N144 Exam 3 Questions With Correct
Answers
A 41-week pregnant multigravida presents in the labor and delivery unit
| | | | | | | | | |
after a nonstress test indicated that her fetus could be experiencing
| | | | | | | | | | | |
some difficulties in utero. Which diagnostic tool would yield more
| | | | | | | | | |
detailed information about the fetus?
| | | |
a. Ultrasound for fetal anomalies
| | | |
b. Biophysical profile (BPP)
| | |
c. Maternal serum alpha-fetoprotein (MSAFP) screening
| | | | |
d. Percutaneous umbilical blood sampling (PUBS)
| | | | |
b. Biophysical profile (BPP)
| | |
Real-time ultrasound permits detailed assessment of the physical and
| | | | | | | | |
physiologic characteristics of the developing fetus and cataloging of
| | | | | | | | |
normal and abnormal biophysical responses to stimuli. BPP is a
| | | | | | | | | |
noninvasive, dynamic assessment of a fetus that is based on acute and
| | | | | | | | | | | |
,chronic markers of fetal disease. An ultrasound for fetal anomalies
| | | | | | | | | |
would most likely have been performed earlier in the pregnancy. It is
| | | | | | | | | | | |
too late in the pregnancy to perform MSAFP screening. Also, MSAFP
| | | | | | | | | | |
screening does not provide information related to fetal well-being.
| | | | | | | | |
Indications for PUBS include prenatal diagnosis or inherited blood
| | | | | | | | |
disorders, karyotyping of malformed fetuses, detection of fetal
| | | | | | | |
infection, determination of the acid-base status of a fetus with IUGR,
| | | | | | | | | | |
and assessment and treatment of isoimmunization and
| | | | | | |
thrombocytopenia in the fetus. | | |
When nurses help their expectant mothers assess the daily fetal
| | | | | | | | | |
movement counts, they should be aware that:
| | | | | |
a. Alcohol or cigarette smoke can irritate the fetus into greater activity.
| | | | | | | | | | |
b. Kick counts should be taken every half hour and averaged every 6
| | | | | | | | | | | | |
hours, with every other 6-hour stretch off.
| | | | | |
c. The fetal alarm signal should go off when fetal movements stop
| | | | | | | | | | | |
entirely for 12 hours.| | |
,d. Obese mothers familiar with their bodies can assess fetal movement
| | | | | | | | | | |
as well as average-size women.
| | | |
c. The fetal alarm signal should go off when fetal movements stop
| | | | | | | | | | | |
entirely for 12 hours. | | |
No movement in a 12-hour period is cause for investigation and possibly
| | | | | | | | | | |
intervention. Alcohol and cigarette smoke temporarily reduce fetal
| | | | | | | | |
movement. The mother should count fetal activity (kick counts) two or
| | | | | | | | | | |
three times daily for 60 minutes each time. Obese women have a harder
| | | | | | | | | | | |
time assessing fetal movement.
| | | |
Nurses should be aware that the biophysical profile (BPP):
| | | | | | | |
a. Is an accurate indicator of impending fetal death.
| | | | | | | |
b. Is a compilation of health risk factors of the mother during the later
| | | | | | | | | | | | | |
stages of pregnancy. | |
c. Consists of a Doppler blood flow analysis and an amniotic fluid index.
| | | | | | | | | | | |
, d. Involves an invasive form of ultrasound examination.
| | | | | | |
a. Is an accurate indicator of impending fetal death.
| | | | | | | |
An abnormal BPP score is an indication that labor should be induced.
| | | | | | | | | | | |
The BPP evaluates the health of the fetus, requires many different
| | | | | | | | | | |
measures, and is a noninvasive procedure.
| | | | |
Risk factors tend to be interrelated and cumulative in their effect. While
| | | | | | | | | | | |
planning the care for a laboring client with diabetes mellitus, the nurse
| | | | | | | | | | | |
is aware that she is at a greater risk for:
| | | | | | | | |
a. Oligohydramnios.
|
b. Polyhydramnios.
|
c. Postterm pregnancy.
| |
d. Chromosomal abnormalities.
