Exam 12: Pregnancy Risk Factors and Assessment: Maternal and Fetal

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.How would the nurse document the interpretation of this test?

What should the nurse be aware of in relation to the biophysical profile (BPP)?

A patient asks her nurse,"My doctor told me that he is concerned about the grade of my placenta because I am overdue.What does that mean?" What is the best response from the nurse?

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

In the first trimester,ultrasonography can be used to gain information on which of the following?

A 41-week pregnant multigravida presents in the labour 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?

Which of the following statements is accurate in relation to the contraction stress test (CST)?

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.How can the nurse best help the couple?

At 35 weeks of pregnancy,a woman experiences preterm labour.Although tocolytics are administered and she is placed on bed rest,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?

In comparing the abdominal and transvaginal methods of ultrasound examination,what should the nurse explain to the patient?

A maternal serum alpha-fetoprotein (AFP)test indicates an elevated level.It 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?

The nurse sees a woman for the first time when she is 30 weeks pregnant.The woman has smoked throughout the pregnancy,and her fundal height measurements now are suggestive of growth restriction in the fetus.In addition to ultrasound to measure fetal size,what would be another tool useful in confirming the diagnosis?

When nurses help expectant mothers assess the daily fetal movement counts,they should be aware of which of the following?

Intrauterine growth restriction is associated with what pregnancy-related risk factors?

Risk factors tend to be interrelated and cumulative in their effect.While planning the care for a labouring patient with diabetes mellitus,the nurse is aware that the woman is at a greater risk for which of the following?

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?

Which of the following factors is strongly related to maternal mortality in Canada?

Which of the following statements is true?

Which of the following is true in relation to the nonstress test (NST)for antepartum fetal assessment?

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?