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BSN 346 Psychosocial Changes / Family Adaptation Questions With Complete Solutions
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BSN 346 Psychosocial Changes / Family Adaptation Questions With Complete Solutions
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BSN 346 Psychosocial Changes / Family AdaptationQuestions With Complete Solutions
Antepartum Care:
Summary
The progression of antenatal care is based on the trimester and
individual factors exclusive to the pregnant woman. The initial
prenatal visit includes a comprehensive history and physical,
which may determine the course of the prenatal care. Prenatal
education can help to address the patient's questions or concerns
and encourage healthy behaviors through pregnancy. The
education should include information about common
discomforts of pregnancy and danger signs associated with the
pregnancy continuum. The nurse should evaluate the
effectiveness of the teaching and document findings, and alter
the teaching plan based on the individual need of the pregnant
woman. Correct Answer
Auxiliary Structures and Fetal Circulation:
Summary
The placenta, umbilical cord, and fetal membranes are important
structures that allow the fetus to survive in utero. These
structures are integral to the fetal and maternal circulation.
Alterations in the development and function of the placenta can
affect the growth and development of the fetus. Also, the
placenta can affect maternal health and, ultimately, fetal
outcomes. Various shunts and structures exist to support fetal
circulation in utero. These shunts and structures are no longer
needed after birth as the newborn's lungs and liver begin to
function on their own. Correct Answer
,Conception, Embryonic, and Fetal Development:
Summary
Conception occurs when the mature ovum is penetrated by a
mature, motile sperm, resulting in the fusion of the nuclei of the
sperm and ovum. The two nuclei contain the parents'
chromosomes. Fertilization is complete after 24 hours, which is
when cell division begins. The probability of viable conception
is less than 40% to 50%. A continuing supply of estrogen and
progesterone is required for the implantation and survival of the
fertilized ovum.
The embryonic period starts 15 days after conception and ends
at week 8. By the end of the embryonic period, the basic
structures of all major body organs are complete.
Fetal development occurs from 9 weeks after conception to birth
and denotes a period of tremendous growth. By week 12, the
fetal sex can be determined by sonogram; by weeks 13 to 16, the
mother can begin to feel the early fetal movements, or
"quickening"; an Correct Answer
Multiple Gestation:
Summary
MZ and dizygotic twin conception and fetal development
involve different processes. The incidence of these twin types is
also different. MZ, or identical, twins are formed when one
sperm fertilizes a single egg and the resultant conceptus divides
in two. This is a random occurrence. The timing of this division
will determine if the twins share an amniotic sac or placenta.
Dizygotic, or fraternal, twins occur when two sperm cells
fertilize two different eggs. Dizygotic twins have completely
separate placentas and gestational sacs. Fraternal twins are no
more similar to each other than other siblings. Genetics, family
,history, advanced maternal age, and infertility treatment can
contribute to the increased likelihood of dizygotic twins.
Triplets can occur naturally when one zygote divides into two
and one of the two divides again, producing identical triplets.
Triplets can also occur from tw Correct Answer
Physiologic Changes:
Summary
Traditionally, pregnancy has been confirmed by symptoms
experienced by the patient as well as objective signs observed by
a health care provider. The signs and symptoms are divided into
three groups, also known as the "3 P's of pregnancy." The
groups are presumptive signs of pregnancy, probable signs of
pregnancy, and positive signs of pregnancy. Presumptive signs
of pregnancy include subjective symptoms that the patient
presents with, and these are considered the least reliable.
Probable signs of pregnancy include objective findings that can
be documented by a health care provider. Probable signs of
pregnancy are more reliable than presumptive signs of
pregnancy, but they may be related to other possible causes.
Positive signs of pregnancy are findings that can only be
explained by true pregnancy.
There are many physical changes to the human body during
pregnancy. The increases in hCG, e Correct Answer
Question 1 of 10
The mean arterial pressure (MAP) for a pregnant woman whose
blood pressure is 106/70 is ____________ Correct Answer 82
MAP = systolic + (2 x diastolic) / 3
Question 1 of 10
, Which statements regarding the secretion of human chorionic
gonadotropin (hCG) are accurate?
Select all that apply.
The zygote secretes hCG.
A high level of hCG is a pregnancy indicator.
Pregnant women have high levels of hCG and progesterone.
Ovulating women have higher amounts of hCG in their system.
Increased hCG production causes decreased estrogen secretion.
Correct Answer The zygote secretes hCG.
The zygote secretes hCG to maintain the decidua.
A high level of hCG is a pregnancy indicator.
The zygote secretes hCG to signal that a pregnancy has begun;
therefore a high level of hCG is an indicator of pregnancy.
Pregnant women have high levels of hCG and progesterone.
Implantation and survival of the conceptus are critically
dependent on a continuing supply of estrogen and progesterone
to maintain the decidua in the secretory phase. With continued
hCG production by the conceptus, the corpus luteum continues
to secrete estrogen and progesterone rather than regressing.
Question 1 of 3
Which types of data are needed to select the appropriate fetal
diagnostic procedures?
Parity
Maternal age
Fetal movement
Nondrug allergies
History of cesarean delivery Correct Answer Parity
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