CORRECT ANSWER: BRATIONALE: A normal cord contains one vein and two arteries. The absence of theumbilical arteries is associated with congenital heart and kidney anomalies,because the insult that caused the loss of the vessel may have affected othermesoderm germ layer structures as well.SOURCE:Maternal & Child Health Nursing by Adele Pillitteri, 5th edition, Pp. 615-616Additionally, Nurse Lisa would gather more information about Marichu’s worry aboutwhat may threaten thehealth of her baby. What would Nurse Lisa hope to find?Has Marichu been overly anxious about somethingHas Marichu suffered from any communicable/contagious disease at the time of herearly stage of pregnancyHas Marichu engage in sexual activity during the fetal development state of herchildHas Marichu engaged in any detrimental activities during the fetal developmentstage (e.g. smoking, drinking, taking drugs, a bad fall, or attempts to terminatepregnancy.)CORRECT ANSWER: DRATIONALE: During the early time of organogenesis (organ formation) the growingstructure is most vulnerable to invasion by teratogens. (any factors that affectsthe fertilized ovum, embryo, fetus adversely, such as alcohol). It is important toteach women how to minimize their exposure to teratogens during these timesOPTION B: A number of infections are not teratogenic to a fetus during pregnancybut are harmful if they are present at the time of birth.OPTION C: Sexual intercourse does not affect fetal development.SOURCE:Maternal & Child Health Nursing by Adele Pillitteri, 5th edition, Pp.190,290, 94Marichu is scheduled to have an ultrasound examination. What instruction would yougive her before herexamination?a.You can have medicine for pain for any contraction caused by the testb.Drink at least 3 glassess of fluid before the procedurec.The intravenous fluid infused to dilate your uterus does not hurt thefetusd.Void immediately before the procedure to reduce your bladder sizeCORRECT ANSWER: BRATIONALE: Before ultrasound, the mother needs to have a full bladder in order forthe sound waves to reflect best and the uterus to be held stable. In order toensure a full bladder, a woman should drink a full glass of water 15 minutesbeginning, 90 minutes before the procedure and should not void before theprocedure.SOURCE:Maternal & Child Health Nursing by Adele Pillitteri, 5th edition, Pp. 615-616Marichu is scheduled to have an amniocentesis to test for fetal maturity. Whatinstruction would you giveher before this procedure?a. The x-ray used to reveal your fetus position has no long term effectsb.The intravenous fluid infused to dilate your uterus does not hurt thefetusc.No more amniotic fluid form afterward, which is why only a small amountis removedd.Void immediately before the procedure to reduce your bladder size.