MATERNAL CHILD NURSING 5TH EDITION MCKINNEY TEST BANK
Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 220
Chapter 15: Prenatal Diagnostic Tests
MULTIPLE CHOICE
1. A pregnant womans biophysical profile score is 8. She asks the nurse to explain the results. The nurses best
response is
a. The test results are within normal limits.
b. Immediate delivery by cesarean birth is being considered.
c. Further testing will be performed to determine the meaning of this score.
d. An obstetric specialist will evaluate the results of this profile and, within the next week, will
inform you of your options regarding delivery.
ANS: A
Feedback
A The normal biophysical score ranges from 8 to 10 points if the amniotic fluid volume is
adequate. A normal score allows conservative treatment of high-risk patients. Delivery can be
delayed if fetal well-being is indicated.
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B Scores less than 4 should be investigated, and delivery could be initiated sooner than planned.
C This score is within normal range, and no further testing is required at this time.
D The results of the biophysical profile are usually available immediately after the procedure is
performed.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 313 | Table 15-1
OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
2. Which analysis of maternal serum may predict chromosomal abnormalities in the fetus?
a. Multiple-marker screening
b. Lecithin/sphingomyelin (L/S) ratio
c. Biophysical profile
d. Type and crossmatch of maternal and fetal serum
ANS: A
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, MATERNAL CHILD NURSING 5TH EDITION MCKINNEY TEST BANK
Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 221
Feedback
A Maternal serum can be analyzed for abnormal levels of alpha-fetoprotein, human chorionic
gonadotropin, and estriol. The multiple-marker screening may predict chromosomal defects
in the fetus.
B The L/S ratio is used to determine fetal lung maturity.
C A biophysical profile is used for evaluating fetal status during the antepartum period. Five
variables are used, but none is concerned with chromosomal problems.
D The blood type and crossmatch will not predict chromosomal defects in the fetus.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 305
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
3. The nurse providing care for the pregnant woman understands that a factor indicating the need for fetal
diagnostic procedures is
a. Maternal diabetes
b. Maternal age older than 30 years
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c. Previous infant more than 3000 g at birth
d. Weight gain of 25 pounds
ANS: A
Feedback
A Diabetes is a risk factor in pregnancy because of possible impairment of placental perfusion.
B A maternal age greater than 35 years is an indication for testing.
C Having had another infant weighing greater than 4000 g at birth is an indication for testing.
D Excessive weight gain is an indication for testing. Normal weight gain is 15 to 35 pounds.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 302 | Box 15-1
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
4. When is the best time to determine gestational age based on biparietal diameter through ultrasound?
NURSINGTB.COM
Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 220
Chapter 15: Prenatal Diagnostic Tests
MULTIPLE CHOICE
1. A pregnant womans biophysical profile score is 8. She asks the nurse to explain the results. The nurses best
response is
a. The test results are within normal limits.
b. Immediate delivery by cesarean birth is being considered.
c. Further testing will be performed to determine the meaning of this score.
d. An obstetric specialist will evaluate the results of this profile and, within the next week, will
inform you of your options regarding delivery.
ANS: A
Feedback
A The normal biophysical score ranges from 8 to 10 points if the amniotic fluid volume is
adequate. A normal score allows conservative treatment of high-risk patients. Delivery can be
delayed if fetal well-being is indicated.
NURSINGTB.COM
B Scores less than 4 should be investigated, and delivery could be initiated sooner than planned.
C This score is within normal range, and no further testing is required at this time.
D The results of the biophysical profile are usually available immediately after the procedure is
performed.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 313 | Table 15-1
OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
2. Which analysis of maternal serum may predict chromosomal abnormalities in the fetus?
a. Multiple-marker screening
b. Lecithin/sphingomyelin (L/S) ratio
c. Biophysical profile
d. Type and crossmatch of maternal and fetal serum
ANS: A
NURSINGTB.COM
, MATERNAL CHILD NURSING 5TH EDITION MCKINNEY TEST BANK
Test Bank - Maternal-Child Nursing (5th Edition by McKinney) 221
Feedback
A Maternal serum can be analyzed for abnormal levels of alpha-fetoprotein, human chorionic
gonadotropin, and estriol. The multiple-marker screening may predict chromosomal defects
in the fetus.
B The L/S ratio is used to determine fetal lung maturity.
C A biophysical profile is used for evaluating fetal status during the antepartum period. Five
variables are used, but none is concerned with chromosomal problems.
D The blood type and crossmatch will not predict chromosomal defects in the fetus.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 305
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
3. The nurse providing care for the pregnant woman understands that a factor indicating the need for fetal
diagnostic procedures is
a. Maternal diabetes
b. Maternal age older than 30 years
NURSINGTB.COM
c. Previous infant more than 3000 g at birth
d. Weight gain of 25 pounds
ANS: A
Feedback
A Diabetes is a risk factor in pregnancy because of possible impairment of placental perfusion.
B A maternal age greater than 35 years is an indication for testing.
C Having had another infant weighing greater than 4000 g at birth is an indication for testing.
D Excessive weight gain is an indication for testing. Normal weight gain is 15 to 35 pounds.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 302 | Box 15-1
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
4. When is the best time to determine gestational age based on biparietal diameter through ultrasound?
NURSINGTB.COM
