Exam 10: Assessment of High-Risk Pregnancy

MATCHING 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

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

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

MATCHING 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

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

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:

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:

A patient 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:

MATCHING 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

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

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

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

MATCHING 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

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?

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 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:

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

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

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