Ch 16: Assessment of Fetal Well-Being(100% Correct
answers)
A standard ultrasound examination is performed during the second or third trimester and
includes an evaluation of which of the following? Select all that apply.
A) Confirm fetal heart activity.
B) Evaluate the cervix.
C) Determine fetal presentation.
D) Assess amniotic fluid volume.
E) Determine fetal number. correct answers C) Determine fetal presentation.
D) Assess amniotic fluid volume.
E) Determine fetal number
*limited ultrasound is used to confirm the other two
When assisting with a transabdominal ultrasound sampling, which of the following would the
nurse do?
A) Obtain preliminary urinary samples.
B) Have the woman empty her bladder before the test begins.
C) Assist the woman into a supine position on the examining table.
D) Instruct the woman to eat a fat-free meal 2 hours before the scheduled test time correct
answers C) Assist the woman into a supine position on the examining table.
*Prelim blood work is done (not urine); Bladder is supposed to be full to aid in the displacement
of the uterus for better observation
The nurse is preparing a client in her second trimester for a three-dimensional ultrasound
examination. Which statement indicates that teaching has been effective?
A) "If the ultrasound is normal, it means my baby has no abnormalities."
B) "The nuchal translucency measurement will diagnose Down syndrome."
C) "I might be able to see who the baby looks like with the ultrasound."
D) "Measuring the length of my cervix will determine whether I will deliver early." correct
answers C) "I might be able to see who the baby looks like with the ultrasound."
*Not all fetal anomalies are detectable by ultrasound.
*Nuchal translucency measurements are for detection, not diagnosis, of trisomies 13, 18, and 21.
*Transvaginal ultrasound can most accurately identify shortened cervical length
A woman at 28 weeks' gestation is asked to keep a fetal activity record and to bring the results
with her to her next clinic visit. One week later, she calls the clinic and anxiously tells the nurse
that she has not felt the baby move for more than 30 minutes. Which of the following would be
the nurse's most appropriate initial comment?
, A) "You need to come to the clinic right away for further evaluation."
B) "Have you been smoking?"
C) "When did you eat last?"
D) "Your baby might be asleep." correct answers D) "Your baby might be asleep."
*The mother would need to come to the clinic only if there had been no fetal activity for several
hours.
*Certain substances such as tobacco, drugs, alcohol, and caffeine can increase fetal movement.
*After meals, an infant typically has increased movement.
Which of the following tests provides information about the fetal number?
A) Amniocentesis
B) Standard second-trimester sonogram
C) Beta h C G
D) Maternal serum alpha-fetoprotein correct answers B) Standard second-trimester sonogram
*Amniocentesis can make chromosomal and biochemical determinations and can validate
abnormalities detected by ultrasound.
*Serial quantitative beta h C G testing can be used to distinguish a normally developing fetus
from an ectopic pregnancy.
*Maternal serum alpha-fetoprotein (M S A F P) is a component of the screening test
The client at 24 weeks' gestation is experiencing painless vaginal bleeding after intercourse. The
physician has ordered a transvaginal ultrasound examination. Which statements by the client
indicate an understanding of why this exam has been requested? Select all that apply.
A) "This ultrasound will show the baby's gender."
B) "This ultrasound might cause the miscarriage of my baby."
C) "This ultrasound carries a risk of creating a uterine infection."
D) "This ultrasound can determine the location of my placenta."
E) "This ultrasound might detect whether the placenta is detaching prematurely." correct answers
D) "This ultrasound can determine the location of my placenta."
E) "This ultrasound might detect whether the placenta is detaching prematurely."
The nurse is returning phone calls from clients. Which client does the nurse anticipate would not
require a serum beta h C G?
A) A client with a risk of ectopic pregnancy
B) A client with spotting during pregnancy
C) A client with previous pelvic inflammatory disease
D) A client with a previous history of twins correct answers D) A client with a previous history
of twins
answers)
A standard ultrasound examination is performed during the second or third trimester and
includes an evaluation of which of the following? Select all that apply.
A) Confirm fetal heart activity.
B) Evaluate the cervix.
C) Determine fetal presentation.
D) Assess amniotic fluid volume.
E) Determine fetal number. correct answers C) Determine fetal presentation.
D) Assess amniotic fluid volume.
E) Determine fetal number
*limited ultrasound is used to confirm the other two
When assisting with a transabdominal ultrasound sampling, which of the following would the
nurse do?
A) Obtain preliminary urinary samples.
B) Have the woman empty her bladder before the test begins.
C) Assist the woman into a supine position on the examining table.
D) Instruct the woman to eat a fat-free meal 2 hours before the scheduled test time correct
answers C) Assist the woman into a supine position on the examining table.
*Prelim blood work is done (not urine); Bladder is supposed to be full to aid in the displacement
of the uterus for better observation
The nurse is preparing a client in her second trimester for a three-dimensional ultrasound
examination. Which statement indicates that teaching has been effective?
A) "If the ultrasound is normal, it means my baby has no abnormalities."
B) "The nuchal translucency measurement will diagnose Down syndrome."
C) "I might be able to see who the baby looks like with the ultrasound."
D) "Measuring the length of my cervix will determine whether I will deliver early." correct
answers C) "I might be able to see who the baby looks like with the ultrasound."
*Not all fetal anomalies are detectable by ultrasound.
*Nuchal translucency measurements are for detection, not diagnosis, of trisomies 13, 18, and 21.
*Transvaginal ultrasound can most accurately identify shortened cervical length
A woman at 28 weeks' gestation is asked to keep a fetal activity record and to bring the results
with her to her next clinic visit. One week later, she calls the clinic and anxiously tells the nurse
that she has not felt the baby move for more than 30 minutes. Which of the following would be
the nurse's most appropriate initial comment?
, A) "You need to come to the clinic right away for further evaluation."
B) "Have you been smoking?"
C) "When did you eat last?"
D) "Your baby might be asleep." correct answers D) "Your baby might be asleep."
*The mother would need to come to the clinic only if there had been no fetal activity for several
hours.
*Certain substances such as tobacco, drugs, alcohol, and caffeine can increase fetal movement.
*After meals, an infant typically has increased movement.
Which of the following tests provides information about the fetal number?
A) Amniocentesis
B) Standard second-trimester sonogram
C) Beta h C G
D) Maternal serum alpha-fetoprotein correct answers B) Standard second-trimester sonogram
*Amniocentesis can make chromosomal and biochemical determinations and can validate
abnormalities detected by ultrasound.
*Serial quantitative beta h C G testing can be used to distinguish a normally developing fetus
from an ectopic pregnancy.
*Maternal serum alpha-fetoprotein (M S A F P) is a component of the screening test
The client at 24 weeks' gestation is experiencing painless vaginal bleeding after intercourse. The
physician has ordered a transvaginal ultrasound examination. Which statements by the client
indicate an understanding of why this exam has been requested? Select all that apply.
A) "This ultrasound will show the baby's gender."
B) "This ultrasound might cause the miscarriage of my baby."
C) "This ultrasound carries a risk of creating a uterine infection."
D) "This ultrasound can determine the location of my placenta."
E) "This ultrasound might detect whether the placenta is detaching prematurely." correct answers
D) "This ultrasound can determine the location of my placenta."
E) "This ultrasound might detect whether the placenta is detaching prematurely."
The nurse is returning phone calls from clients. Which client does the nurse anticipate would not
require a serum beta h C G?
A) A client with a risk of ectopic pregnancy
B) A client with spotting during pregnancy
C) A client with previous pelvic inflammatory disease
D) A client with a previous history of twins correct answers D) A client with a previous history
of twins
