The nurse educator is preparing an educational workshop on fetal development. Which statement from a patient would indicate they need additional teaching or information?

"The high blood volume and Wharton's jelly content of the umbilical cord prevent compression of the cord."

“The umbilical cord normally contains two veins and one artery."

"The fetal heart starts to beat at 4 weeks."

“8 to 12 weeks heart rate can be heard with a doppler."

Answer and Explanation

The Correct Answer is B

A. The high blood volume and Wharton's jelly content in the umbilical cord help protect it from compression.

B. The umbilical cord normally contains two arteries and one vein. A statement suggesting two veins is incorrect and indicates a need for additional teaching.

C. The fetal heart starts to beat around 4 weeks of gestation.

D. A Doppler can detect fetal heartbeats as early as 8-12 weeks.

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Correct Answer is C

Explanation

A. While assessing blood pressure is important, the first priority is to address potential uterine atony, which is the most common cause of postpartum hemorrhage.

B. Bladder distention could be a contributing factor, but uterine massage is the first step to manage uterine tone and control bleeding.

C. Massaging the fundus is the first action to take when the patient is saturating a pad quickly after delivery, as this helps stimulate uterine contractions to control bleeding.

D. Preparing to administer oxytocic medication may be necessary if uterine massage does not effectively control bleeding, but it should come after assessing the uterus.

A. "Domestic violence affects 1 in 4 women" B. "Abuse often decreases during pregnancy C. “A woman's greatest risk for homicide is during separation or attempts to separate.” D. "Abused women often willingly go back to the abusers."

Correct Answer is B

Explanation

A. "Domestic violence affects 1 in 4 women" is correct. The prevalence of domestic violence is high, and this statistic is often used in educational materials.

B. Abuse often escalates during pregnancy due to the stress, hormonal changes, and increased dependence. It is a common misconception that abuse decreases; it actually becomes more severe during pregnancy.

C. "A woman's greatest risk for homicide is during separation or attempts to separate" is correct. The most dangerous time for women in abusive relationships is when they attempt to leave or separate from the abuser.

D. "Abused women often willingly go back to the abusers" is correct. Many women return to abusive partners due to emotional or financial dependency, or fear.

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The nurse educator is preparing an educational workshop on fetal development. Which statement from a patient would indicate they need additional teaching or information?

Nursing Test Bank

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