Which of the following are the manifestations consistent with a patient with right-sided heart failure?*1 pointA. Peripheral edemaB. HemoptysisC. Pulmonary edemaD. Crackles, on auscultation201. Which of the following teaching of the nurse indicates that they have an adequate knowledge on teachings regarding increasing the chance of conception?*1 pointA. Use a female-dominated sex positionB. If you are unable to conceive within six months, you are considered as subfertileC. There is no diet recommendations to increase the chance of conceptionD. The optimal frequency of having sex is not everyday but every other day.202. Which of the following is false regarding primitive or fetal circulation?*1 pointA. The foramen ovale is the opening between the right and left atria, bypassing the lungsB. Two umbilical arteries carries oxygenated blood towards the fetus while one umbilical vein carry deoxygenated blood.C. The ductus arteriosus connects the pulmonary artery to the aorta in order to bypass the lungsD. The ductus venosus connects the umbilical vein to the inferior vena cava, bypassing the liver203. When can a stethoscope be optimally used to monitor the fetal heart rate of a fetus?*1 pointA. 6 to 8 weeksB. 10 to 12 weeksC. 16 weeksD. 20 weeks204. At 6 weeks age of gestation, the gestational sac can already be seen via the ultrasound. However, the nurse should instruct the pregnant woman to come back to the clinic after how many weeks to ascertain pregnancy?*1 pointA. 1 week afterB. 2 weeks afterC. 3 weeks afterD. 4 weeks after205. The nurse provides a health education session stating that the age of viability of a fetus is round 20 to 24 weeks. What must they answer if asked as to the reason why?*1 pointA. At this stage, surfactant is already presentB. At this stage, the lungs are fully developed.C. At this stage, the placenta is fully developed.D. At this stage, the vernix caseosa and lanugo have already started to form.206. Which of the following characteristics of the cervical mucus indicate that the woman is least likely to get pregnant?*1 pointA. Thickness like an egg whiteB. OpaqueC. Sticks between fingersD. Consistency like water207. A woman who you are teaching about family planning method asked you about what is the reason why there are different colors on the cycle beads. What is your appropriate response?*1 pointA. The brown beads signify infertile daysB. The white beads signify infertile daysC. The red beads signify infertile daysD. The colors of the beads are not important. What’s important are the days.208. Which of the following advices by the nurse is incorrect regarding the use of combined oral contraceptives?*1 pointA. The pill should be taken at the same time each dayB. If taking the pill in the postpartum period, start taking on the Sunday closest to the 2nd or 3rd week postpartumC. Oral contraceptives are not effective for the first 3 days. Use a secondary/backup method during these days.D. The last 7 pills of the oral contraceptives are placebo pills which can be discarded if wished.209. Which is the rationale as to why an intrauterine device is able to decrease a sperm’s motility?*1 pointA. The presence of a foreign object in the form of the IUDB. The prongs of the IUDC. The string of the IUDD. The copper of the IUD

Manifestations consistent with a patient with right-sided heart failure include peripheral edema (Option A). Hemoptysis (Option B) is not typically associated with right-sided heart failure. Pulmonary edema (Option C) is more commonly seen in left-sided heart failure. Crackles, on auscultation (Option D), can be present in both left and right-sided heart failure.

To increase the chance of conception, the nurse should provide the following teaching: The optimal frequency of having sex is not everyday but every other day (Option D). Using a female-dominated sex position (Option A) does not increase the chance of conception. If a couple is unable to conceive within six months, they are considered subfertile (Option B). There are diet recommendations to increase the chance of conception, so Option C is incorrect.

Regarding primitive or fetal circulation, the false statement is that two umbilical arteries carry oxygenated blood towards the fetus while one umbilical vein carries deoxygenated blood (Option B). In reality, two umbilical arteries carry deoxygenated blood away from the fetus, while one umbilical vein carries oxygenated blood towards the fetus.

A stethoscope can optimally be used to monitor the fetal heart rate of a fetus at 20 weeks (Option D). At 6 to 8 weeks (Option A), the fetal heart rate may not be audible yet. At 10 to 12 weeks (Option B), the fetal heart rate may be audible but may still be difficult to detect. At 16 weeks (Option C), the fetal heart rate may be audible, but it can still be challenging to distinguish from the maternal heart rate.

At 6 weeks of gestation, the gestational sac can already be seen via ultrasound. However, the pregnant woman should be instructed to come back to the clinic 2 weeks after (Option B) to ascertain pregnancy. Coming back after 1 week (Option A) may not provide enough time for the gestational sac to develop further. Coming back after 3 weeks (Option C) or 4 weeks (Option D) may result in unnecessary delays in confirming the pregnancy.

The age of viability of a fetus is around 20 to 24 weeks because at this stage, surfactant is already present (Option A). The lungs being fully developed (Option B) is not the primary reason for viability at this stage. The placenta being fully developed (Option C) and the vernix caseosa and lanugo starting to form (Option D) are not the main factors determining viability.

The cervical mucus consistency that indicates a woman is least likely to get pregnant is consistency like water (Option D). Thickness like an egg white (Option A), opacity (Option B), and sticking between fingers (Option C) are characteristics of cervical mucus that indicate increased fertility.

The different colors on the cycle beads have significance in family planning. The brown beads signify infertile days (Option A). The white beads signify fertile days (Option B). The red beads signify the days of menstruation (Option C). The colors of the beads are important in determining the fertility status of a woman's menstrual cycle.

Regarding the use of combined oral contraceptives, the incorrect advice given by the nurse is that oral contraceptives are not effective for the first 3 days, and a secondary/backup method should be used during these days (Option C). The pill should be taken at the same time each day (Option A). If taking the pill in the postpartum period, it should be started on the Sunday closest to the 2nd or 3rd week postpartum (Option B). The last 7 pills of the oral contraceptives are placebo pills and can be discarded if desired (Option D).

The rationale as to why an intrauterine device (IUD) is able to decrease a sperm's motility is the presence of a foreign object in the form of the IUD (Option A). The prongs of the IUD (Option B), the string of the IUD (Option C), and the copper of the IUD (Option D) do not directly affect sperm motility.