Exam 10: Assessment of High Risk Pregnancy

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 40-year-old woman is 10 weeks pregnant.Which diagnostic tool would be appropriate to suggest to her at this time?

Biophysical risks include factors that originate with either the mother or the fetus and affect the functioning of either one or both. The nurse who provides prenatal care should have an understanding of these risk factors. Match the specific pregnancy problem with the related risk factor. -Smoking,alcohol,and illicit drug use

Which analysis of maternal serum may predict chromosomal abnormalities in the fetus?

Which nursing intervention is necessary before a second-trimester transabdominal ultrasound?

Biophysical risks include factors that originate with either the mother or the fetus and affect the functioning of either one or both. The nurse who provides prenatal care should have an understanding of these risk factors. Match the specific pregnancy problem with the related risk factor. -Premature rupture of membranes

Biophysical risks include factors that originate with either the mother or the fetus and affect the functioning of either one or both. The nurse who provides prenatal care should have an understanding of these risk factors. Match the specific pregnancy problem with the related risk factor. -Fetal congenital anomalies

Transvaginal ultrasonography is often performed during the first trimester.While preparing your 6-week gestation patient for this procedure,she expresses concerns over the necessity for this test.The nurse should explain that this diagnostic test may be indicated for a number of situations (Select all that apply).

Nurses should be aware of the strengths and limitations of various biochemical assessments during pregnancy,including that:

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:

With regard to amniocentesis,nurses should be aware that:

Nurses should be aware that the biophysical profile (BPP):

A pregnant woman's biophysical profile score is 8.She asks the nurse to explain the results.The nurse's best response is:

The nurse recognizes that a nonstress test (NST)in which two or more fetal heart rate (FHR)accelerations of 15 beats/min or more occur with fetal movement in a 20-minute period is:

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?

In comparing the abdominal and transvaginal methods of ultrasound examination,nurses should explain to their clients that:

While working with the pregnant woman in her first trimester,the nurse is aware that chorionic villus sampling (CVS)can be performed during pregnancy at:

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?

Intrauterine growth restriction (IUGR)is associated with numerous pregnancy-related risk factors (Select all that apply).

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?