Exam 9: Assessing the Fetus

What is the purpose of amniocentesis for a patient hospitalized at 34 weeks of gestation with pregnancy-induced hypertension?

A pregnant patient's biophysical profile score is 8. The patient asks the nurse to explain the results. What is the nurse's most appropriate response?

What point in the pregnancy is the most accurate time to determine gestational age through ultrasound?

The nurse is preparing a patient for a nonstress test (NST). Which interventions should the nurse plan to implement? (Select all that apply.)

When is the earliest interval that chorionic villus sampling (CVS) can be performed during pregnancy?

In preparing a pregnant patient for a nonstress test (NST), which of the following should be included in the plan of care?

What is the term for a nonstress test in which there are two or more fetal heart rate accelerations of 15 or more beats per minute (BPM) with fetal movement in a 20-minute period?

Which analysis of maternal serum is the best predictor of chromosomal abnormalities in the fetus?

The clinic nurse is obtaining a health history on a newly pregnant patient. Which is an indication for fetal diagnostic procedures if present in the health history?

A pregnant woman is scheduled to undergo chorionic villus sampling (CVS) based on genetic family history. Which medication does the nurse anticipate will be administered?

What is the purpose of initiating contractions in a contraction stress test (CST)?

A woman who is 36 weeks pregnant asks the nurse to explain the vibroacoustic stimulator (VAS) test. Which should the nurse include in the response? (Select all that apply.)

Transvaginal ultrasonography is often performed during the first trimester. A 6-week-gestation patient expresses concerns over the necessity for this test. The nurse should explain that this diagnostic test may be necessary to determine which of the following? (Select all that apply.)

What does optimal nursing care after an amniocentesis include?

Which complication could occur as a result of percutaneous umbilical blood sampling (PUBS)?

The results of a contraction stress test (CST) are positive. Which intervention is necessary based on this test result?

A patient at 36 weeks gestation is undergoing a nonstress (NST) test. The nurse observes the fetal heart rate baseline at 135 beats per minute (bpm) and four nonepisodic patterns of the fetal heart rate reaching 160 bpm for periods of 20 to 25 seconds each. How will the nurse record these findings?

A newly pregnant patient tells the nurse that she has irregular periods and is unsure of when she got pregnant. Scheduling an ultrasound is a standing prescription for the patient's health care provider. When is the best time for the nurse to schedule the patient's ultrasound?

For which patient would an L/S ratio of 2:1 potentially be considered abnormal?

Which aspect of fetal diagnostic testing is most important to expectant parents?