The nurse is teaching a client about maternal hormones.The woman states that she has been unable to complete a full-term pregnancy.
According to her healthcare provider, she and her husband have been able to achieve fertilization but implantation never takes place.
This is most likely due to a lack of which hormone?

Follicle Stimulating Hormone (FSH).

Progesterone.

Human chorionic gonadotropin (HCG).

Prolactin.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Follicle Stimulating Hormone (FSH) is involved in the maturation of ovarian follicles and the menstrual cycle. While it is crucial for fertility, it is not directly responsible for maintaining pregnancy once implantation occurs.

Choice B rationale

Progesterone is essential for maintaining pregnancy. It prepares the endometrium for implantation and supports the early stages of pregnancy by preventing uterine contractions that could dislodge the embryo.

Choice C rationale

Human chorionic gonadotropin (HCG) supports the corpus luteum in early pregnancy, ensuring the continued production of progesterone and estrogen. However, implantation failure is less likely due to a lack of HCG.

Choice D rationale

Prolactin plays a role in lactation and has some influence on reproductive health, but it is not primarily responsible for implantation. A lack of prolactin is less likely to be the cause of failed implantation. .

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Correct Answer is A

Explanation

Choice A rationale

Quickening, the first movements of the fetus felt by the mother, typically occurs between 18-20 weeks gestation. At 18 weeks, it's likely the mother will feel a fluttering sensation soon.

Choice B rationale

While fetal movements can sometimes be felt later, it's generally expected that by 18-20 weeks, movements should be noticeable.

Choice C rationale

The baby does move at 18 weeks, but the mother typically begins to feel these movements at this stage, known as quickening.

Choice D rationale

Suggesting the mother should have felt movement by now could cause unnecessary anxiety. Most women feel their baby's movements between 18-20 weeks. .

A. Basal body temperature drops slightly for 24-48 hours. B. Luteinizing hormone increases immediately after. C. Vaginal acidity decreases. D. Libido rises at this time.

Correct Answer is ["A","B","D"]

Explanation

Choice A rationale

Basal body temperature drops slightly for 24-48 hours before ovulation, indicating the most fertile period.

Choice B rationale

Luteinizing hormone surges just before ovulation, triggering the release of an egg from the ovary.

Choice C rationale

Vaginal acidity does not significantly decrease during ovulation; it remains relatively constant.

Choice D rationale

Libido often rises during ovulation due to hormonal changes, which can increase the chances of conception.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A primigravida is 18 weeks gestation and asks the nurse how long it will be until she feels the baby move.The best response by the nurse is:

Correct Answer is A

Explanation

The client asks the nurse how a woman can recognize when she is ovulating.Which should be the nurse's responses? (Select all that Apply)

Correct Answer is ["A","B","D"]

Explanation

A nurse caring for a client in the prenatal clinic states that the patient is clearly pregnant because both the mother and examiner are able to feel the baby move.Which of the following signs of pregnancy is occurring?

During the initial visit with the nurse at the fertility clinic, the patient asks what effect cigarette smoking or heavy alcohol intake has on the ability to conceive.What is the nurse's best response?

The nurse instructs a pregnant client that the purpose of an amniocentesis at 36 weeks gestation is for:

A nurse is caring for a client during an initial prenatal visit.The client's last menstrual period was 18 weeks ago.Which of the following actions should the nurse plan to take?

Each of the following pregnant women is scheduled for a 14-week antepartal visit.In planning care, the nurse would give priority teaching on Quad screening to which client?

A client is 10 weeks pregnant and is experiencing nausea each day.Which strategy would the nurse NOT recommend to the client?

Which statement by the pregnant client indicates to the nurse an understanding of TORCH infections?

After having an ultrasound, the fetus' heart shows that "normal fetal circulation is occurring.”. The RN is teaching a pregnant client about normal fetal circulation.Which of the following statements is consistent with the finding?