With regard to the structure and function of the placenta, the maternity nurse should be aware that:

a. As the placenta widens, it gradually thins to allow easier passage of air and nutrients.
b. As one of its early functions, the placenta acts as an endocrine gland.
c. The placenta is able to keep out most potentially toxic substances such as cigarette smoke to which the mother is exposed.
d. Optimal blood circulation is achieved through the placenta when the woman is lying on her back or standing.


B

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A The placenta widens until week 20 and continues to grow thicker.
B The placenta produces four hormones necessary to maintain the pregnancy.
C Toxic substances such as nicotine and carbon monoxide readily cross the placenta into the fetus.
D Optimal circulation occurs when the woman is lying on her side.

Nursing

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In 1841, _______________ surveyed asylums, jails, and almshouses throughout the United States, Canada, and Scotland and is credited with bringing about public awareness and reform for the care of the mentally ill

a. Sigmund Freud b. John Cade c. Florence Nightingale d. Dorothea Dix

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The parents bring their 3-year-old son to the emergency department after having found that he has ingested some of his mother's medicine. Which assessment would be of critical importance for this child?

A) Assessing mental status and skin moisture and color B) Evaluating the effectiveness of the child's breathing C) Noting the child's pulse rate and quality D) Auscultating all lung fields for signs of edema

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The pediatric nurse beginning the morning shift learns during report that an infant may have a heart murmur. Where on the infant's chest will the nurse auscultate for heart sounds?

A) At the second and fifth right and left intercostal spaces and apex area B) At the first and fourth right and left intercostal spaces, axillae, and apex areas C) At the third and fourth right and left intercostal spaces, apex, and clavicular areas D) At the second and fourth right and left intercostal spaces, apex, and axillae areas

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The nurse is providing care for a Hispanic American woman in the patient's home. A curandero visits and administers herbs to the patient that were not prescribed by the physician. The best action for the nurse to take is to

a. inform the patient that medication that is not prescribed by the physician may not be taken b. politely escort the curandero out of the pa-tient's home c. remove the herbs from the patient's home d. recognize the patient's right to different types of healing

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