Maternity Chapter 19: Fetal assessment(Correct
answers)
The prenatal clinic nurse is explaining test results to a client who has had an assessment for fetal
well-being. Which statement indicates that the client understands the test result? correct answers
"The normal Doppler velocimetry wave result indicates my placenta is getting enough blood to
the baby."
Which of the following tests has become a widely accepted method of evaluating fetal status?
correct answers Non-stress test (NST)
The nurse is reviewing amniocentesis results. Which of the following would indicate that client
care was appropriate? correct answers The client was monitored for 30 minutes after completion
of the test.
At 32 weeks' gestation, a woman is scheduled for a second non-stress test (following one she had
at 28 weeks' gestation). Which statement by the client would indicate an adequate understanding
of this procedure? correct answers "I can't get up and walk around during the 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? correct answers "This
ultrasound can determine the location of my placenta."
Your answer is correct.
"This ultrasound might detect whether the placenta is detaching prematurely."
A 27-year-old married woman is 16 weeks pregnant and has an abnormally low maternal serum
alpha-fetoprotein test. Which statement indicates that the couple understands the implications of
this test result? correct answers "We have decided to have an abortion if this baby has Down
syndrome."
When assisting with a transabdominal sampling, which of the following would the nurse do?
correct answers Assist the woman into a supine position on the examining table
The nurse knows that a lecithin/sphingomyelin (L/S) ratio finding of 2:1 on amniotic fluid means
which of the following? correct answers Fetal lungs are mature.
The nurse is responding to phone calls. Whose call should the nurse return first? correct answers
***A client at 37 weeks' gestation reports no fetal movement for 24 hours.
This is the correct answer.
A client at 29 weeks' gestation reports increased fetal movement.
A client at 32 weeks' gestation reports decreased fetal movement X 2 days.
A client at 35 weeks' gestation reports decreased fetal movement X 4 hours.
, Which of the following tests provides information about the fetal number? correct answers
Standard second-trimester sonogram
The client and her partner are carriers of sickle-cell disease. They are considering prenatal
diagnosis with either amniocentesis or chorionic villus sampling (CVS). Which statements
indicate that further teaching is needed on these two diagnostic procedures? correct answers 1)
"Chorionic villus sampling carries a lower risk of miscarriage."
2)"Amniocentesis can be done earlier in my pregnancy than CVS."
3)"Amniocentesis is more accurate in diagnosis than the CVS."
The nurse is preparing a client in her second trimester for a three-dimensional ultrasound
examination. Which statement indicates that teaching has been effective? correct answers "I
might be able to see who the baby looks like with the ultrasound."
The nurse anticipates that the physician will most likely order a cervicovaginal fetal fibronectin
test for which client? correct answers The client at 32 weeks' gestation with regular uterine
contractions
A client at 37 weeks' gestation has a mildly elevated blood pressure. Her antenatal testing
demonstrates three contractions in 10 minutes, no decelerations, and accelerations four times in 1
hour. What would this test be considered? correct answers Negative contraction stress test
During a non-stress test, the nurse notes that the fetal heart rate decelerates about 15 beats during
a period of fetal movement. The decelerations occur twice during the test, and last 20 seconds
each. The nurse realizes these results will be interpreted as which of the following? correct
answers A nonreactive test
A standard ultrasound examination is performed during the second or third trimester and
includes an evaluation of which of the following? correct answers 1) Determine fetal
presentation.
2) Amniotic fluid volume.
3) Fetal number.
Of all the clients who have been scheduled to have a biophysical profile, the nurse should check
with the physician and clarify the order for which client? correct answers A gravida with mild
hypotension of pregnancy
A 28-year-old woman has been an insulin-dependent diabetic for 10 years. At 36 weeks'
gestation, she has an amniocentesis. A lecithin/sphingomyelin (L/S) ratio test is performed on the
sample of her amniotic fluid. Because she is a diabetic, what would an obtained 2:1 ratio indicate
for the fetus? correct answers The fetus may or may not have immature lungs
The nurse is preparing a client for amniocentesis. Which statement would indicate that the client
clearly understands the risks of an amniocentesis? correct answers "I might go into labor early."
answers)
The prenatal clinic nurse is explaining test results to a client who has had an assessment for fetal
well-being. Which statement indicates that the client understands the test result? correct answers
"The normal Doppler velocimetry wave result indicates my placenta is getting enough blood to
the baby."