| |
Answers
A 41-week pregnant multigravida presents in the labor and delivery unit
| | | | | | | | | |
after a nonstress test indicated that her fetus could be experiencing
| | | | | | | | | | | |
some difficulties in utero. Which diagnostic tool would yield more
| | | | | | | | | |
detailed information about the fetus?
| | | |
a. Ultrasound for fetal anomalies
| | | |
b. Biophysical profile (BPP)
| | |
c. Maternal serum alpha-fetoprotein (MSAFP) screening
| | | | |
d. Percutaneous umbilical blood sampling (PUBS)
| | | | |
b. Biophysical profile (BPP)
| | |
Real-time ultrasound permits detailed assessment of the physical and
| | | | | | | | |
physiologic characteristics of the developing fetus and cataloging of
| | | | | | | | |
normal and abnormal biophysical responses to stimuli. BPP is a
| | | | | | | | | |
noninvasive, dynamic assessment of a fetus that is based on acute and
| | | | | | | | | | | |
,chronic markers of fetal disease. An ultrasound for fetal anomalies
| | | | | | | | | |
would most likely have been performed earlier in the pregnancy. It is
| | | | | | | | | | | |
too late in the pregnancy to perform MSAFP screening. Also, MSAFP
| | | | | | | | | | |
screening does not provide information related to fetal well-being.
| | | | | | | | |
Indications for PUBS include prenatal diagnosis or inherited blood
| | | | | | | | |
disorders, karyotyping of malformed fetuses, detection of fetal
| | | | | | | |
infection, determination of the acid-base status of a fetus with IUGR,
| | | | | | | | | | |
and assessment and treatment of isoimmunization and
| | | | | | |
thrombocytopenia in the fetus. | | |
When nurses help their expectant mothers assess the daily fetal
| | | | | | | | | |
movement counts, they should be aware that:
| | | | | |
a. Alcohol or cigarette smoke can irritate the fetus into greater activity.
| | | | | | | | | | |
b. Kick counts should be taken every half hour and averaged every 6
| | | | | | | | | | | | |
hours, with every other 6-hour stretch off.
| | | | | |
c. The fetal alarm signal should go off when fetal movements stop
| | | | | | | | | | | |
entirely for 12 hours.| | |
,d. Obese mothers familiar with their bodies can assess fetal movement
| | | | | | | | | | |
as well as average-size women.
| | | |
c. The fetal alarm signal should go off when fetal movements stop
| | | | | | | | | | | |
entirely for 12 hours. | | |
No movement in a 12-hour period is cause for investigation and possibly
| | | | | | | | | | |
intervention. Alcohol and cigarette smoke temporarily reduce fetal
| | | | | | | | |
movement. The mother should count fetal activity (kick counts) two or
| | | | | | | | | | |
three times daily for 60 minutes each time. Obese women have a harder
| | | | | | | | | | | |
time assessing fetal movement.
| | | |
Nurses should be aware that the biophysical profile (BPP):
| | | | | | | |
a. Is an accurate indicator of impending fetal death.
| | | | | | | |
b. Is a compilation of health risk factors of the mother during the later
| | | | | | | | | | | | | |
stages of pregnancy. | |
c. Consists of a Doppler blood flow analysis and an amniotic fluid index.
| | | | | | | | | | | |
, d. Involves an invasive form of ultrasound examination.
| | | | | | |
a. Is an accurate indicator of impending fetal death.
| | | | | | | |
An abnormal BPP score is an indication that labor should be induced.
| | | | | | | | | | | |
The BPP evaluates the health of the fetus, requires many different
| | | | | | | | | | |
measures, and is a noninvasive procedure.
| | | | |
Risk factors tend to be interrelated and cumulative in their effect. While
| | | | | | | | | | | |
planning the care for a laboring client with diabetes mellitus, the nurse
| | | | | | | | | | | |
is aware that she is at a greater risk for:
| | | | | | | | |
a. Oligohydramnios.
|
b. Polyhydramnios.
|
c. Postterm pregnancy.
| |
d. Chromosomal abnormalities.
| |
