Maternal Exam #2: Practice
Questions & Answers A+ Graded
A woman arrives at the clinic seeking confirmation that she is pregnant. The
following info is obtained; 24 years old, BMI-17.5, she admits to having used
cocaine several times during the past year and drinks alcohol occasionally.
BP 108/70, pulse 72 bpm, resp. 16 bpm, family history diabetes mellitus and
cancer. her sister recently gave birth to an infant with neural tube defect
NTD Which characteristics place her at a high risk category?
A. Blood pressure, age, BMI
B. Drug/alcohol use, age, family history
C. Family history, blood pressure, BMI
D. Family history, BMI, drug/alcohol abuse - -D. Family history, BMI,
drug/alcohol use
- A 39-year-old primigravida thinks that she is about 8 weeks pregnant,
although she has had irregular menstrual periods all her life. She has a
history of smoking approximately one pack of cigarettes a day, but she tells
you that she is trying to cut down. Her laboratory data are within normal
limits. What diagnostic technique could be used with this pregnant woman at
this time?
A. Ultrasound examination
B. Maternal serum alpha-fetoprotein (MSAFP) screening
C. Amniocentesis
D. Nonstress test (NST) - -A. Ultrasound examination
- The nurse sees a woman for the first time when she is 30 weeks pregnant.
The woman has smoked throughout the pregnancy, and fundal height
measurements now are suggestive of growth restriction in the fetus. In
addition to ultrasound to measure fetal size, what other tool would be useful
in confirming the diagnosis?
A. Doppler blood flow analysis
B. Contraction stress test (CST)
C. Amniocentesis
D. Daily fetal movement counts - -A. Doppler blood flow analysis
- A 41-week pregnant multigravida presents in the labor and delivery unit
after a non stress 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 anolamies
B. Biophysical profile (BPP)
C. Maternal serum alpha-fetoprotein (MSAFP) screening
D. Percutaneous umbilical blood sampling (PUBS) - -B. Biophysical profile
(BPP)
- At 35 weeks of pregnancy a woman experiences preterm labor. Tocolytics
are administered and she is placed on bed rest, but she continues to
experience regular uterine contractions, and her cervix is beginning to dilate
and efface. What would be an important test for fetal well-being at this time?
A. Percutaneous umbilical blood sampling (PUBS)
B. Ultrasound for fetal size
C. Amniocentesis for fetal lung maturity
D. Nonstress test (NST) - -C. Amniocentesis for fetal lung maturity
- A 40-year-old woman is 10 weeks pregnant. Which diagnostic tools would
be appropriate to suggest to her at this time?
A. Biophysical profile (BPP)
B. Amniocentesis
C. Maternal serum alpha-fetoprotein (MSAFP) screening
D. Transvaginal ultrasound - -D. Transvaginal ultrasound
- Maternal serum alpha-fetoprotein (MSAFP) screening indicates an elevated
level. MSAFP screening is repeated and again is reported as higher than
normal. What would be the next step in the assessment sequence to
determine the well-being of the fetus?
A. Percutaneous umbilical blood sampling (PUBS)
B. Ultrasound for fetal anomalies
C. Biophysical profile (BPP) for fetal well-being
D. Amniocentesis for genetic anomalies - -B. Ultrasound for fetal anomalies
- A client asks her nurse, "My doctor told me that he is concerned with the
grade of my placenta because I am overdue. What does that mean?" The
best response by the nurse is:
A. "Your placenta changes as your pregnancy progresses, and it is given a
score that indicates the amount of calcium deposits it has. The more calcium
deposits, the higher the grade, or number, that is assigned to the placenta. It
also means that less blood and oxygen can be delivered to your baby."
B. "Your placenta isn't working properly, and your baby is in danger."
C. "This means that we will need to perform an amniocentesis to detect if
you have any placental damage."
Questions & Answers A+ Graded
A woman arrives at the clinic seeking confirmation that she is pregnant. The
following info is obtained; 24 years old, BMI-17.5, she admits to having used
cocaine several times during the past year and drinks alcohol occasionally.
BP 108/70, pulse 72 bpm, resp. 16 bpm, family history diabetes mellitus and
cancer. her sister recently gave birth to an infant with neural tube defect
NTD Which characteristics place her at a high risk category?
A. Blood pressure, age, BMI
B. Drug/alcohol use, age, family history
C. Family history, blood pressure, BMI
D. Family history, BMI, drug/alcohol abuse - -D. Family history, BMI,
drug/alcohol use
- A 39-year-old primigravida thinks that she is about 8 weeks pregnant,
although she has had irregular menstrual periods all her life. She has a
history of smoking approximately one pack of cigarettes a day, but she tells
you that she is trying to cut down. Her laboratory data are within normal
limits. What diagnostic technique could be used with this pregnant woman at
this time?
A. Ultrasound examination
B. Maternal serum alpha-fetoprotein (MSAFP) screening
C. Amniocentesis
D. Nonstress test (NST) - -A. Ultrasound examination
- The nurse sees a woman for the first time when she is 30 weeks pregnant.
The woman has smoked throughout the pregnancy, and fundal height
measurements now are suggestive of growth restriction in the fetus. In
addition to ultrasound to measure fetal size, what other tool would be useful
in confirming the diagnosis?
A. Doppler blood flow analysis
B. Contraction stress test (CST)
C. Amniocentesis
D. Daily fetal movement counts - -A. Doppler blood flow analysis
- A 41-week pregnant multigravida presents in the labor and delivery unit
after a non stress 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 anolamies
B. Biophysical profile (BPP)
C. Maternal serum alpha-fetoprotein (MSAFP) screening
D. Percutaneous umbilical blood sampling (PUBS) - -B. Biophysical profile
(BPP)
- At 35 weeks of pregnancy a woman experiences preterm labor. Tocolytics
are administered and she is placed on bed rest, but she continues to
experience regular uterine contractions, and her cervix is beginning to dilate
and efface. What would be an important test for fetal well-being at this time?
A. Percutaneous umbilical blood sampling (PUBS)
B. Ultrasound for fetal size
C. Amniocentesis for fetal lung maturity
D. Nonstress test (NST) - -C. Amniocentesis for fetal lung maturity
- A 40-year-old woman is 10 weeks pregnant. Which diagnostic tools would
be appropriate to suggest to her at this time?
A. Biophysical profile (BPP)
B. Amniocentesis
C. Maternal serum alpha-fetoprotein (MSAFP) screening
D. Transvaginal ultrasound - -D. Transvaginal ultrasound
- Maternal serum alpha-fetoprotein (MSAFP) screening indicates an elevated
level. MSAFP screening is repeated and again is reported as higher than
normal. What would be the next step in the assessment sequence to
determine the well-being of the fetus?
A. Percutaneous umbilical blood sampling (PUBS)
B. Ultrasound for fetal anomalies
C. Biophysical profile (BPP) for fetal well-being
D. Amniocentesis for genetic anomalies - -B. Ultrasound for fetal anomalies
- A client asks her nurse, "My doctor told me that he is concerned with the
grade of my placenta because I am overdue. What does that mean?" The
best response by the nurse is:
A. "Your placenta changes as your pregnancy progresses, and it is given a
score that indicates the amount of calcium deposits it has. The more calcium
deposits, the higher the grade, or number, that is assigned to the placenta. It
also means that less blood and oxygen can be delivered to your baby."
B. "Your placenta isn't working properly, and your baby is in danger."
C. "This means that we will need to perform an amniocentesis to detect if
you have any placental damage."
