ASSESSMENT OF CHAPTER 26 HIGH RISK PREGANCY
d. Family history, BMI, drug/alcohol abuse - answers✔✔1. A woman arrives at the clinic seeking
confirmation that she is pregnant. The following information is obtained: She is 24 years old
with a body mass index (BMI) of 17.5. She admits to having used cocaine "several times" during
the past year and drinks alcohol occasionally. Her blood pressure (BP) is 108/70 mm Hg, her
pulse rate is 72 beats/min, and her respiratory rate is 16 breaths/min. The family history is
positive for diabetes mellitus and cancer. Her sister recently gave birth to an infant with a neural
tube defect (NTD). Which characteristics place the woman in a high risk category?
a. Blood pressure, age, BMI
b. Drug/alcohol use, age, family history
c. Family history, blood pressure, BMI
d. Family history, BMI, drug/alcohol abuse
a. Ultrasound examination - answers✔✔2. A 39-year-old primigravida thinks that she is about 8
weeks pregnant, although she has had irregular menstrual periods all her life. She has a history
of smoking approximately one pack of cigarettes a day, but she tells you that she is trying to cut
down. Her laboratory data are within normal limits. What diagnostic technique could be used
with this pregnant woman at this time?
a. Ultrasound examination
b. Maternal serum alpha-fetoprotein (MSAFP) screening
c. Amniocentesis
d. Nonstress test (NST)
, a. Doppler blood flow analysis - answers✔✔3. The nurse sees a woman for the first time when
she is 30 weeks pregnant. The woman has smoked throughout the pregnancy, and fundal height
measurements now are suggestive of growth restriction in the fetus. In addition to ultrasound
to measure fetal size, what other tool would be useful in confirming the diagnosis?
a. Doppler blood flow analysis
b. Contraction stress test (CST)
c. Amniocentesis
d. Daily fetal movement counts
b. Biophysical profile (BPP) - answers✔✔4. A 41-week pregnant multigravida presents in the
labor and delivery unit after a nonstress test indicated that her fetus could be experiencing
some difficulties in utero. Which diagnostic tool would yield more detailed information about
the fetus?
a. Ultrasound for fetal anomalies
b. Biophysical profile (BPP)
c. Maternal serum alpha-fetoprotein (MSAFP) screening
d. Percutaneous umbilical blood sampling (PUBS)
c. Amniocentesis for fetal lung maturity - answers✔✔5. At 35 weeks of pregnancy a woman
experiences preterm labor. Tocolytics are administered and she is placed on bed rest, but she
continues to experience regular uterine contractions, and her cervix is beginning to dilate and
efface. What would be an important test for fetal well-being at this time?
a. Percutaneous umbilical blood sampling (PUBS)
b. Ultrasound for fetal size
c. Amniocentesis for fetal lung maturity
d. Nonstress test (NST)
d. Family history, BMI, drug/alcohol abuse - answers✔✔1. A woman arrives at the clinic seeking
confirmation that she is pregnant. The following information is obtained: She is 24 years old
with a body mass index (BMI) of 17.5. She admits to having used cocaine "several times" during
the past year and drinks alcohol occasionally. Her blood pressure (BP) is 108/70 mm Hg, her
pulse rate is 72 beats/min, and her respiratory rate is 16 breaths/min. The family history is
positive for diabetes mellitus and cancer. Her sister recently gave birth to an infant with a neural
tube defect (NTD). Which characteristics place the woman in a high risk category?
a. Blood pressure, age, BMI
b. Drug/alcohol use, age, family history
c. Family history, blood pressure, BMI
d. Family history, BMI, drug/alcohol abuse
a. Ultrasound examination - answers✔✔2. A 39-year-old primigravida thinks that she is about 8
weeks pregnant, although she has had irregular menstrual periods all her life. She has a history
of smoking approximately one pack of cigarettes a day, but she tells you that she is trying to cut
down. Her laboratory data are within normal limits. What diagnostic technique could be used
with this pregnant woman at this time?
a. Ultrasound examination
b. Maternal serum alpha-fetoprotein (MSAFP) screening
c. Amniocentesis
d. Nonstress test (NST)
, a. Doppler blood flow analysis - answers✔✔3. The nurse sees a woman for the first time when
she is 30 weeks pregnant. The woman has smoked throughout the pregnancy, and fundal height
measurements now are suggestive of growth restriction in the fetus. In addition to ultrasound
to measure fetal size, what other tool would be useful in confirming the diagnosis?
a. Doppler blood flow analysis
b. Contraction stress test (CST)
c. Amniocentesis
d. Daily fetal movement counts
b. Biophysical profile (BPP) - answers✔✔4. A 41-week pregnant multigravida presents in the
labor and delivery unit after a nonstress test indicated that her fetus could be experiencing
some difficulties in utero. Which diagnostic tool would yield more detailed information about
the fetus?
a. Ultrasound for fetal anomalies
b. Biophysical profile (BPP)
c. Maternal serum alpha-fetoprotein (MSAFP) screening
d. Percutaneous umbilical blood sampling (PUBS)
c. Amniocentesis for fetal lung maturity - answers✔✔5. At 35 weeks of pregnancy a woman
experiences preterm labor. Tocolytics are administered and she is placed on bed rest, but she
continues to experience regular uterine contractions, and her cervix is beginning to dilate and
efface. What would be an important test for fetal well-being at this time?
a. Percutaneous umbilical blood sampling (PUBS)
b. Ultrasound for fetal size
c. Amniocentesis for fetal lung maturity
d. Nonstress test (NST)
