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A nurse is assessing a pregnant client at 8 weeks gestation.
Which finding is expected?
A. Fundus at umbilicus
B. Fetal movement felt
C. Positive Chadwick’s sign
D. Colostrum production
Correct Answer: C
Rationale: Chadwick’s sign (bluish discoloration of cervix) is an
early sign of pregnancy due to increased vascularity.
Foods high in folic acid are:
CORRECT ANSWER:
Leafy vegetables
Dried peas
Dried beans
Seeds
Orange juice
FHR can be heard by Doppler at:
CORRECT ANSWER:
10-12 weeks GA
What vitamin aids in the absorption of Iron?
CORRECT ANSWER:
Vitamin C
Between 18 and 30 weeks the fundal height should measure what?
,CORRECT ANSWER:
It should equal the week of gestation
MSAFP screening is done:
CORRECT ANSWER:
15-22 weeks of gestation
maternal serum alpha-fetoprotein (MSAFP) screen. It's usually as
part of a set of tests, which screen for genetic problems, called the
quad screen.
AFP is a substance made in the liver of an unborn baby (fetus).
Smoking tobacco during pregnancy is associated with :
CORRECT ANSWER:
Low Birth Weight
Pregnant mothers should consume how much water each day?
CORRECT ANSWER:
2 to 3 Liters of water from food and beverage sources.
Regarding kick counts, what are signs that a woman needs further
evaluation?
CORRECT ANSWER:
Fetal movements of less than 3 in one hour
No fetal movement for 12 hours
The recommended weight gain during pregnancy is usually:
CORRECT ANSWER:
25-35lbs
3-4 lb in first trimester
1 lb per week in the last two trimesters
,It is recommended that _____ mcg of folic acid be taken during
pregnancy.
CORRECT ANSWER:
600
It is recommended that clients who are lactating consume ____ mcg
of folic acid.
CORRECT ANSWER:
500
The clients bladder needs to be _____ before an ultrasound.
CORRECT ANSWER:
Full
biophysical profile (BPP) normal score is
CORRECT ANSWER:
A biophysical profile (BPP) test measures the health of your baby
(fetus) during pregnancy.
8-10
BPP abnormal score is
CORRECT ANSWER:
<4
If a BPP comes back as 6.....
CORRECT ANSWER:
It should be retested
BPP assess for
CORRECT ANSWER:
Fetal well being
, non-stress test ( NST)
CORRECT ANSWER:
most widely used technique for antepartum evaluation of fetal well
being performed during the third trimester.
Reactive NST
CORRECT ANSWER:
FHR is a normal baseline rate with moderate variablity
Two accelerations to 15 bpm for at least 15 secs in 20 min period
A non reactive NST would indicate what about the fetus?
CORRECT ANSWER:
The fetal heart rate does not accelerate adequately with fetal
movement.
-A BPP or CST will need to be done now
Positive CST is normal or abnormal
CORRECT ANSWER:
abnormal
The contraction stress test — also called a stress test or an oxytocin
challenge test — may be done during pregnancy to measure the
baby's heart rate during uterine contractions. Its purpose is to make
sure the baby can get the oxygen he needs from the placenta during
labor.
Positive CST is indicated when:
CORRECT ANSWER:
Persistent and consistent late decels on more than half of the
contractions.
An amniocentesis may be performed when?