NUR 254 EXAM 1 ACTUAL PAPER SOLVED
QUESTIONS
◉ Daily Fetal Movement Count
Answer: maternal assessment of fetal movement by counting fetal
movements in a period of time to identify potentially hypoxic
fetuses
Once a day for 60 minutes
2 to 3 time daily (10 movements in 2 hours)
◉ Ultrasound
Answer: FHR, growth, age, anatomy, genetic disorders, placental
position
◉ Contraction Stress Test or Oxytocin Challenge
Answer: FHR in response to contractions which decreases
placental blood flow
3 contractions in 10 minutes
No late deceleration= negative
◉ Nonstress test (NST)
Answer: Evaluation of fetal response (fetal heart rate) to natural
contractile uterine activity or to an increase in fetal activity.
Increase FHR by 15 bpm for 15 seconds in 20 minute period twice
, Reactive= accelerations, nonreactive=no accelerations
◉ Chorionic Villus Sampling
Answer: Performed @ 10-13 weeks
Removal small tissue specimen from fetal portion of placenta
Mom who are Rh - should receive Rh0D immunoglobulin to
prevent red cell alloisoimmunization
◉ Amniocentesis
Answer: needle puncture of the amniotic sac to withdraw
amniotic fluid for analysis
Genetic Concerns
Performed at or after 15 weeks
◉ Complications of amniocentesis
Answer: Amniotic fluid emboli, maternal or fetal hemorrhage,
fetomaternal hemorrhage with Rh isoimmunization, maternal or
fetal infection, inadvertent fetal damage or anomalies involving
limbs, fetal death, inadvertent maternal or intestinal bladder
damage, miscarriage or preterm labor, premature ROM, leakage of
amniotic fluid
◉ HTN
Answer: High risk maternal & fetal morbidity/ mortality
Chronic HTN- <20 week gestation
QUESTIONS
◉ Daily Fetal Movement Count
Answer: maternal assessment of fetal movement by counting fetal
movements in a period of time to identify potentially hypoxic
fetuses
Once a day for 60 minutes
2 to 3 time daily (10 movements in 2 hours)
◉ Ultrasound
Answer: FHR, growth, age, anatomy, genetic disorders, placental
position
◉ Contraction Stress Test or Oxytocin Challenge
Answer: FHR in response to contractions which decreases
placental blood flow
3 contractions in 10 minutes
No late deceleration= negative
◉ Nonstress test (NST)
Answer: Evaluation of fetal response (fetal heart rate) to natural
contractile uterine activity or to an increase in fetal activity.
Increase FHR by 15 bpm for 15 seconds in 20 minute period twice
, Reactive= accelerations, nonreactive=no accelerations
◉ Chorionic Villus Sampling
Answer: Performed @ 10-13 weeks
Removal small tissue specimen from fetal portion of placenta
Mom who are Rh - should receive Rh0D immunoglobulin to
prevent red cell alloisoimmunization
◉ Amniocentesis
Answer: needle puncture of the amniotic sac to withdraw
amniotic fluid for analysis
Genetic Concerns
Performed at or after 15 weeks
◉ Complications of amniocentesis
Answer: Amniotic fluid emboli, maternal or fetal hemorrhage,
fetomaternal hemorrhage with Rh isoimmunization, maternal or
fetal infection, inadvertent fetal damage or anomalies involving
limbs, fetal death, inadvertent maternal or intestinal bladder
damage, miscarriage or preterm labor, premature ROM, leakage of
amniotic fluid
◉ HTN
Answer: High risk maternal & fetal morbidity/ mortality
Chronic HTN- <20 week gestation
