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Exam 26: Assessment of High Risk Pregnancy

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Question 1

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Nurses should be aware of the strengths and limitations of various biochemical assessments during pregnancy.Which statement regarding monitoring techniques is the most accurate?

A) Chorionic villus sampling (CVS) is becoming more popular because it provides early diagnosis.
B) Maternal serum AFP (MSAFP) screening is recommended only for women at risk for neural tube defects (NTDs) .
C) Percutaneous umbilical blood sampling (PUBS) is one of the triple-marker tests for Down syndrome.
D) Maternal serum AFP (MSAFP) is a screening tool only;it identifies candidates for more definitive diagnostic procedures.

E) A) and B)
F) A) and C)

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Question 2

Multiple Choice

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Which assessments are included in the fetal biophysical profile (BPP) ? (Select all that apply. )

A) Fetal movement
B) Fetal tone
C) Fetal heart rate
D) Amniotic fluid index (AFI)
E) Placental grade

F) A) and E)
G) A) and D)

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A,B,C,D

Question 3

Multiple Choice

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The nurse is planning the care for a laboring client with diabetes mellitus.This client is at greater risk for which clinical finding?

In comparing the abdominal and transvaginal methods of ultrasound examination,which information should the nurse provide to the client?

A 41-week pregnant multigravida arrives at the labor and delivery unit after testing indicated that her fetus could be experiencing some difficulties in utero.Which diagnostic tool yields more detailed information about the condition of the fetus?

While working with the pregnant client in her first trimester,what information does the nurse provide regarding when chorionic villus sampling (CVS) can be performed (in weeks of gestation) ?

In the past,factors to determine whether a woman was likely to develop a high-risk pregnancy were primarily evaluated from a medical point of view.A broader,more comprehensive approach to high-risk pregnancy has been adopted today.Four categories have now been established,based on the threats to the health of the woman and the outcome of pregnancy.Which category should not be included in this group?

The indirect Coombs' test is a screening tool for Rh incompatibility.An amniocentesis may be a necessary next step it the titer is greater than what?

Which analysis of maternal serum may predict chromosomal abnormalities in the fetus?

A pregnant woman's biophysical profile (BPP) score is 8.She asks the nurse to explain the results.How should the nurse respond initially?

Cell-free deoxyribonucleic acid (cfDNA) screening is a new method of noninvasive prenatal testing (NIPT) that has recently become available in the clinical setting.This technology can provide a definitive diagnosis of which findings? (Select all that apply. )

Biophysical risks include factors that originate with either the mother or the fetus and affect the functioning of either one or both.The nurse who provides prenatal care should have an understanding of these risk factors.Match the specific pregnancy problem with the related risk factor. -Fetal congenital anomalies

A 39-year-old primigravida woman believes that she is approximately 8 weeks pregnant,although she has had irregular menstrual periods all her life.She has a history of smoking approximately one pack of cigarettes a day;however,she tells the nurse that she is trying to cut down.Her laboratory data are within normal limits.What diagnostic technique would be useful at this time?

How does the nurse document a non-stress test (NST) during which two or more fetal heart rate (FHR) accelerations of 15 beats per minute or more occur with fetal movement in a 20-minute period?

Which information is the highest priority for the nurse to comprehend regarding the biophysical profile (BPP) ?

A client in the third trimester has just undergone an amniocentesis to determine fetal lung maturity.Which statement regarding this testing is important for the nurse in formulating a care plan?

Biophysical risks include factors that originate with either the mother or the fetus and affect the functioning of either one or both.The nurse who provides prenatal care should have an understanding of these risk factors.Match the specific pregnancy problem with the related risk factor. -Smoking,alcohol,and illicit drug use

Which information is an important consideration when comparing the contraction stress test (CST) with the nonstress test (NST) ?

A 30-year-old gravida 3,para 2-0-0-2 is at 18 weeks of gestation.Which screening test should the nurse recommend be ordered for this client?

A woman is undergoing a nipple-stimulated contraction stress test (CST) .She is having contractions that occur every 3 minutes.The fetal heart rate (FHR) has a baseline heart rate of approximately 120 beats per minute without any decelerations.What is the correct interpretation of this test?