Fetal Assessment for Risk Factors (Exam 3) ||All
Accurately solved.
A nurse is assigned to care for a pregnant client as she undergoes a nonstress test. Place the steps
involved in conducting the nonstress test in the correct order from first to last. All options must
be used.
1 External electronic fetal-monitoring device applied.
2 Client placed in left lateral recumbent position.
3 Client consumes a meal.
4 Fetal monitor strip marked for fetal movement
5 Client is handed an event marker. correct answers 3, 2, 1, 5, 4
The client who is to undergo a nonstress test should have a meal before the procedure. The client
is then placed in a lateral recumbent position to avoid supine hypotension syndrome. An external
electronic fetal monitoring device is applied to her abdomen. The client is handed an "event
marker" with a button that she pushes every time she perceives fetal movement. When the button
is pushed, the fetal monitor strip is marked to identify that fetal movement has occurred.
The nurse should administer Rho(D) immune globulin to the pregnant woman who is Rho(D)-,
after which test?
a) CST (contraction stress test)
b) amniocentesis
c) NST (nonstress test)
d) biophysical profile correct answers b) amniocentesis
Amniocentesis is an invasive procedure whereby a needle inserted into amniotic sac to obtain a
small amount of fluid. This places the pregnancy at risk for a woman with RhD-negative blood,
and she should receive RhoGam after the procedure. The CST, NST, and a biophysical profile
are noninvasive tests.
A nonstress test is performed on a pregnant woman. The nurse informs the client the test was
reactive. Which statement by the client indicates understanding of the test results?
a) There is no evidence of congenital anomalies or deformities.
b) The fetal heart rate increases with activity and indicates fetal well-being.
c) The test is nonreactive, which is reassuring.
d) The results indicate a contraction stress test is needed for evaluation. correct answers b) The
fetal heart rate increases with activity and indicates fetal well-being.
A reactive NST for nonstress test is a noninvasive way to monitor fetal well-being. A reactive
NST is a positive sign the fetus is tolerating pregnancy well by demonstrating heart rate increase
with activity and indicating fetal well-being.
During a nonstress test, when monitoring the fetal heart rate, the nurse notes that when the
expectant mother reports fetal movement, the heart rate increases 15 beats or more above the
baseline. The nurse interprets this as:
, a) variable decelerations.
b) fetal tachycardia.
c) a nonreactive pattern.
d) reactive pattern. correct answers d) reactive pattern.
A reactive nonstress test indicates fetal activity, as evidenced by acceleration of the fetal heart
rate by at least 15 bpm for at least 15 seconds within a 20-minute recording period. If this does
not occur, the test is considered nonreactive. An increase in the fetal heart rate does not indicate
variable decelerations. Fetal tachycardia would be noted as a heart rate greater than 160 bpm.
A client's maternal serum alpha-fetoprotein (MSAFP) level was unusually elevated at 17 weeks.
The nurse suspects which condition?
a) fetal hypoxia
b) open spinal defects
c) Down syndrome
d) maternal hypertension correct answers b) open spinal defects
Elevated MSAFP levels are associated with open neural tube defects. Fetal hypoxia would be
noted with fetal heart rate tracings and via nonstress and contraction stress testing. MSAFP in
conjunction with marker screening tests would be more reliable for detecting Down syndrome.
Maternal hypertension would be noted via serial blood pressure monitoring.
Several laboratory tests are performed during the first prenatal visit. What is one of those lab
tests?
a) basic metabolic panel
b) hepatitis screen
c) potassium level
d) rubeola titer correct answers b) hepatitis screen
Other tests screen for the presence of infection. The woman will undergo tests for hepatitis B,
HIV, syphilis, gonorrhea, and chlamydia. Each of these infections can cause serious fetal
problems unless they are treated.
A 38-year-old client has one child with Tay-Sachs disease. She and her partner both carry the
Tay-Sachs gene and did not intend to have more children, but she has just discovered that she is
pregnant. She plans to have an abortion if tests show that the fetus has the Tay-Sachs gene.
Which test will the primary care provider likely prescribe?
a) a multiple marker screening test
b) amniocentesis
c) chorionic villus sampling
d) percutaneous umbilical blood sampling correct answers c) chorionic villus sampling
CVS is a newer procedure and can provide information on fetal chromosomal studies similar to
an amniocentesis, but earlier in pregnancy. The CVS is typically performed between 8 and 12
weeks gestation. Given the disease in question, she would be able to determine the course of the
pregnancy early in gestation. Multiple marker screen tests are done later in the pregnancy, as is
Accurately solved.
