A client who has experienced a fetal death in utero at 20 weeks ...

[@Brianna17]

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.

Question 2

The nurse is conducting an early pregnancy class for a group of pregnant women. Which statement indicates a need for further education about the placenta?
 
  1. It develops and grows larger until about 20 weeks' gestation.
  2. It floats in the amniotic sac and filters waste products from the fetus.
  3. It creates hormones and enzymes that are necessary during pregnancy.
  4. It ages and becomes less permeable during the last month of pregnancy.

[sarah_brady415]

Answer to Question 1

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.

Answer to Question 2

2
Explanation:
1. The chorionic villi of the placenta become more differentiated with time. The placenta grows in size until about 20 weeks. After this point, the placenta thickens but does not increase in size.
2. The placenta is attached to the uterine wall, and does not float in the amniotic sac. One function of the placenta is to filter metabolic waste products from the baby's blood so that they can be excreted by the mother.
3. The placenta creates glycogen, cholesterol, hormones such as human chorionic gonadotropin (hCG), and enzymes such as sulfatase and insulinase.
4. The placenta is designed to last for 40 weeks, the average length of human gestation. The permeability to nutrients and oxygen begins to decrease starting at about 36 weeks as a part of the aging of the placenta.