MATERNAL CHILD NURSING CARE - CHAPTER 10: ASSESSMENT
OF HIGH RISK PREGNANCY QUESTIONS AND ANSWERS 2022
A woman arrives at the clinic seeking
... [Show More] 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 - ANS-d. Family history, BMI, drug/alcohol
abuse
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) - ANS-a. Ultrasound examination
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 - ANSA 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) - ANS-b. Biophysical profile (BPP)
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) - ANS-c. Amniocentesis for fetal lung maturity
A 40-year-old woman is 10 weeks pregnant. Which diagnostic tool would be
appropriate to suggest to her at this time?
a. Biophysical profile (BPP)
b. Amniocentesis
c. Maternal serum alpha-fetoprotein (MSAFP) screening
d. Transvaginal ultrasound - ANS-d. Transvaginal ultrasound
Maternal serum alpha-fetoprotein (MSAFP) screening indicates an elevated level.
MSAFP screening is
repeated and again is reported as higher than normal. What would be the next step
in the assessment sequence to determine the well-being of the fetus?
a. Percutaneous umbilical blood sampling (PUBS)
b. Ultrasound for fetal anomalies
c. Biophysical profile (BPP) for fetal well-being
d. Amniocentesis for genetic anomalies - ANS-b. Ultrasound for fetal anomalies
A client asks her nurse, My doctor told me that he is concerned with the grade of my
placenta because I am overdue. What does that mean? The best response by the
nurse is:
a. Your placenta changes as your pregnancy progresses, and it is given a score that
indicates the
amount of calcium deposits it has. The more calcium deposits, the higher the grade,
or number, that is assigned to the placenta. It also means that less blood and oxygen
can be delivered to your baby.
b. Your placenta isn't working properly, and your baby is in danger.
c. This means that we will need to perform an amniocentesis to detect if you have
any placental
damage.
d. Don't worry about it. Everything is fine. - ANS-a. Your placenta changes as your
pregnancy progresses, and it is given a score that indicates the
amount of calcium deposits it has. The more calcium deposits, the higher the grade,
or number, that is assigned to the placenta. It also means that less blood and oxygen
can be delivered to your baby.
A woman is undergoing a nipple-stimulated contraction stress test (CST). She is
having contractions that occur every 3 minutes. The fetal heart rate (FHR) has a
baseline of approximately 120 beats/min without any decelerations. The
interpretation of this test is said to be:
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