NUR 313 High Risk Pregnancy Review
Questions and Correct Answers
An expecting mother comes in a 12 weeks gestation and has an ultrasound done by the
nurse. The FNT comes back at 2.7, what is the nurses next best action?
A. Begin providing education about the possible complications of Down's syndrome
B. Encourage the mother to have further genetic testing done
C. Provided educational materials on the effects of neural tube defect (NTD)
D. Document the findings in the mothers chart and schedule her next check up visit
✅B. Encourage the mother to have further genetic testing done
NFT is a screening. >2.5 is an abnormal value that indicates there may be a genetic
issue with the fetus. Further genetic testing is required for diagnosis.
A 22 year old expecting mother asks the nurse why she needs an ultrasound at around
7 weeks. Based on the nurse's knowledge of fetal size, what is the best response?
A. This is the most important time to confirm fetal heart sounds can be heard
B. This is the only time an ultrasound can be completed in pregnancy
C. This is the optimal time to measure crown to rump length for assessing the baby's
gestational age
D. This is the optimal time to measure femur length for assessing the baby's size ✅C.
This is the optimal time to measure crown to rump length for assessing the baby's
gestational age
Crown to rump length between 7-12 weeks helps to determine the gestational age
Which of the following is not a indication for the use of ultrasound in the first trimester?
A. For visualization with a amniocentesis
B. For determining the fetal location
C. For visualizing with a chorionic villus sampling
D. For monitoring cardiac activity ✅A. For visualization with a amniocentesis
A 23 week primigravida woman is being seen for a check up at the clinic today. She
states that she has not felt fetal movement yet in the pregnancy. The nurse's next best
action is to
A. Call the obstetrician immediately
B. Document the report in the chart and have her come back in by 25 weeks
C. Perform acoustic stimulation over the mother's abdomen
, D. Encourage the mother to go home and eat, then retry kick counts ✅C. Perform
acoustic stimulation over the mother's abdomen
Fetal movement should be felt by 20 weeks gestation, therefore a nursing intervention is
warranted. Performing the acoustic stimulation may help to stimulate a baby.
A 38 week expecting mother comes into have her water broken and induce labor related
to decreased fetal movements. Her amniotic fluid volume (AFV) assessment indicates
25 cm. The nurse knows this indicates
A. The fetus is in danger because it has too little fluid surrounding it
B. The mother needs to have a PUBS procedure to replace the lost fluid
C. This is a normal amount of fluid and she should proceed with breaking the water as
normal
D. This is a large amount of amniotic fluid that requires breaking the water slowly ✅D.
This is a large amount of amniotic fluid that requires breaking the water slowly
>20= polyhydramnios
Need to break with spinal needle to allow water to drain more slowly and will likely
require lots of towels.
Which of the following is not a component of the biophysical profile?
A. Determining presenting part
B. Amniotic fluid volume
C. Assessment of fetal tone
D. Non-stress test via EFM ✅A. Determining presenting part
This is apart of the Leopold's Maneuver
Which of the following would be an indication for biophysical profile?
A. Fetus is demonstrating 8 fetal movements per hour
B. Electronic fetal monitor shows multiple late decelerations
C. Baseline fetal heart rate is 145
D. Fetal heart rate shows moderate variability over 10 minute strip ✅B. Electronic fetal
monitor shows multiple late decelerations
Which of the following is an indication for an amniocentesis to be performed?
A. To determine the fetal nuchal translucency
B. To determine the presence of chromosomal abnormalities, such as elevated alpha-
fetal protein
C. To provide a blood transfusion to an infant with fetal hemolytic disease
Questions and Correct Answers
An expecting mother comes in a 12 weeks gestation and has an ultrasound done by the
nurse. The FNT comes back at 2.7, what is the nurses next best action?
A. Begin providing education about the possible complications of Down's syndrome
B. Encourage the mother to have further genetic testing done
C. Provided educational materials on the effects of neural tube defect (NTD)
D. Document the findings in the mothers chart and schedule her next check up visit
✅B. Encourage the mother to have further genetic testing done
NFT is a screening. >2.5 is an abnormal value that indicates there may be a genetic
issue with the fetus. Further genetic testing is required for diagnosis.
A 22 year old expecting mother asks the nurse why she needs an ultrasound at around
7 weeks. Based on the nurse's knowledge of fetal size, what is the best response?
A. This is the most important time to confirm fetal heart sounds can be heard
B. This is the only time an ultrasound can be completed in pregnancy
C. This is the optimal time to measure crown to rump length for assessing the baby's
gestational age
D. This is the optimal time to measure femur length for assessing the baby's size ✅C.
This is the optimal time to measure crown to rump length for assessing the baby's
gestational age
Crown to rump length between 7-12 weeks helps to determine the gestational age
Which of the following is not a indication for the use of ultrasound in the first trimester?
A. For visualization with a amniocentesis
B. For determining the fetal location
C. For visualizing with a chorionic villus sampling
D. For monitoring cardiac activity ✅A. For visualization with a amniocentesis
A 23 week primigravida woman is being seen for a check up at the clinic today. She
states that she has not felt fetal movement yet in the pregnancy. The nurse's next best
action is to
A. Call the obstetrician immediately
B. Document the report in the chart and have her come back in by 25 weeks
C. Perform acoustic stimulation over the mother's abdomen
, D. Encourage the mother to go home and eat, then retry kick counts ✅C. Perform
acoustic stimulation over the mother's abdomen
Fetal movement should be felt by 20 weeks gestation, therefore a nursing intervention is
warranted. Performing the acoustic stimulation may help to stimulate a baby.
A 38 week expecting mother comes into have her water broken and induce labor related
to decreased fetal movements. Her amniotic fluid volume (AFV) assessment indicates
25 cm. The nurse knows this indicates
A. The fetus is in danger because it has too little fluid surrounding it
B. The mother needs to have a PUBS procedure to replace the lost fluid
C. This is a normal amount of fluid and she should proceed with breaking the water as
normal
D. This is a large amount of amniotic fluid that requires breaking the water slowly ✅D.
This is a large amount of amniotic fluid that requires breaking the water slowly
>20= polyhydramnios
Need to break with spinal needle to allow water to drain more slowly and will likely
require lots of towels.
Which of the following is not a component of the biophysical profile?
A. Determining presenting part
B. Amniotic fluid volume
C. Assessment of fetal tone
D. Non-stress test via EFM ✅A. Determining presenting part
This is apart of the Leopold's Maneuver
Which of the following would be an indication for biophysical profile?
A. Fetus is demonstrating 8 fetal movements per hour
B. Electronic fetal monitor shows multiple late decelerations
C. Baseline fetal heart rate is 145
D. Fetal heart rate shows moderate variability over 10 minute strip ✅B. Electronic fetal
monitor shows multiple late decelerations
Which of the following is an indication for an amniocentesis to be performed?
A. To determine the fetal nuchal translucency
B. To determine the presence of chromosomal abnormalities, such as elevated alpha-
fetal protein
C. To provide a blood transfusion to an infant with fetal hemolytic disease
