a fetus is considered viable after

HESI RN

Reproductive System Exam Quizlet

1. At what point is a fetus considered viable?

A. 26 weeks
B. 28 weeks
C. 37 weeks
D. 12 weeks

Correct answer: C

Rationale: A fetus is considered viable after 37 weeks of gestation. At this stage, the fetus has a higher chance of surviving outside the womb with medical support. Choice A (26 weeks), Choice B (28 weeks), and Choice D (12 weeks) are incorrect because a fetus is not typically considered viable at those earlier gestational ages.

2. When does threatened abortion occur?

A. The patient experiences slight vaginal bleeding through an undilated cervix.
B. The patient experiences heavy bleeding and cervical dilation.
C. The patient experiences severe cramping and heavy bleeding.
D. The patient experiences painless bleeding and an open cervix.

Correct answer: A

Rationale: Threatened abortion occurs when the patient experiences slight vaginal bleeding through an undilated cervix. This is characterized by bleeding without cervical dilation, distinguishing it from inevitable abortion (heavy bleeding and cervical dilation), incomplete abortion (severe cramping and heavy bleeding), and missed abortion (painless bleeding and an open cervix).

3. During the counseling session, you can also use the acronym, CLEAR. The letter E stands for:

A. Encourage and assure the client of effective use of the method
B. Explain how to use the method
C. Tell the client about modern FP methods available, and discuss each in detail
D. Explain all possible complications

Correct answer: B

Rationale: The correct answer is B: 'Explain how to use the method.' In the acronym CLEAR, the letter E specifically refers to explaining how to use the method, emphasizing the importance of providing clear instructions and guidance to the client. Choices A, C, and D are incorrect because they do not accurately represent what the letter E stands for in the given context. Encouraging and assuring the client, discussing modern FP methods in detail, and explaining possible complications are important aspects of counseling but do not align with the specific focus of 'Explain how to use the method,' as indicated by the acronym.

4. At 3-4 weeks of pregnancy, the breast changes include:

A. Darkening of the nipple.
B. Prickling, tingling sensation.
C. Breast becomes tender.
D. Colostrum can be expressed.

Correct answer: C

Rationale: At 3-4 weeks of pregnancy, breast changes commonly involve tenderness due to hormonal fluctuations. Darkening of the nipple (Choice A) typically occurs later in pregnancy. Prickling, tingling sensations (Choice B) are more associated with early pregnancy due to increased blood flow to the breast area. Colostrum production (Choice D) usually begins later in pregnancy, closer to the end of the third trimester.

5. In which part of the fallopian tube is tubal abortion most common?

A. Ampullary portion
B. Isthmus
C. Interstitial portion
D. Infundibulum

Correct answer: C

Rationale: Tubal abortion is most common when the ovum implants in the interstitial portion of the fallopian tube. This location is the narrowest part of the tube, making it more prone to obstruction or difficulty in the passage of the fertilized ovum. Choices A, B, and D are incorrect because tubal abortion is more likely to occur in the interstitial portion rather than the ampullary portion, isthmus, or infundibulum of the fallopian tube.