OB PRACTICE FINAL EXAM QUESTIONS

A 23-year-old African-American woman is pregnant with her first child. On the basis of the statistics for infant mortality, which plan is most important for the nurse to implement? Perform a nutrition assessment. Refer the woman to a social worker. Advise the woman to see an obstetrician, not a midwife. Explain to the woman the importance of keeping her prenatal care appointments. - Answer- Explain to the woman the importance of keeping her prenatal care appointments. A 38-year-old maternity patient receives information based on genetic testing that her fetus has a deformity and decides to terminate the pregnancy. There is a family history of genetic abnormalities. Following the termination of pregnancy, the pathology report indicates that the fetus had no structural abnormalities. This finding suggests that: The patient should have asked for a second opinion from a perinatal specialist. The genetic test results provided indicated a false-negative finding. Genetic testing results vary with patient demographics and information provided. Results indicated a false-positive finding leading to an adverse outcome. - Answer- Results indicated a false-positive finding leading to an adverse outcome. A 40-year-old woman with a high body mass index (BMI) is 10 weeks pregnant. Which diagnostic tool is appropriate to suggest to her at this time? Biophysical profile Amniocentesis Maternal serum alpha-fetoprotein (MSAFP) Transvaginal ultrasound - Answer- Transvaginal ultrasound A 62-year-old woman has not been to the clinic for an annual examination for 5 years. The recent death of her husband reminded her that she should come for a visit. Her family doctor has retired, and she is coming to see the women's health nurse practitioner for her visit. To facilitate a positive health care experience, the nurse should: