NUR533: Exam 2 Practice Questions And
Already Passed Answers.
Categories of high risk factors - Answer Biophysical: genetic considerations, nutritional status, medical
and obstetric d/o
Psychosocial: smoking, caffeine, alcohol, drugs, psychologic status
Sociodemographic: low income, lack of prenatal care, ethnicity, residence, marital status, age
Environmental:
Poorly controlled diabetes mellitus
Fetomaternal hemorrhage
Fetal congenital anomalies (e.g., gastrointestinal obstruction, CNS abnormalities)
Genetic disorders
Twin-twin transfusion syndrome - Answer Related risk factors for polyhydramnios
Maternal Causes:
Hypertensive disorders
Pregestational diabetes
Cyanotic heart disease
Autoimmune disease
Restrictive pulmonary disease
Multifetal gestation
Malabsorptive disease/malnutrition
Living at a high altitude
Tobacco/substance abuse
, Fetal Causes:
Genetic disorders
Teratogenic exposure
Fetal infection - Answer Related risk factors for Intrauterine Growth Restriction
Renal agenesis (Potter syndrome)
Premature rupture of membranes
Prolonged pregnancy
Uteroplacental insufficiency
Severe intrauterine growth restriction (IUGR)
Maternal hypertensive disorders
Maternal dehydration/hypovolemia - Answer Related risk factors for oligohydramnios
Advanced maternal age
Parental chromosomal rearrangements
Previous pregnancy with autosomal trisomy
Abnormal ultrasound findings during the current pregnancy (e.g., fetal structural anomalies, IUGR,
amniotic fluid volume abnormalities)
Increased risk, as calculated from noninvasive screening results (e.g., nuchal translucency and maternal
serum analytes) - Answer Risk factors for chromosomal abnormalities
can be assessed at home and is noninvasive, inexpensive, and simple to understand and usually does not
interfere with a daily routine. It is frequently used to monitor the fetus in pregnancies complicated by
conditions that may affect fetal oxygenation. During the third trimester, the fetus makes about 30 gross
body movements each hour. The mother is able to recognize 70% to 80% of these movements - Answer
daily fetal movement count (DFMC)
*In assessing fetal movements, it is important to remember that they are usually not present during the
fetal sleep cycle; they may be reduced temporarily if the woman is taking depressant medication,
drinking alcohol, or smoking a cigarette. They do not decrease as the woman nears term. Obesity
decreases perception of fetal movements and consequently the ability of the mother to count them.
Already Passed Answers.
Categories of high risk factors - Answer Biophysical: genetic considerations, nutritional status, medical
and obstetric d/o
Psychosocial: smoking, caffeine, alcohol, drugs, psychologic status
Sociodemographic: low income, lack of prenatal care, ethnicity, residence, marital status, age
Environmental:
Poorly controlled diabetes mellitus
Fetomaternal hemorrhage
Fetal congenital anomalies (e.g., gastrointestinal obstruction, CNS abnormalities)
Genetic disorders
Twin-twin transfusion syndrome - Answer Related risk factors for polyhydramnios
Maternal Causes:
Hypertensive disorders
Pregestational diabetes
Cyanotic heart disease
Autoimmune disease
Restrictive pulmonary disease
Multifetal gestation
Malabsorptive disease/malnutrition
Living at a high altitude
Tobacco/substance abuse
, Fetal Causes:
Genetic disorders
Teratogenic exposure
Fetal infection - Answer Related risk factors for Intrauterine Growth Restriction
Renal agenesis (Potter syndrome)
Premature rupture of membranes
Prolonged pregnancy
Uteroplacental insufficiency
Severe intrauterine growth restriction (IUGR)
Maternal hypertensive disorders
Maternal dehydration/hypovolemia - Answer Related risk factors for oligohydramnios
Advanced maternal age
Parental chromosomal rearrangements
Previous pregnancy with autosomal trisomy
Abnormal ultrasound findings during the current pregnancy (e.g., fetal structural anomalies, IUGR,
amniotic fluid volume abnormalities)
Increased risk, as calculated from noninvasive screening results (e.g., nuchal translucency and maternal
serum analytes) - Answer Risk factors for chromosomal abnormalities
can be assessed at home and is noninvasive, inexpensive, and simple to understand and usually does not
interfere with a daily routine. It is frequently used to monitor the fetus in pregnancies complicated by
conditions that may affect fetal oxygenation. During the third trimester, the fetus makes about 30 gross
body movements each hour. The mother is able to recognize 70% to 80% of these movements - Answer
daily fetal movement count (DFMC)
*In assessing fetal movements, it is important to remember that they are usually not present during the
fetal sleep cycle; they may be reduced temporarily if the woman is taking depressant medication,
drinking alcohol, or smoking a cigarette. They do not decrease as the woman nears term. Obesity
decreases perception of fetal movements and consequently the ability of the mother to count them.
