CCRN Critical Care Nursing

Category - Neonatal

A 39 week pregnant mother is on the labour and delivery ward and is asking the nurse on duty to explain some things about fetal circulation. She specifically asks that if not, any function in the lungs while in the womb where does the majority of the blood go? What should the nurse on duty respond?
  1. It goes to the right ventricle then to the left ventricle
  2. It shunt directly from the right to the left atrium through the foramen ovale
  3. It goes to the left ventricle back to the right atrium
  4. It goes from the right atrium then to the left atrium
Explanation
Answer:B -With non-functioning lungs, most blood bypasses the right ventricle, and the blood shunts directly from the right to the left atrium through the foramen ovale, a small opening with a valve, the septum primum, to prevent backflow, and to the ascending aorta and cranial arteries.
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