Chapter 10 Assessment of Risk Factors(100%
Guaranteed)
learning objectives correct answers -Explore biophysical, psychosocial, sociodemographic, and
environmental influences on a high-risk pregnancy.
-Examine risk factors identified through history, physical examination, and diagnostic
techniques.
-Discuss psychologic considerations associated with a high-risk pregnancy diagnosis.
-Differentiate among screening and diagnostic techniques, including when they are used in
pregnancy and for what purpose.
-Develop a teaching plan to explain screening and diagnostic techniques and implications of
findings to women and their families.
How many births that occur each year in the U.S are high risk? correct answers 500,00 of the 4
million births
What does a high risk pregnancy mean? correct answers -life/health of the mother or fetus is
jeopardized by a disorder coincidental with or unique to the pregnancy
-care requires combined efforts of medical and nursing personnel
What are the three leading causes of maternal mortality? correct answers gestational
hypertension, pulmonary embolism, hemorrhage
What are maternal health problems that can contribute to maternal death? correct answers -age
(younger than 20 or older than 35)
-lack of prenatal care
-low education
-unmarried status
-non-caucasian race
What is the leading cause of death in the neonatal period? correct answers congenital anomalies
other causes of death in the neonatal period correct answers -disorders related to short gestation
and low birth weight
-sudden infant death
-respiratory distress syndrome
-effects of maternal complications (ex: preeclampsia or placental abruptions)
What types of assessment of risk factors are there? correct answers biophysical, psychosocial,
sociodemographic, environmental
biophysical assessment factors correct answers -originates with the mother or the fetus
-may affect development and functioning of both
EX:
-genetic disorders (interferes with fetal development)
, -nutritional status (one of the most important indicators of pregnancy outcomes)
-general health status
-medical/obstetric illness (important to get a good history of things that could cause problems)
psychosocial assessment factors correct answers -maternal behaviors and adverse lifestyles that
have a negative effect on health of mother or fetus
-may include emotional distress and disturbed interpersonal relationships
-inadequate social support
-unsafe cultural practices
EX:
-smoking (contributes to low birth weight)
-large caffeine intake (increased risk of miscarriage or intrauterine growth restriction)
-alcohol/drug use
-psychiatric conditions
sociodemographic assessment factors correct answers -arise from mother and her family
-lack of prenatal care, low income, marital status, and ethnicity, age, parity, ethnicity
-low income is risk factor bc they have lower resources for food so they'll have a lower
nutritional status from the beginning
environmental assessment factors correct answers -hazards in work place, woman's general
environment
-may include chemicals, anesthetic gases, and radiation
-infection (ex: flu)
-drugs
-pollutants
What are the goals of antepartum testing? correct answers -make sure fetus is doing well
-to identify fetuses that are at risk for injury from inadequate oxygenation
-to make sure fetus is getting proper oxygenation
-to avoid doing inappropriate interventions if fetus is getting proper oxygenation
What are the biophysical assessments? correct answers -daily fetal movement count (DFMC)
-ultrasonography
-MRI
What are the biochemical assessments? correct answers -maternal assays (coob's test, maternal
serum alpha-fetoprotein (MSAFP))
-amniocentesis
-chorionic villus sampling (CVS)
-percutaneous umbilical blood sampling (PUBS) or cordocentesis
-cell-free DNA
daily fetal movement count (DFMC) correct answers -a biophysical assessment
-used to monitor fetus in pregnancies complicated by conditions that may affect oxygenation
-aka: kick counts
Guaranteed)
learning objectives correct answers -Explore biophysical, psychosocial, sociodemographic, and
environmental influences on a high-risk pregnancy.
-Examine risk factors identified through history, physical examination, and diagnostic
techniques.
-Discuss psychologic considerations associated with a high-risk pregnancy diagnosis.
-Differentiate among screening and diagnostic techniques, including when they are used in
pregnancy and for what purpose.
-Develop a teaching plan to explain screening and diagnostic techniques and implications of
findings to women and their families.
How many births that occur each year in the U.S are high risk? correct answers 500,00 of the 4
million births
What does a high risk pregnancy mean? correct answers -life/health of the mother or fetus is
jeopardized by a disorder coincidental with or unique to the pregnancy
-care requires combined efforts of medical and nursing personnel
What are the three leading causes of maternal mortality? correct answers gestational
hypertension, pulmonary embolism, hemorrhage
What are maternal health problems that can contribute to maternal death? correct answers -age
(younger than 20 or older than 35)
-lack of prenatal care
-low education
-unmarried status
-non-caucasian race
What is the leading cause of death in the neonatal period? correct answers congenital anomalies
other causes of death in the neonatal period correct answers -disorders related to short gestation
and low birth weight
-sudden infant death
-respiratory distress syndrome
-effects of maternal complications (ex: preeclampsia or placental abruptions)
What types of assessment of risk factors are there? correct answers biophysical, psychosocial,
sociodemographic, environmental
biophysical assessment factors correct answers -originates with the mother or the fetus
-may affect development and functioning of both
EX:
-genetic disorders (interferes with fetal development)
, -nutritional status (one of the most important indicators of pregnancy outcomes)
-general health status
-medical/obstetric illness (important to get a good history of things that could cause problems)
psychosocial assessment factors correct answers -maternal behaviors and adverse lifestyles that
have a negative effect on health of mother or fetus
-may include emotional distress and disturbed interpersonal relationships
-inadequate social support
-unsafe cultural practices
EX:
-smoking (contributes to low birth weight)
-large caffeine intake (increased risk of miscarriage or intrauterine growth restriction)
-alcohol/drug use
-psychiatric conditions
sociodemographic assessment factors correct answers -arise from mother and her family
-lack of prenatal care, low income, marital status, and ethnicity, age, parity, ethnicity
-low income is risk factor bc they have lower resources for food so they'll have a lower
nutritional status from the beginning
environmental assessment factors correct answers -hazards in work place, woman's general
environment
-may include chemicals, anesthetic gases, and radiation
-infection (ex: flu)
-drugs
-pollutants
What are the goals of antepartum testing? correct answers -make sure fetus is doing well
-to identify fetuses that are at risk for injury from inadequate oxygenation
-to make sure fetus is getting proper oxygenation
-to avoid doing inappropriate interventions if fetus is getting proper oxygenation
What are the biophysical assessments? correct answers -daily fetal movement count (DFMC)
-ultrasonography
-MRI
What are the biochemical assessments? correct answers -maternal assays (coob's test, maternal
serum alpha-fetoprotein (MSAFP))
-amniocentesis
-chorionic villus sampling (CVS)
-percutaneous umbilical blood sampling (PUBS) or cordocentesis
-cell-free DNA
daily fetal movement count (DFMC) correct answers -a biophysical assessment
-used to monitor fetus in pregnancies complicated by conditions that may affect oxygenation
-aka: kick counts
