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Exam 26: Assessment of High Risk Pregnancy

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Question 21

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A pregnant woman's BPP score is 8.She asks the nurse to explain the results.How should the nurse respond at this time?

A) "The test results are within normal limits."
B) "Immediate delivery by cesarean birth is being considered."
C) "Further testing will be performed to determine the meaning of this score."
D) "An obstetric specialist will evaluate the results of this profile and, within the next week, will inform you of your options regarding delivery."

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

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Question 22

Multiple Choice

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

A) Both require the woman to have a full bladder.
B) The abdominal examination is more useful in the first trimester.
C) Initially, the transvaginal examination can be painful.
D) The transvaginal examination allows pelvic anatomy to be evaluated in greater detail.

E) All of the above
F) None of the above

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Question 23

Multiple Choice

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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. -Premature rupture of membranes

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?

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?

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

IUGR is associated with which pregnancy-related risk factors? (Select all that apply) .

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

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

Transvaginal ultrasonography is often performed during the first trimester.While preparing a 6-week gestational client for this procedure,she expresses concerns over the necessity for this test.The nurse should explain that this diagnostic test may be indicated for which situations? (Select all that apply) .

An MSAFP screening indicates an elevated level of alpha-fetoprotein.The test is repeated,and again the level is reported as higher than normal.What is the next step in the assessment sequence to determine the well-being of the fetus?

Which nursing intervention is necessary before a first-trimester transabdominal ultrasound?

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?

A woman is undergoing a nipple-stimulated 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?