Which of the following tests has become a widely accepted method of evaluating fetal status?
correct answers Non-stress test (NST)
The nurse is reviewing amniocentesis results. Which of the following would indicate that client
care was appropriate? correct answers The client was monitored for 30 minutes after completion
of the test.
At 32 weeks' gestation, a woman is scheduled for a second non-stress test (following one she had
at 28 weeks' gestation). Which statement by the client would indicate an adequate understanding
of this procedure? correct answers "I can't get up and walk around during the 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? correct answers "This
ultrasound can determine the location of my placenta."
Your answer is correct.
"This ultrasound might detect whether the placenta is detaching prematurely."
A 27-year-old married woman is 16 weeks pregnant and has an abnormally low maternal serum
alpha-fetoprotein test. Which statement indicates that the couple understands the implications of
this test result? correct answers "We have decided to have an abortion if this baby has Down
syndrome."
When assisting with a transabdominal sampling, which of the following would the nurse do?
correct answers Assist the woman into a supine position on the examining table
The nurse knows that a lecithin/sphingomyelin (L/S) ratio finding of 2:1 on amniotic fluid means
which of the following? correct answers Fetal lungs are mature.
The nurse is responding to phone calls. Whose call should the nurse return first? correct answers
***A client at 37 weeks' gestation reports no fetal movement for 24 hours.
This is the correct answer.
A client at 29 weeks' gestation reports increased fetal movement.
A client at 32 weeks' gestation reports decreased fetal movement X 2 days.
A client at 35 weeks' gestation reports decreased fetal movement X 4 hours.
, Which of the following tests provides information about the fetal number? correct answers
Standard second-trimester sonogram
The client and her partner are carriers of sickle-cell disease. They are considering prenatal
diagnosis with either amniocentesis or chorionic villus sampling (CVS). Which statements
indicate that further teaching is needed on these two diagnostic procedures? correct answers 1)
"Chorionic villus sampling carries a lower risk of miscarriage."
2)"Amniocentesis can be done earlier in my pregnancy than CVS."
3)"Amniocentesis is more accurate in diagnosis than the CVS."
The nurse is preparing a client in her second trimester for a three-dimensional ultrasound
examination. Which statement indicates that teaching has been effective? correct answers "I
might be able to see who the baby looks like with the ultrasound."
The nurse anticipates that the physician will most likely order a cervicovaginal fetal fibronectin
test for which client? correct answers The client at 32 weeks' gestation with regular uterine
contractions
A client at 37 weeks' gestation has a mildly elevated blood pressure. Her antenatal testing
demonstrates three contractions in 10 minutes, no decelerations, and accelerations four times in 1
hour. What would this test be considered? correct answers Negative contraction stress test
During a non-stress test, the nurse notes that the fetal heart rate decelerates about 15 beats during
a period of fetal movement. The decelerations occur twice during the test, and last 20 seconds
each. The nurse realizes these results will be interpreted as which of the following? correct
answers A nonreactive test
A standard ultrasound examination is performed during the second or third trimester and
includes an evaluation of which of the following? correct answers 1) Determine fetal
presentation.
2) Amniotic fluid volume.
3) Fetal number.
Of all the clients who have been scheduled to have a biophysical profile, the nurse should check
with the physician and clarify the order for which client? correct answers A gravida with mild
hypotension of pregnancy
A 28-year-old woman has been an insulin-dependent diabetic for 10 years. At 36 weeks'
gestation, she has an amniocentesis. A lecithin/sphingomyelin (L/S) ratio test is performed on the
sample of her amniotic fluid. Because she is a diabetic, what would an obtained 2:1 ratio indicate
for the fetus? correct answers The fetus may or may not have immature lungs
The nurse is preparing a client for amniocentesis. Which statement would indicate that the client
clearly understands the risks of an amniocentesis? correct answers "I might go into labor early."
