Exam 10: Assessment of High Risk Pregnancy

Risk factors tend to be interrelated and cumulative in their effect.While planning the care for a laboring client with diabetes mellitus,the nurse is aware that she is at a greater risk for:

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. -Abnormal placenta development

When nurses help their expectant mothers assess the daily fetal movement counts,they should be aware that:

Compared with contraction stress test (CST),nonstress test (NST)for antepartum fetal assessment:

In the past,factors to determine whether a woman was likely to develop a high risk pregnancy were evaluated primarily from a medical point of view.A broader,more comprehensive approach to high-risk pregnancy has been adopted today.There are now four categories based on threats to the health of the woman and the outcome of pregnancy.Which of the following is not one of these categories?

A woman has been diagnosed with a high risk pregnancy.She and her husband come into the office in a very anxious state.She seems to be coping by withdrawing from the discussion,showing declining interest.The nurse can best help the couple by:

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?

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 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:

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. -Advanced maternal age

In the first trimester,ultrasonography can be used to gain information on:

The nurse providing care for the antepartum woman should understand that contraction stress test (CST):