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HESI RN · HESI Maternity · Conception and Fetal Development NCLEX Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Upon receiving report on a 36-week G1P0 patient, the nurse has been informed that the pregnancy is at high risk because the umbilical cords may become entangled. Which does the nurse understand about this pregnancy?

A. It is a diamnionic, monochorionic twin gestation.
B. It is a monoamnionic, monochorionic twin gestation.
C. It is a monoamnionic, dichorionic twin gestation.
D. It is a diamnionic, dichorionic twin gestation.

Expert Explanatory Rationale

Correct Answer: It is a monoamnionic, monochorionic twin gestation.

Question 2 of 5

Genomic medicine is an emerging medical discipline that involves using genomic information about an individual as part of the individual’s clinical care. Which example does the nurse associate with genomic medicine?

A. Screening of neonates for inherited, treatable genetic diseases
B. Creating drugs specifically for the treatment of cancer
C. Conducting trial studies to determine how drugs effect individuals
D. Tracing and gaining knowledge about how genetic mutations occur

Expert Explanatory Rationale

Correct Answer: Screening of neonates for inherited, treatable genetic diseases

Question 3 of 5

What is the purpose of maternal assays and multiple marker screenings performed in the first trimester of pregnancy?

A. to determine the gender of the fetus
B. to assess the risk of chromosomal abnormalities in the fetus
C. to monitor the growth and development of the placenta
D. to detect any potential maternal infections

Expert Explanatory Rationale

Correct Answer: to assess the risk of chromosomal abnormalities in the fetus

Question 4 of 5

Sally comes in for her first prenatal examination. This is her first child. She asks you (the nurse), 'How does my baby get air inside my uterus?' The correct response is:

A. The baby's lungs work in utero to exchange oxygen and carbon dioxide.
B. The baby absorbs oxygen from your blood system.
C. The placenta provides oxygen to the baby and excretes carbon dioxide into your bloodstream.
D. The placenta delivers oxygen-rich blood through the umbilical artery to the baby's abdomen.

Expert Explanatory Rationale

Correct Answer: The placenta provides oxygen to the baby and excretes carbon dioxide into your bloodstream.

Question 5 of 5

Identify the obstetric health care providers who attend births in private homes. Select all that apply.

A. OB/GYN
B. family practice physician
C. maternal-fetal medicine specialist
D. certified nurse-midwife

Expert Explanatory Rationale

Correct Answer: OB/GYN

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