At her first prenatal visit, the, client asks, When will my baby ...

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At her first prenatal visit, the, client asks, When will my baby actually have a heartbeat? The nurse should reply, The heartbeat of an embryo is distinguishable by the _______ week of development.
 
  1. 4th
  2. 8th
  3. 12th
  4. 16th

Question 2

The nurse is working with a client who has experienced a fetal death in utero at 20 weeks. The client asks what her baby will look like when it is delivered. Which statement by the nurse is best?
 
  1. Your baby will be covered in fine hair called lanugo.
  2. Your child will have arm and leg buds, not fully formed limbs.
  3. A white, cheesy substance called vernix caseosa will be on the skin.
  4. The genitals of the baby will be ambiguous.

[nanny]

Answer to Question 1

1
Rationale:
1. The 4th week is when the tubular heart is beating at a regular rhythm and pushing its own primitive blood cells through the main blood vessels.
2. By the 8th week, the heartbeat and the circulatory system are well established.
3. By the 12th week, the heartbeat and the circulatory system are well established.
4. By the 16th week, the heartbeat and the circulatory system are well established.
Nursing Process: Implementation
Category of Client Need: Health Promotion and Maintenance: Growth and Development

Answer to Question 2

1
Rationale:
1. Downy fine hair called lanugo covers a 20-week fetus.
2. Limb buds have developed by 35 days post-fertilization. At 20 weeks, the fetus will have well developed well differentiated arms and legs.
3. Vernix caseosa forms at about 24 weeks. This fetus is only 20 weeks, and will not have vernix.
4. The genitals are apparent by 12 weeks after fertilization. This fetus would have had specifically male or female genitals 8 weeks ago.

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TYSM

[chjcharjto14]

Excellent