,Test Bank For Olds' Maternal-Newborn Nursing &
Women's Health Across the Lifespan 11th Edition by
Michele C. Davidson; Marcia London; Patricia
Ladewig 9780135206881 all 36 chapters | Complete
Guide A+
The nurse is preparing a client for amniocentesis. Which statement would indicate that
the client clearly understands the risks of an amniocentesis?
1. "I might go into labor early."
2. "It could produce a congenital defect in my baby."
3. "Actually, there are no real risks to this procedure."
4. "The test could stunt my baby's growth." - Answer: 1
Explanation: 1. Amniocentesis has the potential for causing a spontaneous abortion.
The nurse is reviewing amniocentesis results. Which of the following would indicate that
client care was appropriate?
1. The client who is Rh-positive received Rh immune globulin after the amniocentesis.
2. The client was monitored for 30 minutes after completion of the test.
3. The client began vaginal spotting before leaving for home after the test.
4. The client identified that she takes insulin before each meal and at bedtime. -
Answer: 2
Explanation: 2. 20 to 30 minutes of fetal monitoring is performed after the
amniocentesis.
Each of the following pregnant women is scheduled for a 14-week antepartal visit. In
planning care, the nurse would give priority teaching on amniotic fluid alpha-fetoprotein
(AFP) screening to which client?
1. 28-year-old with history of rheumatic heart disease
2. 18-year-old with exposure to HIV
3. 20-year-old with a history of preterm labor
4. 35-year-old with a child with spina bifida - Answer: 4
Explanation: 4. Alpha-fetoprotein (AFP) is a fetal protein that is excreted from the fetal
yolk sac during the first 6 weeks of pregnancy. AFP levels can be high or low, with each
having different implications for the fetus. If the fetus has a neural tube defect (NTD),
the AFP levels will be elevated. NTDs can range from anencephaly to spina bifida. With
a past history of a child with spina bifida, this client would be strongly encouraged to
have the AFP screening.
, The pregnant client and her partner are both 40 years old. The nurse is explaining the
options of chorionic villus sampling (CVS) and amniocentesis for genetic testing. The
nurse should correct the client if she makes which statement?
1. "Amniocentesis results are available sooner than CVS results are."
2. "CVS carries a higher risk of limb abnormalities."
3. "Amniocentesis cannot detect a neural tube defect."
4. "CVS is performed through my belly or my cervix." - Answer: 1
Explanation: 1. Amniocentesis results take longer to process than do CVS results.
The client and her partner are carriers of sickle-cell disease. They are considering
prenatal diagnosis with either amniocentesis or chorionic villus sampling (CVS). Which
statements indicate that further teaching is needed on these two diagnostic procedures?
Select all that apply.
1. "Chorionic villus sampling carries a lower risk of miscarriage."
2. "Amniocentesis can be done earlier in my pregnancy than CVS."
3. "Neither test will conclusively diagnose sickle-cell disease in our baby."
4. "The diagnosis comes sooner if we have CVS, not amniocentesis."
5. "Amniocentesis is more accurate in diagnosis than the CVS." - Answer: 1, 2, 5
Explanation: 1. CVS has a risk of spontaneous abortion of 0.3% in cases. This rate is
higher than second trimester amniocentesis.
2. CVS is performed in some medical centers for first trimester diagnosis after 9
completed weeks. Amniocentesis is performed between 15 and 20 weeks' gestation.
5. Much like amniocentesis, chorionic villus sampling (CVS) is a procedure that is used
to detect genetic, metabolic, and DNA abnormalities. CVS permits earlier diagnosis than
can be obtained by amniocentesis.
The nurse anticipates that the physician will most likely order a cervicovaginal fetal
fibronectin test for which client?
1. The client at 34 weeks' gestation with gestational diabetes
2. The client at 32 weeks' gestation with regular uterine contractions
3. The client at 37 weeks' multi-fetal gestation
4. The client at 20 weeks' gestation with ruptured amniotic membranes - Answer: 2
Explanation: 2. The absence of cervicovaginal fFN between 20 and 34 weeks' gestation
has been shown to be a strong predictor of a woman not experiencing preterm birth due
to spontaneous preterm labor or premature rupture of membranes. Positive findings
indicate a 99% probability of birth within the next 2 weeks.
The client at 14 weeks' gestation has undergone a transvaginal ultrasound to assess
cervical length. The ultrasound revealed cervical funneling. How should the nurse
explain these findings to the client?
1. "Your cervix has become cone-shaped and more open at the end near the baby."
2. "Your cervix is lengthened, and you will deliver your baby prematurely."
3. "Your cervix is short, and has become wider at the end that extends into the vagina."
