NRSG 3302 Women & Families Exam 1: Module 5- Prenatal
Assessment Questions With Complete Solutions
A prenatal client in her second trimester is admitted to the
maternity unit with painless, bright red vaginal bleeding. What
test might the physician order?
A) Amniocentesis
B) Contraction stress test (CST)
C) Ultrasound
D) Alpha-fetoprotein (AFP) Correct Answers C) Ultrasound
To assess placental location to rule out placenta previa when a
patient has bright red vaginal bleeding
amniocentesis Correct Answers collect amniotic fluid from
amniotic sac for genetic analysis + to determine fetal lung
maturity
use 3-4 inch, 22 G needle
done b/w 15-20 weeks gestation
measures L/S ration
ballotement Correct Answers w/ the tip of forefinger in the
vagina, a sharp tap is made against the lower segment of the
uterus
if fetus is present, will be tossed upward + will strike against
wall of uterus as it falls back
biophysical profile Correct Answers test used to evaluate well-
being of fetus
done under ultrasound
, 2 pts per component w/ max of 10 points
test 4-6 components:
- fetal HR reactivity
- fetal breathing movements
- fetal body movements
- fetal tone (flexion)
- volume of amniotic fluid
- placental grading
caffeine recommendation during pregnancy Correct Answers
<200mg/day (one 12oz cup)
chorionic villus sampling (CVS) Correct Answers used to
diagnose fetal abnormalities
sample chorionic villi of placenta b/w its composed of cells that
reflect genetic makeup of fetus
done b/w 10-12 weeks gestation
done transabdominally or transcervically
contraction stress test Correct Answers looking for
decelerations in response to fetal movement
how a fetus responds to adding stress
stimulated by giving mom oxytocin or stimulate the nipples
determining due date Correct Answers date that onset of
spontaneous labor is expected to occur
During 3rd trimester, where does growth occur? Correct
Answers growth occurs in fetal tissues
if woman gains all her weight in 1st and none in 3rd, can put
fetus at risk
Assessment Questions With Complete Solutions
A prenatal client in her second trimester is admitted to the
maternity unit with painless, bright red vaginal bleeding. What
test might the physician order?
A) Amniocentesis
B) Contraction stress test (CST)
C) Ultrasound
D) Alpha-fetoprotein (AFP) Correct Answers C) Ultrasound
To assess placental location to rule out placenta previa when a
patient has bright red vaginal bleeding
amniocentesis Correct Answers collect amniotic fluid from
amniotic sac for genetic analysis + to determine fetal lung
maturity
use 3-4 inch, 22 G needle
done b/w 15-20 weeks gestation
measures L/S ration
ballotement Correct Answers w/ the tip of forefinger in the
vagina, a sharp tap is made against the lower segment of the
uterus
if fetus is present, will be tossed upward + will strike against
wall of uterus as it falls back
biophysical profile Correct Answers test used to evaluate well-
being of fetus
done under ultrasound
, 2 pts per component w/ max of 10 points
test 4-6 components:
- fetal HR reactivity
- fetal breathing movements
- fetal body movements
- fetal tone (flexion)
- volume of amniotic fluid
- placental grading
caffeine recommendation during pregnancy Correct Answers
<200mg/day (one 12oz cup)
chorionic villus sampling (CVS) Correct Answers used to
diagnose fetal abnormalities
sample chorionic villi of placenta b/w its composed of cells that
reflect genetic makeup of fetus
done b/w 10-12 weeks gestation
done transabdominally or transcervically
contraction stress test Correct Answers looking for
decelerations in response to fetal movement
how a fetus responds to adding stress
stimulated by giving mom oxytocin or stimulate the nipples
determining due date Correct Answers date that onset of
spontaneous labor is expected to occur
During 3rd trimester, where does growth occur? Correct
Answers growth occurs in fetal tissues
if woman gains all her weight in 1st and none in 3rd, can put
fetus at risk
