during pregnancy, including variations in vaginal discharge, is essential for nurses caring for pregnant individuals. By providing accurate information and addressing concerns promptly, nurses can support the overall well-being and confidence of their pregnant patients.
Question 5 of 5
The nurse is providing education about the newborn to a pregnant person and the soon-to-be grandparents. What information is the most important for the nurse to discuss to assist the extended family in adapting to their new role?
Correct Answer: B
Rationale: In the context of pharmacology and fetal development, understanding the importance of extended family role expectations is crucial for the nurse to discuss with the pregnant person and soon-to-be grandparents. The correct answer, option B, is the most important because it addresses the broader family dynamics and support system that will influence the newborn's well-being. By discussing extended family role expectations, the nurse can help facilitate a smooth transition into the new role for the grandparents and ensure that they provide the necessary support for the newborn's health and development. Option A, how to bathe the newborn, while important, is a more practical skill that can be learned through demonstration and practice. Option C, childbirth preparation, is essential but focuses more on the immediate needs of the pregnant person rather than the extended family's role. Option D, breast-feeding, is crucial for the newborn's nutrition but may not directly impact the extended family's adaptation to their new role. By emphasizing the significance of extended family role expectations, the nurse can promote a supportive environment for the newborn's overall well-being and development, which is essential in pharmacology and fetal development education.