DURHAM, CHAPMAN, MILLER DAVIS ADVANTAGE FOR MATERNALNEWBORN NURSING 4E CHAPTER 6 ANTENATEL TESTING EXAM & ANSWERS WITH RATIONALES | LATEST UPDATE | RATED 100

1. The nurse is providing care for a 45-year-old patient who has just learned she is in the second trimester of pregnancy. The patient thought she was experiencing manifestations of menopause until she recognized fetal movement. Which diagnostic test does the nurse expect to be prescribed for this patient? 1. Amniocentesis 2. Ultrasonography 3. Daily fetal movement count 4. Chorionic villi sampling ANS: 1 This is correct. Due to the age of the patient and the period of gestation, the nurse expects amniocentesis to be performed. The test is appropriate between 15 and 20 weeks of gestation and for detection of genetic disorders in mothers older than age 35 years. 2. A patient in the second trimester of pregnancy becomes upset when the health care provider (HCP) schedules several screening tests. The patient voices concern that something is wrong with her baby. Which statement by the nurse will reduce the patient's anxiety? 1. "Multiple screening tests are ordered for every pregnancy." 2. "It is better to identify problems before birth than afterward." 3. "Screening tests are primarily to identify those without disease or abnormality." 4. "Diagnostic testing is a reason for worry because they indicate fetal problems." ANS: 3 This is correct. The truthful statement that screening tests are primarily to identify those without disease or abnormality will alleviate the patient's anxiety 3. A patient has experienced an uneventful pregnancy but begins to have vaginal spotting at 38 weeks gestation. The health care provider (HCP) suspects placenta previa initiated by cervical thinning. Which testing does the nurse expect the HCP to schedule? 1. Doppler flow studies 2. Nonstress testing 3. Magnetic resonance imaging 4. Ultrasonography studies ANS: 4 This is incorrect. Ultrasonography studies are appropriate in determining placental placement and possible abnormalitie