Exam 9: Assessment for Risk Factors

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?

MSAFP levels have been used as a screening tool for ________________ in pregnancy.

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

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:

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?

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

In comparison to contraction stress tests (CSTs),the nonstress test (NST) for antepartum fetal assessment:

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

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

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 he or she is at a greater risk for:

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:

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

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

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:

In the United States today:

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?

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. These categories include all of these except:

Intrauterine growth restriction is associated with what pregnancy-related risk factors? Choose all that apply.

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 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?