Page 635 - Saunders Comprehensive Review For NCLEX-RN

189. Answer: 1, 2, 3, 4

Rationale: The amniotic fluid surrounds, cushions, and protects the fetus. It
allows the fetus to move freely and maintains the body temperature of the fetus. In
addition, the amniotic fluid contains urine from the fetus and can be used to assess
fetal kidney function. The placenta prevents large particles such as bacteria from
passing to the fetus and provides an exchange of nutrients and waste products
between the mother and the fetus.
Test-Taking Strategy: Focus on the subject, the characteristics of amniotic fluid.
Visualizing the location of the amniotic fluid will assist in answering this question.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Evaluation
Content Area: Maternity: Antepartum
Health Problem: N/A
Priority Concepts: Client Education; Reproduction
Reference: McKinney et al. (2018), p. 209.

190. Answer: 2

Rationale: Sterilization is a method of contraception for couples who have
completed their families. It should be considered a permanent end to fertility,
because reversal surgery is not always successful. The nurse would ask the couple
about their plans for having children in the future. Options 1, 3, and 4 are unrelated
to this procedure.
Test-Taking Strategy: Note the strategic words, most appropriate. Focus on the
subject, sterilization procedure. Note the relationship between the word sterilization
and the words plan to have any other children in the correct option.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process—Assessment
Content Area: Adult Health: Reproductive
Health Problem: N/A
Priority Concepts: Health Promotion; Reproduction
Reference: McKinney et al. (2018), p. 660.

191. Answer: 2

Rationale: A gynecoid pelvis is a normal female pelvis and is the most favorable
for successful labor and birth. An android pelvis (resembling a male pelvis) would
be unfavorable for labor because of the narrow pelvic planes. An anthropoid pelvis
has an outlet that is adequate, with a normal or moderately narrow pubic arch. A
platypelloid pelvis (flat pelvis) has a wide transverse diameter, but the
anteroposterior diameter is short, making the outlet inadequate.
Test-Taking Strategy: Focus on the subject, female pelvis types. Recalling that the
gynecoid pelvis is the normal female pelvis will direct you to the correct option.
Level of Cognitive Ability: Applying

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