Maternal Child Nursing Care – ]] ]] ]] ]] ]]
(Chp10) Assessment of High Risk Preg
]] ]] ]] ]] ]]
nancy Questions with Correct Answers
]] ]] ]] ]] ]]
A ]]woman ]]arrives ]]at ]]the ]]clinic ]]seeking ]]confirmation ]]that ]]she ]]is ]]pregnant. ]]The ]]following ]]infor
mation ]]is
obtained: ]]She ]]is ]]24 ]]years ]]old ]]with ]]a ]]body ]]mass ]]index ]]
(BMI) ]]of ]]17.5. ]]She ]]admits ]]to ]]having ]]used ]]cocaine ]]several
times ]]during ]]the ]]past ]]year ]]and ]]drinks ]]alcohol ]]occasionally. ]]Her ]]blood ]]pressure ]]
(BP) ]]is ]]108/70 ]]mm ]]Hg, ]]her
pulse ]]rate ]]is ]]72 ]
]beats/min, ]]and ]]her ]]respiratory ]]rate ]]is ]]16 ]
]breaths/min. ]]The ]]family ]]history ]]is ]]positive ]]for ]]diabetes
mellitus ]]and ]]cancer. ]]Her ]]sister ]]recently ]]gave ]]birth ]]to ]]an ]]infant ]]with ]]a ]]neural ]]tube ]]defect ]]
(NTD). ]]Which ]]characteristics ]]place ]]the ]]woman ]]in ]]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 ]]- ]]correct ]]answer: ]]d. ]]Family ]]history, ]]BMI, ]]drug/alcohol ]]abuse
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 ]]cigar
ettes ]]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 ]]ti
me?
a. ]]Ultrasound ]]examination
b. ]]Maternal ]]serum ]]alpha-fetoprotein ]](MSAFP) ]]screening
, c. ]]Amniocentesis
d. ]]Nonstress ]]test ]](NST) ]]- ]]correct ]]answer: ]]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 ]]r
estriction ]]in ]]the ]]fetus. ]]In ]]addition ]]to ]]ultrasound ]]to ]]measure ]]fetal ]]size, ]]what ]]other ]]tool ]]woul
d ]]be ]]useful ]]in ]]confirming ]]the ]]diagnosis?
a. ]]Doppler ]]blood ]]flow ]]analysis
b. ]]Contraction ]]stress ]]test ]](CST)
c. ]]Amniocentesis ]]
d. ]]Daily ]]fetal ]]movement ]]counts ]]- ]]correct ]]answer: ]]
A ]]41-
week ]]pregnant ]]multigravida ]]presents ]]in ]]the ]]labor ]]and ]]delivery ]]unit ]]after ]]a ]]nonstress ]]test ]]in
dicated ]]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) ]]- ]]correct ]]answer: ]]b. ]]Biophysical ]]profile ]]
(BPP)
At ]]35 ]]weeks ]]of ]]pregnancy ]]a ]]woman ]]experiences ]]preterm ]]labor. ]]Tocolytics ]]are ]]administered ]]
and ]]she ]]is
(Chp10) Assessment of High Risk Preg
]] ]] ]] ]] ]]
nancy Questions with Correct Answers
]] ]] ]] ]] ]]
A ]]woman ]]arrives ]]at ]]the ]]clinic ]]seeking ]]confirmation ]]that ]]she ]]is ]]pregnant. ]]The ]]following ]]infor
mation ]]is
obtained: ]]She ]]is ]]24 ]]years ]]old ]]with ]]a ]]body ]]mass ]]index ]]
(BMI) ]]of ]]17.5. ]]She ]]admits ]]to ]]having ]]used ]]cocaine ]]several
times ]]during ]]the ]]past ]]year ]]and ]]drinks ]]alcohol ]]occasionally. ]]Her ]]blood ]]pressure ]]
(BP) ]]is ]]108/70 ]]mm ]]Hg, ]]her
pulse ]]rate ]]is ]]72 ]
]beats/min, ]]and ]]her ]]respiratory ]]rate ]]is ]]16 ]
]breaths/min. ]]The ]]family ]]history ]]is ]]positive ]]for ]]diabetes
mellitus ]]and ]]cancer. ]]Her ]]sister ]]recently ]]gave ]]birth ]]to ]]an ]]infant ]]with ]]a ]]neural ]]tube ]]defect ]]
(NTD). ]]Which ]]characteristics ]]place ]]the ]]woman ]]in ]]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 ]]- ]]correct ]]answer: ]]d. ]]Family ]]history, ]]BMI, ]]drug/alcohol ]]abuse
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 ]]cigar
ettes ]]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 ]]ti
me?
a. ]]Ultrasound ]]examination
b. ]]Maternal ]]serum ]]alpha-fetoprotein ]](MSAFP) ]]screening
, c. ]]Amniocentesis
d. ]]Nonstress ]]test ]](NST) ]]- ]]correct ]]answer: ]]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 ]]r
estriction ]]in ]]the ]]fetus. ]]In ]]addition ]]to ]]ultrasound ]]to ]]measure ]]fetal ]]size, ]]what ]]other ]]tool ]]woul
d ]]be ]]useful ]]in ]]confirming ]]the ]]diagnosis?
a. ]]Doppler ]]blood ]]flow ]]analysis
b. ]]Contraction ]]stress ]]test ]](CST)
c. ]]Amniocentesis ]]
d. ]]Daily ]]fetal ]]movement ]]counts ]]- ]]correct ]]answer: ]]
A ]]41-
week ]]pregnant ]]multigravida ]]presents ]]in ]]the ]]labor ]]and ]]delivery ]]unit ]]after ]]a ]]nonstress ]]test ]]in
dicated ]]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) ]]- ]]correct ]]answer: ]]b. ]]Biophysical ]]profile ]]
(BPP)
At ]]35 ]]weeks ]]of ]]pregnancy ]]a ]]woman ]]experiences ]]preterm ]]labor. ]]Tocolytics ]]are ]]administered ]]
and ]]she ]]is
