Assessing The Fetus

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Maternity and Women’s Health Care Today
Social, Ethical, and Legal Issues
Reproductive Anatomy and Physiology
Hereditary and Environmental Influences on Childbearing
Conception and Prenatal Development
Maternal Adaptations to Pregnancy
Antepartum Assessment, Care, and Education
Nutrition for Childbearing
Assessing the Fetus
Complications of Pregnancy
The Childbearing Family with Special Needs
Processes of Birth
Pain Management During Childbirth
Intrapartum Fetal Surveillance
Nursing Care During Labor and Birth
Intrapartum Complications
Postpartum Adaptations and Nursing Care
Postpartum Maternal Complications
Normal Newborn: Processes of Adaptation
Assessment of the Normal Newborn
Care of the Normal Newborn
Infant Feeding
High-Risk Newborn: Complications Associated with Gestational Age and Development
High-Risk Newborn: Acquired and Congenital Conditions
Family Planning
Infertility
Women’s Health

All Questions

Question 1

Free

Multiple Choice

A pregnant patient's biophysical profile score is 8. The patient asks the nurse to explain the results. What is the nurse's most appropriate response?

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"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 is the best predictor of 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 patient. 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 years

Previous infant weighing more than 3000 g at birth

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Question 4

Free

Multiple Choice

What point in the pregnancy 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 condition?

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Hemophilia

Sickle cell anemia

A neural tube defect

Abnormal lecithin-to-sphingomyelin ratio

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Question 6

Multiple Choice

When is the earliest interval that chorionic villus sampling (CVS) can be performed during pregnancy?

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4 weeks

8 weeks

10 weeks

14 weeks

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Question 7

Multiple Choice

Which aspect of fetal diagnostic testing is most important to expectant parents?

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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 factors 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

What is the purpose of amniocentesis for a patient hospitalized at 34 weeks of gestation with pregnancy-induced hypertension?

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Determine if a metabolic disorder exists.

Identify the sex of the fetus.

Identify abnormal fetal cells.

Determine fetal lung maturity.

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Question 11

Multiple Choice

What does optimal nursing care after an amniocentesis include?

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Pushing fluids by mouth

Monitoring uterine activity

Placing the patient in a supine position for 2 hours

Applying a pressure dressing to the puncture site

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Question 12

Multiple Choice

What is the term for a nonstress test in which there are two or more fetal heart rate accelerations of 15 or more beats per minute (BPM) with fetal movement in a 20-minute period?

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Positive

Negative

Reactive

Nonreactive

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Question 13

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 14

Multiple Choice

A biophysical profile is performed on a pregnant patient. 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. Which answer would be the correct interpretation of this test result?

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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 15

Multiple Choice

In preparing a pregnant patient for a nonstress test (NST), which of the following should be included in the plan of care?

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Have the patient 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 patient 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 16

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 patient.

Send the patient out for a meal and repeat the test to confirm that the results are valid.

Ask the patient to perform a fetal kick count assessment for the next 30 minutes and then reassess the patient.

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Question 17

Multiple Choice

A pregnant patient has received the results of her triple-screen testing and it is positive. She provides you with a copy of the test results that she obtained from the lab. What would the nurse anticipate as being implemented in the patient's plan of care?

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No further testing is indicated at this time because results are normal.

Refer to the physician for additional testing.

Validate the results with the lab facility.

Repeat the test in 2 weeks and have the patient return for her regularly scheduled prenatal visit.

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Question 18

Multiple Choice

A pregnant woman is scheduled to undergo chorionic villus sampling (CVS) based on genetic family history. Which medication does the nurse anticipate will be administered?

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Magnesium sulfate

Prostaglandin suppository

RhoGAM if the patient is Rh-negative

Betamethasone

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Question 19

Multiple Choice

For which patient would an L/S ratio of 2:1 potentially be considered abnormal?

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A 38-year-old gravida 2, para 1, who is 38 weeks' gestation

A 24-year-old gravida 1, para 0, who has diabetes

A 44-year-old gravida 6, para 5, who is at term

An 18-year-old gravida 1, para 0, who is in early labor at term

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Question 20

Multiple Choice

Which complication could occur as a result of percutaneous umbilical blood sampling (PUBS)?

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Postdates pregnancy

Fetal bradycardia

Placenta previa

Uterine rupture

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