Page 632 - Saunders Comprehensive Review For NCLEX-RN

5. Prevents large particles such as bacteria from passing to the
fetus
6. Provides an exchange of nutrients and waste products
between the mother and the fetus
190. A couple comes to the family planning clinic and asks about sterilization
procedures. Which question by the nurse should determine whether this
method of family planning would be most appropriate?
1. “Have you ever had surgery?”
2. “Do you plan to have any other children?”
3. “Do either of you have diabetes mellitus?”
4. “Do either of you have problems with high blood pressure?”
191. The nurse should make which statement to a pregnant client found to have a
gynecoid pelvis?
1. “Your type of pelvis has a narrow pubic arch.”
2. “Your type of pelvis is the most favorable for labor and birth.”
3. “Your type of pelvis is a wide pelvis, but it has a short diameter.”
4. “You will need a cesarean section because this type of pelvis is not
favorable for a vaginal delivery.”
192. Which purposes of placental functioning should the nurse include in a
prenatal class? Select all that apply.
1. It cushions and protects the baby.

2. It maintains the temperature of the baby.

3. It is the way the baby gets food and oxygen.

4. It prevents all antibodies and viruses from passing to the
baby.
5. It provides an exchange of nutrients and waste products
between the mother and developing fetus.
193. A 55-year-old male client confides in the nurse that he is concerned about his
sexual function. What is the nurse’s best response?
1. “How often do you have sexual relations?”
2. “Please share with me more about your concerns.”
3. “You are still young and have nothing to be concerned about.”
4. “You should not have a decline in testosterone until you are in
your 80s.”

Answers

184. Answer: 1, 2, 4

Rationale: The ductus arteriosus is a unique fetal circulation structure that allows
blood to bypass the nonfunctioning fetal lungs. Oxygenated blood is transported to
the fetus by one umbilical vein. The normal fetal heart beat range is considered to be
110 to 160 beats per minute. Two arteries carry deoxygenated blood and waste

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