A nurse is assigned to care for a pregnant client as she undergoes a nonstress test. Place the steps
involved in conducting the nonstress test in the correct order from first to last. All options must
be used.
1 External electronic fetal-monitoring device applied.
2 Client placed in left lateral recumbent position.
3 Client consumes a meal.
4 Fetal monitor strip marked for fetal movement
5 Client is handed an event marker. correct answers 3, 2, 1, 5, 4
The client who is to undergo a nonstress test should have a meal before the procedure. The client
is then placed in a lateral recumbent position to avoid supine hypotension syndrome. An external
electronic fetal monitoring device is applied to her abdomen. The client is handed an "event
marker" with a button that she pushes every time she perceives fetal movement. When the button
is pushed, the fetal monitor strip is marked to identify that fetal movement has occurred.
The nurse should administer Rho(D) immune globulin to the pregnant woman who is Rho(D)-,
after which test?
a) CST (contraction stress test)
b) amniocentesis
c) NST (nonstress test)
d) biophysical profile correct answers b) amniocentesis
Amniocentesis is an invasive procedure whereby a needle inserted into amniotic sac to obtain a
small amount of fluid. This places the pregnancy at risk for a woman with RhD-negative blood,
and she should receive RhoGam after the procedure. The CST, NST, and a biophysical profile
are noninvasive tests.
A nonstress test is performed on a pregnant woman. The nurse informs the client the test was
reactive. Which statement by the client indicates understanding of the test results?
a) There is no evidence of congenital anomalies or deformities.
b) The fetal heart rate increases with activity and indicates fetal well-being.
c) The test is nonreactive, which is reassuring.
d) The results indicate a contraction stress test is needed for evaluation. correct answers b) The
fetal heart rate increases with activity and indicates fetal well-being.
A reactive NST for nonstress test is a noninvasive way to monitor fetal well-being. A reactive
NST is a positive sign the fetus is tolerating pregnancy well by demonstrating heart rate increase
with activity and indicating fetal well-being.
During a nonstress test, when monitoring the fetal heart rate, the nurse notes that when the
expectant mother reports fetal movement, the heart rate increases 15 beats or more above the
baseline. The nurse interprets this as:
, a) variable decelerations.
b) fetal tachycardia.
c) a nonreactive pattern.
d) reactive pattern. correct answers d) reactive pattern.
A reactive nonstress test indicates fetal activity, as evidenced by acceleration of the fetal heart
rate by at least 15 bpm for at least 15 seconds within a 20-minute recording period. If this does
not occur, the test is considered nonreactive. An increase in the fetal heart rate does not indicate
variable decelerations. Fetal tachycardia would be noted as a heart rate greater than 160 bpm.
A client's maternal serum alpha-fetoprotein (MSAFP) level was unusually elevated at 17 weeks.
The nurse suspects which condition?
a) fetal hypoxia
b) open spinal defects
c) Down syndrome
d) maternal hypertension correct answers b) open spinal defects
Elevated MSAFP levels are associated with open neural tube defects. Fetal hypoxia would be
noted with fetal heart rate tracings and via nonstress and contraction stress testing. MSAFP in
conjunction with marker screening tests would be more reliable for detecting Down syndrome.
Maternal hypertension would be noted via serial blood pressure monitoring.
Several laboratory tests are performed during the first prenatal visit. What is one of those lab
tests?
a) basic metabolic panel
b) hepatitis screen
c) potassium level
d) rubeola titer correct answers b) hepatitis screen
Other tests screen for the presence of infection. The woman will undergo tests for hepatitis B,
HIV, syphilis, gonorrhea, and chlamydia. Each of these infections can cause serious fetal
problems unless they are treated.
A 38-year-old client has one child with Tay-Sachs disease. She and her partner both carry the
Tay-Sachs gene and did not intend to have more children, but she has just discovered that she is
pregnant. She plans to have an abortion if tests show that the fetus has the Tay-Sachs gene.
Which test will the primary care provider likely prescribe?
a) a multiple marker screening test
b) amniocentesis
c) chorionic villus sampling
d) percutaneous umbilical blood sampling correct answers c) chorionic villus sampling
CVS is a newer procedure and can provide information on fetal chromosomal studies similar to
an amniocentesis, but earlier in pregnancy. The CVS is typically performed between 8 and 12
weeks gestation. Given the disease in question, she would be able to determine the course of the
pregnancy early in gestation. Multiple marker screen tests are done later in the pregnancy, as is
