A client who has experienced a fetal death in utero at 20 weeks asks what her baby will look like when it is delivered. How should the nurse respond to this client?
1. "The genitals of the baby will be ambiguous."
2. "Your baby will be covered in fine hair called lanugo."
3. "Your child will have arm and leg buds, but not fully formed limbs."
4. "A white, cheesy substance called vernix caseosa will be on the skin."
2
Explanation:
1. The genitals are apparent by 12 weeks after fertilization. This fetus would have had specifically male or female genitals 8 weeks ago.
2. Downy fine hair called lanugo covers a 20-week fetus.
3. Limb buds have developed by 35 days postfertilization. At 20 weeks, the fetus will have well-developed well-differentiated arms and legs.
4. Vernix caseosa forms at about 24 weeks. This fetus is only 20 weeks and will not have vernix.
You might also like to view...
The nurse provides teaching to the patient using herbal therapies and includes what important information related to the effects of the herbal therapy?
A) They can interact with prescription drugs. B) They always contain known ingredients. C) They are natural so they are effective and safe. D) The ingredients are natural, meaning toxicity is not a concern.
An adult male patient who works full time complains of being tired all day even after getting 8 hours of sleep each night. Which condition is most likely the cause of this patient's complaint?
A) Sleep apnea B) Alcohol abuse C) Nocturnal myoclonus D) Age-related changes to sleep
A nurse has been commissioned to ensure that the policies and procedures at a large, multisite healthcare institution comply with the Nursing Home Reform Law. What trend initially prompted the enactment of this legislation?
A) The high incidence of accidental poisonings among older adults living in care facilities B) The widespread use of physical restraints in long-term care facilities C) Increases in the number of falls among older adults and the deaths attributable to falls D) A series of fires that occurred in nursing homes in the 1980s
When teaching an older patient about diet therapy, the nurse plans to assess for barriers to adherence, including which factors? (Select all that apply.)
a. Lifelong habits b. Cultural influences c. Finances d. Dependency e. Inability to learn