Identify the trimester when each fetal development finding occurs.

Select the appropriate trimester for each finding:

Formation of fingers, toes, and facial features

Fetus can hear and respond to external stimuli

Increase in body fat reserves

Brain develops most rapidly during this time

Gender can be determined

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"C"},"E":{"answers":"B"}}

A. Formation of fingers, toes, and facial features

Correct Trimester: 1st Trimester (Conception – 13 weeks)
Explanation:
By the end of the 1st trimester, organogenesis (organ formation) is largely complete.

Weeks 7–8: Limb buds appear and begin differentiating into arms and legs.
Weeks 9–12: Fingers, toes, facial features (eyes, nose, lips, ears) become clearly defined.
This is a critical period for congenital malformations if exposed to teratogens.

B. Fetus can hear and respond to external stimuli

Correct Trimester: 2nd Trimester (14–26 weeks)
Explanation:

Around 18–20 weeks: The fetus develops the ability to hear sounds.
External sounds can startle the fetus, and the heartbeat may change in response.
Mother's voice and music can be recognized at this stage.

C. Increase in body fat reserves

Correct Trimester: 3rd Trimester (27–40 weeks)
Explanation:

In the final trimester, especially after week 32, fat accumulates under the skin.
This provides energy and helps with temperature regulation after birth.
The fetus also gains the most weight during this period.

D. Brain develops most rapidly during this time

Correct Trimester: 3rd Trimester (27–40 weeks)
Explanation:

Although brain development starts early, the most rapid growth occurs in the third trimester.
There's a dramatic increase in brain volume, cortical folding, and neural connectivity.
This trimester is essential for cognitive and motor development.

E. Gender can be determined

Correct Trimester: 2nd Trimester (14–26 weeks)
Explanation:

By week 18–20, an ultrasound can reliably show external genitalia.
The sex organs begin forming in the 1st trimester, but become distinct and visible by the 2nd trimester.
This is when many parents find out the baby's gender via an anatomy scan.

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Correct Answer is C

Explanation

Choice A rationale

Performing a sterile vaginal exam assesses cervical dilation and effacement, which is essential for labor progression. However, it poses an infection risk after membrane rupture and should follow fetal heart rate evaluation to ensure fetal well-being.

Choice B rationale

Establishing IV access is important for administering fluids or medications. Still, it is not immediately necessary without first assessing the fetal and maternal condition, which dictates further intervention needs.

Choice C rationale

Obtaining the fetal heart rate is the priority after membrane rupture and bloody show. It evaluates fetal oxygenation and well-being, especially with frequent contractions. Tachycardia or decelerations may indicate distress, necessitating immediate intervention.

Choice D rationale

Assessing maternal vital signs provides insight into hemodynamic status but is secondary to immediate fetal monitoring. Fetal heart rate assessment directs urgent management, especially in high-risk scenarios like ruptured membranes and bloody show. .

A. A history of pelvic inflammatory disease (PID). B. An atypical Papanicolaou smear at her last clinic visit. C. Dysmenorrhea that is unresponsive to NSAIDs. D. Abdominal bloating starting several days before menses.

Correct Answer is C

Explanation

Choice A rationale

A history of pelvic inflammatory disease may result in complications like infertility or chronic pelvic pain but does not specifically indicate endometriosis. Endometriosis involves the ectopic implantation of endometrial tissue, unrelated to infection from PID.

Choice B rationale

An atypical Papanicolaou smear suggests cervical cell abnormalities due to infection, inflammation, or dysplasia, but it does not correlate with endometriosis, which is a distinct gynecological condition involving ectopic endometrial tissue growth.

Choice C rationale

Dysmenorrhea unresponsive to NSAIDs is a defining symptom of endometriosis. This pain results from the inflammatory response and cyclic bleeding of ectopic endometrial tissue, which can cause significant discomfort and impair quality of life.

Choice D rationale

Abdominal bloating several days before menses may be linked to hormonal fluctuations or gastrointestinal issues but is not a primary symptom of endometriosis. While some affected individuals experience bloating, it is not a diagnostic feature like severe, treatment-resistant pain. .

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Identify the trimester when each fetal development finding occurs. Select the appropriate trimester for each finding:

A. Formation of fingers, toes, and facial features

B. Fetus can hear and respond to external stimuli

C. Increase in body fat reserves

D. Brain develops most rapidly during this time

E. Gender can be determined

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a laboring client who presents with ruptured membranes, frequent contractions, and bloody show.Which intervention should be performed first?

Correct Answer is C

Explanation

A clinic nurse is assessing a client with a suspected diagnosis of endometriosis.Which of the following findings in the client's medical history should the nurse identify as consistent with a diagnosis of endometriosis?

Correct Answer is C

Explanation

A nurse is caring for a client who is 2 days postpartum, is breastfeeding, and reports nipple soreness.Which of the following measures should the nurse suggest to reduce discomfort during breastfeeding?

A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is contraindicated due to which of the following findings in the client's medical history?

Which statement made by a pregnant patient indicates teaching was effective related to an elevated alpha fetoprotein (AFP) level?

A nurse is assessing a client 1 hour after delivery and notices a large amount of lochia rubra along with several small clots on the perineal pad.The client's fundus is firm and located at the umbilical level, in the midline.What action should the nurse take next?

Which assessment finding in a newborn places them at risk for physiological jaundice?

Which three assessment findings indicate that the breastfeeding client has achieved a proper latch?

A nurse is teaching a newborn's parent to care for the umbilical cord stump.Which of the following instructions should the nurse include?

A nurse is assessing a postmature infant.Which of the following findings would the nurse expect? (Select all that apply.)

Identify the trimester when each fetal development finding occurs.

Select the appropriate trimester for each finding: