Maternal Test 1- Antepartum Exam with verified ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answers
A woman who is 6 weeks' pregnant is scheduled for an ultrasound. She asks the nurse what
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can be seen at this stage of the pregnancy. The nurse would be correct if she responded -
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correct answer✔✔the baby's heartbeat ||\\//|| ||\\//|| ||\\//||
Fetal presentation is determined during - correct answer✔✔the second and third trimesters
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The nurse is teaching a woman in her second trimester about an upcoming ultrasonography
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exam. The nurse knows her teaching has been successful when the woman states - correct
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answer✔✔"I will drink several glasses of water about an hour before I come in for the test." ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Drinking several glasses of clear fluid 1 hour before the time of the examination will produce
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a full bladder. The bladder will displace the intestines and elevate the uterus for better
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visibility. It is not necessary to be NPO for 8 hours prior to this exam. No fetal post- ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
procedure assessments are necessary. ||\\//|| ||\\//|| ||\\//||
On which aspect of fetal diagnostic testing do parents usually place the most importance? -
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correct answer✔✔Safety of the fetus ||\\//|| ||\\//|| ||\\//|| ||\\//||
The nurse is explaining the results of a maternal serum alpha-fetoprotein screening test to
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the woman. The nurse knows the woman does not understand the teaching if she says -
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correct answer✔✔"Since the levels were within normal limits, I know the baby does not
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have any anomalies." ||\\//|| ||\\//|| ||\\//||
,Alpha-fetoprotein levels are a screening test. Some fetal defects are covered by skin and do ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
not produce elevated levels of AFP. MSAFP levels are a screening test and must be viewed as
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the first step in a series of diagnostic procedures that are indicated if abnormal
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concentrations are found. Inaccurate estimation of gestational age can result in false-positive ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
or false-negative results. Low levels are an indication of Down syndrome; more testing is
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indicated.
A woman had a chorionic villus sampling procedure. Prior to discharge the nurse should
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teach her to report what symptom that may be an indication of a complication? - correct
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answer✔✔Vaginal bleeding or passage of amniotic fluid ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Vaginal bleeding or passage of amniotic fluid suggests possible miscarriage and should be
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reported. Chorionic villus sampling is done between 10 and 12 weeks of gestation. Fetal ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
movement is not felt until about 16 weeks. Frequent urination, nausea, and vomiting are ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
common symptoms of pregnancy during the first trimester and not an indication of ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
procedural complications. ||\\//||
A woman who is 8 months pregnant has been advised to have an amniocentesis. She asked
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the nurse the reason for the procedure. The usual reason for an amniocentesis during this
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period of pregnancy would be to - correct answer✔✔determine fetal lung maturity.
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The usual reason for amniocentesis during the third trimester is to determine fetal lung
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maturity. Amniocentesis to identify chromosomal abnormalities or to detect levels of AFP are ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
done during the second trimester. Amniocentesis is not done to measure amniotic fluid
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amounts.
The results of a nonstress test shows three fetal heart rate accelerations with fetal
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movement that peak at 15 beats per minute above baseline and last 15 seconds. The nurse's ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
next action should be to - correct answer✔✔do nothing
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,A reactive sign is at least two fetal heart rate accelerations with or without fetal movement,
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occurring within a 20-minute period, peaking at least 15 beats per minute above the ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
baseline, and lasting 15 seconds. This is reassuring, and no further testing is necessary.
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Acoustic stimulation can be used if the fetus is not active. The results given in the base of
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the question are reassuring, and no other testing is necessary.
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A woman who is 8 months' pregnant had a biophysical profile test done. The results give a
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score of 4/10. The nurse can anticipate that the next plan of action may be to - correct
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answer✔✔consider delivery ||\\//||
A score of 4 out of 10 (4/10) is nonreassuring. Delivery may be considered as an option,
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because the fetus is at risk. Three hours will not alter the test results significantly.
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Interventions may be necessary with a score of 4/10. A biophysical profile indicates the ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
condition of the fetus, not the woman. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
When is the most accurate time to determine gestational age through ultrasound? - correct
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answer✔✔First trimester ||\\//|| ||\\//||
During the first trimester, measurement of the crown-rump length of the embryo is the most
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reliable indicator of gestational age. Gestational age determination by ultrasonography is
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increasingly less accurate after the first trimester. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The purpose of initiating contractions in a contraction stress test is to - correct
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answer✔✔apply a stressful stimulus to the fetus ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The contraction stress test involves recording the response of the fetal heart rate to stress
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induced by uterine contractions. ||\\//|| ||\\//|| ||\\//||
The nurse is admitting a woman to the labor unit. When reviewing the prenatal record, the
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nurse notices that the woman did not gain the adequate amount of weight that was
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recommended for her pregnancy. The nurse is aware that the neonate will be at risk for - ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
correct answer✔✔low birth weight ||\\//|| ||\\//|| ||\\//||
, In teaching about weight gain during pregnancy, the nurse should include - correct
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answer✔✔during the third trimester, the pregnant woman should gain about 1 pound of ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
weight per week. ||\\//|| ||\\//|| ||\\//||
The pattern of weight gain is as important as the total increase. The general
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recommendation for the third trimester is 1 pound per week. Weight gain during pregnancy ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
differs according to the beginning weight. A woman who is overweight should gain 15 to 25
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pounds; a woman who is underweight should gain 28 to 40 pounds. Weight gain is important
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during pregnancy even for a woman who is overweight. An adolescent pregnant woman
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needs to gain weight toward the top end of the recommended weight gains. She needs to
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provide not only for the fetus but also for her own growth. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
To increase her folic acid intake, what snack would be most beneficial for a pregnant
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woman? - correct answer✔✔Orange juice and fortified cereal ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Both orange juice and fortified cereal are excellent sources of folic acid. Most meats and
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condiments are not high in folic acid. The bread may have folic acid added if it is enriched. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Strawberries, bananas, most meats and tomatoes are NOT high in folic acid. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A woman has been diagnosed with iron deficiency anemia. The nurse knows that patient
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teaching about increasing iron intake has been effective if the woman chooses - correct ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔green salad with broccoli, black beans, and strawberries. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Green leafy vegetables and legumes are rich in iron. The strawberries are rich in vitamin C,
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which increases the absorption of iron. Boiled eggs and whole grain bread are rich in iron,
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but milk will decrease the absorption of iron and should not be taken at the same time.
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Meats and legumes are rich in iron; tea will decrease the absorption of iron and should not
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be taken at the same time. Broiled fish, fried potatoes, and green beans are not rich in iron.
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answers
A woman who is 6 weeks' pregnant is scheduled for an ultrasound. She asks the nurse what
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can be seen at this stage of the pregnancy. The nurse would be correct if she responded -
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correct answer✔✔the baby's heartbeat ||\\//|| ||\\//|| ||\\//||
Fetal presentation is determined during - correct answer✔✔the second and third trimesters
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The nurse is teaching a woman in her second trimester about an upcoming ultrasonography
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exam. The nurse knows her teaching has been successful when the woman states - correct
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answer✔✔"I will drink several glasses of water about an hour before I come in for the test." ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Drinking several glasses of clear fluid 1 hour before the time of the examination will produce
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a full bladder. The bladder will displace the intestines and elevate the uterus for better
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visibility. It is not necessary to be NPO for 8 hours prior to this exam. No fetal post- ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
procedure assessments are necessary. ||\\//|| ||\\//|| ||\\//||
On which aspect of fetal diagnostic testing do parents usually place the most importance? -
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correct answer✔✔Safety of the fetus ||\\//|| ||\\//|| ||\\//|| ||\\//||
The nurse is explaining the results of a maternal serum alpha-fetoprotein screening test to
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the woman. The nurse knows the woman does not understand the teaching if she says -
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correct answer✔✔"Since the levels were within normal limits, I know the baby does not
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have any anomalies." ||\\//|| ||\\//|| ||\\//||
,Alpha-fetoprotein levels are a screening test. Some fetal defects are covered by skin and do ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
not produce elevated levels of AFP. MSAFP levels are a screening test and must be viewed as
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the first step in a series of diagnostic procedures that are indicated if abnormal
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concentrations are found. Inaccurate estimation of gestational age can result in false-positive ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
or false-negative results. Low levels are an indication of Down syndrome; more testing is
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indicated.
A woman had a chorionic villus sampling procedure. Prior to discharge the nurse should
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teach her to report what symptom that may be an indication of a complication? - correct
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answer✔✔Vaginal bleeding or passage of amniotic fluid ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Vaginal bleeding or passage of amniotic fluid suggests possible miscarriage and should be
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reported. Chorionic villus sampling is done between 10 and 12 weeks of gestation. Fetal ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
movement is not felt until about 16 weeks. Frequent urination, nausea, and vomiting are ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
common symptoms of pregnancy during the first trimester and not an indication of ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
procedural complications. ||\\//||
A woman who is 8 months pregnant has been advised to have an amniocentesis. She asked
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the nurse the reason for the procedure. The usual reason for an amniocentesis during this
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period of pregnancy would be to - correct answer✔✔determine fetal lung maturity.
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The usual reason for amniocentesis during the third trimester is to determine fetal lung
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maturity. Amniocentesis to identify chromosomal abnormalities or to detect levels of AFP are ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
done during the second trimester. Amniocentesis is not done to measure amniotic fluid
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amounts.
The results of a nonstress test shows three fetal heart rate accelerations with fetal
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movement that peak at 15 beats per minute above baseline and last 15 seconds. The nurse's ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
next action should be to - correct answer✔✔do nothing
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,A reactive sign is at least two fetal heart rate accelerations with or without fetal movement,
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occurring within a 20-minute period, peaking at least 15 beats per minute above the ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
baseline, and lasting 15 seconds. This is reassuring, and no further testing is necessary.
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Acoustic stimulation can be used if the fetus is not active. The results given in the base of
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the question are reassuring, and no other testing is necessary.
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A woman who is 8 months' pregnant had a biophysical profile test done. The results give a
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score of 4/10. The nurse can anticipate that the next plan of action may be to - correct
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answer✔✔consider delivery ||\\//||
A score of 4 out of 10 (4/10) is nonreassuring. Delivery may be considered as an option,
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because the fetus is at risk. Three hours will not alter the test results significantly.
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Interventions may be necessary with a score of 4/10. A biophysical profile indicates the ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
condition of the fetus, not the woman. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
When is the most accurate time to determine gestational age through ultrasound? - correct
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answer✔✔First trimester ||\\//|| ||\\//||
During the first trimester, measurement of the crown-rump length of the embryo is the most
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reliable indicator of gestational age. Gestational age determination by ultrasonography is
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increasingly less accurate after the first trimester. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The purpose of initiating contractions in a contraction stress test is to - correct
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answer✔✔apply a stressful stimulus to the fetus ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The contraction stress test involves recording the response of the fetal heart rate to stress
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induced by uterine contractions. ||\\//|| ||\\//|| ||\\//||
The nurse is admitting a woman to the labor unit. When reviewing the prenatal record, the
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nurse notices that the woman did not gain the adequate amount of weight that was
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recommended for her pregnancy. The nurse is aware that the neonate will be at risk for - ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
correct answer✔✔low birth weight ||\\//|| ||\\//|| ||\\//||
, In teaching about weight gain during pregnancy, the nurse should include - correct
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answer✔✔during the third trimester, the pregnant woman should gain about 1 pound of ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
weight per week. ||\\//|| ||\\//|| ||\\//||
The pattern of weight gain is as important as the total increase. The general
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recommendation for the third trimester is 1 pound per week. Weight gain during pregnancy ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
differs according to the beginning weight. A woman who is overweight should gain 15 to 25
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pounds; a woman who is underweight should gain 28 to 40 pounds. Weight gain is important
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during pregnancy even for a woman who is overweight. An adolescent pregnant woman
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needs to gain weight toward the top end of the recommended weight gains. She needs to
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provide not only for the fetus but also for her own growth. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
To increase her folic acid intake, what snack would be most beneficial for a pregnant
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woman? - correct answer✔✔Orange juice and fortified cereal ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Both orange juice and fortified cereal are excellent sources of folic acid. Most meats and
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condiments are not high in folic acid. The bread may have folic acid added if it is enriched. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Strawberries, bananas, most meats and tomatoes are NOT high in folic acid. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
A woman has been diagnosed with iron deficiency anemia. The nurse knows that patient
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teaching about increasing iron intake has been effective if the woman chooses - correct ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔green salad with broccoli, black beans, and strawberries. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Green leafy vegetables and legumes are rich in iron. The strawberries are rich in vitamin C,
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which increases the absorption of iron. Boiled eggs and whole grain bread are rich in iron,
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but milk will decrease the absorption of iron and should not be taken at the same time.
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Meats and legumes are rich in iron; tea will decrease the absorption of iron and should not
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be taken at the same time. Broiled fish, fried potatoes, and green beans are not rich in iron.
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