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NursingOtherMaternal Newborn and Womens Health NursingPractice Set 4
NursingOtherMaternal Newborn and Womens Health NursingPractice Set 4Antepartum Fetal Assessment
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- Maternity and Women's Health Care TodayThe Nurse's Role in Maternity and Women's Health CareEthical, Social, and Legal IssuesReproductive Anatomy and PhysiologyHereditary and Environmental Influences on ChildbearingConception and Prenatal DevelopmentPhysiologic Adaptations to PregnancyPsychosocial Adaptations to PregnancyNutrition for ChildbearingAntepartum Fetal AssessmentPerinatal EducationProcesses of BirthNursing Care During Labor and BirthIntrapartum Fetal SurveillancePain Management During ChildbirthNursing Care During Obstetric ProceduresPostpartum Physiologic AdaptationsPostpartum Psychosocial AdaptationsNormal Newborn: Processes of AdaptationAssessment of the Normal NewbornCare of the Normal NewbornInfant FeedingHome Care of the InfantThe Childbearing Family with Special NeedsComplications of PregnancyConcurrent Disorders During PregnancyIntrapartum ComplicationsPostpartum Maternal ComplicationsHigh-Risk Newborn: Complications Associated with Gestational Age and DevelopmentHigh-Risk Newborn: Acquired and Congenital ConditionsFamily PlanningInfertilityPreventive Care for WomenWomen's Health ProblemsInfertilityPreventive Care for WomenWomen's Health Problems
Question 1
Free
Multiple Choice
A pregnant client's biophysical profile score is 8. She asks the nurse to explain the results. What is the nurse's best response?
Choose correct answer/s
"The test results are within normal limits."
"Immediate birth by cesarean birth is being considered."
"Further testing will be performed to determine the meaning of this score."
"An obstetric specialist will evaluate the results of this profile and, within the next week, will inform you of your options regarding birth."
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Question 2
Free
Multiple Choice
Which analysis of maternal serum may predict chromosomal abnormalities in the fetus?
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Biophysical profile
Multiple-marker screening
Lecithin-to-sphingomyelin ratio
Blood type and crossmatch of maternal and fetal serum
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Question 3
Free
Multiple Choice
The clinic nurse is obtaining a health history on a newly pregnant client. Which is an indication for fetal diagnostic procedures if present in the health history?
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Maternal diabetes
Weight gain of 25 lb
Maternal age older than 30
Previous infant weighing more than 3000 g at birth
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Question 4
Free
Multiple Choice
When is the most accurate time to determine gestational age through ultrasound?
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First trimester
Second trimester
Third trimester
No difference in accuracy among the trimesters
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Question 5
Free
Multiple Choice
The primary reason for evaluating alpha-fetoprotein (AFP) levels in maternal serum is to determine whether the fetus has which?
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Hemophilia
Sickle cell anemia
A neural tube defect
A normal lecithin-to-sphingomyelin ratio
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Question 6
Multiple Choice
When is the earliest that chorionic villus sampling can be performed during pregnancy?
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4 weeks
8 weeks
10 weeks
12 weeks
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Question 7
Multiple Choice
On which aspect of fetal diagnostic testing do parents usually place the most importance?
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Safety of the fetus
Duration of the test
Cost of the procedure
Physical discomfort caused by the procedure
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Question 8
Multiple Choice
The nurse's role in diagnostic testing is to provide which of the following?
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Advice to the couple
Information about the tests
Reassurance about fetal safety
Assistance with decision making
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Question 9
Multiple Choice
Which should be considered a contraindication for transcervical chorionic villus sampling?
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Rh-negative mother
Gestation less than 15 weeks
Maternal age younger than 35 years
Positive for group B Streptococcus
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Question 10
Multiple Choice
Which nursing intervention is necessary prior to a second-trimester transabdominal ultrasound?
Choose correct answer/s
Perform an abdominal prep.
Administer a soap suds enema.
Ensure the client is NPO for 12 hours.
Instruct the client to drink 1 to 2 quarts of water.
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Question 11
Multiple Choice
Which is the major advantage of chorionic villus sampling over amniocentesis?
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It is not an invasive procedure.
It does not require a hospital setting.
It requires less time to obtain results.
It has less risk of spontaneous abortion.
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Question 12
Multiple Choice
What is the purpose of amniocentesis for a client hospitalized at 34 weeks of gestation with pregnancy-induced hypertension?
Choose correct answer/s
Determine if a metabolic disorder is genetic.
Identify the sex of the fetus.
Identify abnormal fetal cells.
Determine fetal lung maturity.
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Question 13
Multiple Choice
What does nursing care after amniocentesis include?
Choose correct answer/s
Forcing fluids by mouth
Monitoring uterine activity
Placing the client in a supine position for 2 hours
Applying a pressure dressing to the puncture site
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Question 14
Multiple Choice
What is the term for a non-stress test in which there are two or more fetal heart rate accelerations of 15 or more bpm with fetal movement in a 20-minute period?
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Positive
Negative
Reactive
Nonreactive
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Question 15
Multiple Choice
What is the purpose of initiating contractions in a contraction stress test (CST)?
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Increase placental blood flow.
Identify fetal acceleration patterns.
Determine the degree of fetal activity.
Apply a stressful stimulus to the fetus.
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Question 16
Multiple Choice
What does a score of 9 on a biophysical profile signify?
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Normal
Abnormal
Equivocal
Nonreactive
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Question 17
Multiple Choice
Which response by the nurse is most appropriate to the statement, "This test isn't my idea, but my husband insists?"
Choose correct answer/s
"It's your decision."
"Don't worry. Everything will be fine."
"Why don't you want to have this test?"
"You're concerned about having this test?"
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Question 18
Multiple Choice
A biophysical profile is performed on a pregnant client. The following assessments are noted: nonreactive stress test (NST), three episodes of fetal breathing movements (FBMs), limited gross movements, opening and closing of hang indicating the presence of fetal tone, and adequate amniotic fluid index (AFI) meeting criteria. What would be the correct interpretation of this test result?
Choose correct answer/s
A score of 10 would indicate that the results are equivocal.
A score of 8 would indicate normal results.
A score of 6 would indicate that birth should be considered as a possible treatment option.
A score of 9 would indicate reassurance.
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Question 19
Multiple Choice
In preparing a pregnant client for a non-stress test (NST), which of the following should be included in the plan of care?
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Have the client void prior to being placed on the fetal monitor because a full bladder will interfere with results.
Maintain NPO status prior to testing.
Position the client for comfort, adjusting the tocotransducer belt to locate fetal heart rate.
Have an infusion pump prepared with oxytocin per protocol for evaluation.
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Question 20
Multiple Choice
The results of a contraction stress test (CST) are positive. Which intervention is necessary based on this test result?
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Repeat the test in 1 week so that results can be trended based on this baseline result.
Contact the health care provider to discuss birth options for the client.
Send the client out for a meal and repeat the test to confirm that the results are valid.
Ask the client to perform a fetal kick count assessment for the next 30 minutes and then reassess the client.
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