4. "Your cervix was beginning to open but now is starting to close up again." - Answer: 1
Women's Health Across the Lifespan 11th Edition by
Michele C. Davidson; Marcia London; Patricia
Ladewig 9780135206881 all 36 chapters | Complete
Guide A+
The nurse is preparing a client for amniocentesis. Which statement would indicate that
the client clearly understands the risks of an amniocentesis?
1. "I might go into labor early."
2. "It could produce a congenital defect in my baby."
3. "Actually, there are no real risks to this procedure."
4. "The test could stunt my baby's growth." - Answer: 1
Explanation: 1. Amniocentesis has the potential for causing a spontaneous abortion.
The nurse is reviewing amniocentesis results. Which of the following would indicate that
client care was appropriate?
1. The client who is Rh-positive received Rh immune globulin after the amniocentesis.
2. The client was monitored for 30 minutes after completion of the test.
3. The client began vaginal spotting before leaving for home after the test.
4. The client identified that she takes insulin before each meal and at bedtime. -
Answer: 2
Explanation: 2. 20 to 30 minutes of fetal monitoring is performed after the
amniocentesis.
Each of the following pregnant women is scheduled for a 14-week antepartal visit. In
planning care, the nurse would give priority teaching on amniotic fluid alpha-fetoprotein
(AFP) screening to which client?
1. 28-year-old with history of rheumatic heart disease
2. 18-year-old with exposure to HIV
3. 20-year-old with a history of preterm labor
4. 35-year-old with a child with spina bifida - Answer: 4
Explanation: 4. Alpha-fetoprotein (AFP) is a fetal protein that is excreted from the fetal
yolk sac during the first 6 weeks of pregnancy. AFP levels can be high or low, with each
having different implications for the fetus. If the fetus has a neural tube defect (NTD),
the AFP levels will be elevated. NTDs can range from anencephaly to spina bifida. With
a past history of a child with spina bifida, this client would be strongly encouraged to
have the AFP screening.
, The pregnant client and her partner are both 40 years old. The nurse is explaining the
options of chorionic villus sampling (CVS) and amniocentesis for genetic testing. The
nurse should correct the client if she makes which statement?
1. "Amniocentesis results are available sooner than CVS results are."
2. "CVS carries a higher risk of limb abnormalities."
3. "Amniocentesis cannot detect a neural tube defect."
4. "CVS is performed through my belly or my cervix." - Answer: 1
Explanation: 1. Amniocentesis results take longer to process than do CVS results.
The client and her partner are carriers of sickle-cell disease. They are considering
prenatal diagnosis with either amniocentesis or chorionic villus sampling (CVS). Which
statements indicate that further teaching is needed on these two diagnostic procedures?
Select all that apply.
1. "Chorionic villus sampling carries a lower risk of miscarriage."
2. "Amniocentesis can be done earlier in my pregnancy than CVS."
3. "Neither test will conclusively diagnose sickle-cell disease in our baby."
4. "The diagnosis comes sooner if we have CVS, not amniocentesis."
5. "Amniocentesis is more accurate in diagnosis than the CVS." - Answer: 1, 2, 5
Explanation: 1. CVS has a risk of spontaneous abortion of 0.3% in cases. This rate is
higher than second trimester amniocentesis.
2. CVS is performed in some medical centers for first trimester diagnosis after 9
completed weeks. Amniocentesis is performed between 15 and 20 weeks' gestation.
5. Much like amniocentesis, chorionic villus sampling (CVS) is a procedure that is used
to detect genetic, metabolic, and DNA abnormalities. CVS permits earlier diagnosis than
can be obtained by amniocentesis.
The nurse anticipates that the physician will most likely order a cervicovaginal fetal
fibronectin test for which client?
1. The client at 34 weeks' gestation with gestational diabetes
2. The client at 32 weeks' gestation with regular uterine contractions
3. The client at 37 weeks' multi-fetal gestation
4. The client at 20 weeks' gestation with ruptured amniotic membranes - Answer: 2
Explanation: 2. The absence of cervicovaginal fFN between 20 and 34 weeks' gestation
has been shown to be a strong predictor of a woman not experiencing preterm birth due
to spontaneous preterm labor or premature rupture of membranes. Positive findings
indicate a 99% probability of birth within the next 2 weeks.
The client at 14 weeks' gestation has undergone a transvaginal ultrasound to assess
cervical length. The ultrasound revealed cervical funneling. How should the nurse
explain these findings to the client?
1. "Your cervix has become cone-shaped and more open at the end near the baby."
2. "Your cervix is lengthened, and you will deliver your baby prematurely."
3. "Your cervix is short, and has become wider at the end that extends into the vagina."
4. "Your cervix was beginning to open but now is starting to close up again." - Answer: 1
