Mod 33.1 Understanding of the concept
of Reproduction in the care of the
patient during antepartum. Exam Q&A
100% Pass
A patient with gestational diabetes who is at 32 weeks of gestation is
scheduled for a nonstress test and asks, "How can this test tell if my baby
is doing okay?"
Which statement by the nurse reflects the purpose of a nonstress test?
Answer
"The test is reflective of your baby's oxygen status and intact nervous
system."
"The test allows for the measurement of the amniotic fluid volume."
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"Your baby's well-being is determined by the amount of movement during
the test."
"The test is an assessment for fetal tone and breathing." - ✔✔"The test is
reflective of your baby's oxygen status and intact nervous system."
The nonstress test is a widely used method for fetal evaluation, which is
based on the knowledge that when the fetus has adequate oxygenation
and an intact central nervous system (CNS), accelerations of the fetal heart
rate (FHR) occur with fetal movement. Measurement of an amniotic fluid
index, fetal movement, fetal tone, and breathing are components of a
biophysical profile.
A patient is admitted for possible preterm labor. The nurse receives a
prescription for a transvaginal ultrasound to be performed by the radiology
department.
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The nurse should understand that this test is used for which primary
purpose?
To detect a shortened cervical length
To evaluate the fetal structures
To evaluate cervical dilation
To evaluate the presenting fetal part - ✔✔Correct answer
To detect a shortened cervical length
The primary purpose for a transvaginal ultrasound for the patient suspected
of being in preterm labor is to evaluate the length of the cervix. This
evaluation may be helpful in the prediction of preterm labor. Transvaginal
ultrasound can be used early in the pregnancy to evaluate fetal structures.
A transvaginal ultrasound is not specifically used to evaluate cervical
dilation or the presenting fetal part
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A patient who is at 36 weeks of gestation asks, "Is it normal to frequently
experience discomfort from gas and have quite a bit of flatulence?"
Which response by the nurse provides the best information?
"Experiencing increased flatulence is normal during pregnancy; daily
exercise may help.
"Excessive flatulence is not a normal finding; I will let your healthcare
provider know about your concerns."
"Yes, it is quite normal to experience increased flatulence; eating small
and frequent meals may be helpful.
"Increased flatulence usually diminishes as the pregnancy continues; what
type of foods are you eating?" - ✔✔"Experiencing increased flatulence is
normal during pregnancy; daily exercise may help."