Question 1

The nurse teaches a pregnant woman that which diagnostic test evaluates the effect of fetal movement on fetal heart activity?

Accepted Answer

A)  Contraction stress test (CST) 
B)  Sonography 
C)  Biophysical profile 
D)  Nonstress test (NST) 
A)  Contraction stress test (CST) 
B)  Sonography 
C)  Biophysical profile 
D)  Nonstress test (NST) D

Question 2

When is the best time to determine gestational age based on biparietal diameter through ultrasound?

Accepted Answer

A)  First trimester only 
B)  Second trimester only 
C)  Any time 
D)  Second half of pregnancy 
A)  First trimester only 
B)  Second trimester only 
C)  Any time 
D)  Second half of pregnancy D

Question 3

Which statement regarding various biochemical assessments used during pregnancy is correct?

Accepted Answer

A)  Chorionic villus sampling (CVS) is becoming more popular because it provides early diagnosis. 
B)  Screening for maternal serum alpha-fetoprotein (MSAFP) levels is recommended between 10 and 12 weeks of gestation in order to give parents time to consider options. 
C)  Percutaneous umbilical blood sampling (PUBS) is one of the multiple marker screen tests for Down syndrome. 
D)  MSAFP is a screening tool only; it identifies candidates for more definitive procedures. 
A)  Chorionic villus sampling (CVS) is becoming more popular because it provides early diagnosis. 
B)  Screening for maternal serum alpha-fetoprotein (MSAFP) levels is recommended between 10 and 12 weeks of gestation in order to give parents time to consider options. 
C)  Percutaneous umbilical blood sampling (PUBS) is one of the multiple marker screen tests for Down syndrome. 
D)  MSAFP is a screening tool only; it identifies candidates for more definitive procedures. D

Question 4

A pregnant woman states "This test isn't my idea,but my husband insists." Which response by the nurse is most appropriate?

Accepted Answer

A)  "Don't worry. Everything will be fine." 
B)  "Why don't you want to have this test?" 
C)  "You're concerned about having this test?" 
D)  "It's your decision." 
A)  "Don't worry. Everything will be fine." 
B)  "Why don't you want to have this test?" 
C)  "You're concerned about having this test?" 
D)  "It's your decision."

Question 5

The nurse's role in diagnostic testing is to provide

Accepted Answer

A)  advice to the couple. 
B)  assistance with decision making. 
C)  information about the tests. 
D)  reassurance about fetal safety. 
A)  advice to the couple. 
B)  assistance with decision making. 
C)  information about the tests. 
D)  reassurance about fetal safety.

Question 6

The primary reason for evaluating alpha-fetoprotein (AFP)levels in maternal serum is to determine if the fetus has

Accepted Answer

A)  hemophilia. 
B)  a neural tube defect. 
C)  sickle cell anemia. 
D)  a normal lecithin/sphingomyelin (L/S) ratio. 
A)  hemophilia. 
B)  a neural tube defect. 
C)  sickle cell anemia. 
D)  a normal lecithin/sphingomyelin (L/S) ratio.

Question 7

The purpose of initiating contractions in a CST is to

Accepted Answer

A)  determine the degree of fetal activity. 
B)  apply a stressful stimulus to the fetus. 
C)  identifying fetal acceleration patterns. 
D)  increase placental blood flow. 
A)  determine the degree of fetal activity. 
B)  apply a stressful stimulus to the fetus. 
C)  identifying fetal acceleration patterns. 
D)  increase placental blood flow.

Question 8

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

Accepted Answer

A)  Place the woman NPO for 12 hours. 
B)  Instruct the woman to drink 1 to 2 quarts of water. 
C)  Administer a soapsuds enema. 
D)  Perform an abdominal prep. 
A)  Place the woman NPO for 12 hours. 
B)  Instruct the woman to drink 1 to 2 quarts of water. 
C)  Administer a soapsuds enema. 
D)  Perform an abdominal prep.

Question 9

A woman is scheduled for an ultrasound and is asking the nurse questions about this test.Which statement by the nurse regarding ultrasonography during pregnancy is most accurate?

Accepted Answer

A)  Ultrasonography uses infrared technology to create an image. 
B)  Ultrasonography is only utilized as an adjunct to more invasive tests. 
C)  Ultrasonography is not harmful to the fetus. 
D)  Ultrasonography is not a component of biophysical profile testing. 
A)  Ultrasonography uses infrared technology to create an image. 
B)  Ultrasonography is only utilized as an adjunct to more invasive tests. 
C)  Ultrasonography is not harmful to the fetus. 
D)  Ultrasonography is not a component of biophysical profile testing.

Question 10

A nurse is preparing a woman for a nonstress test (NST).What nursing action is most appropriate?

Accepted Answer

A)  Position the woman on her left side. 
B)  Seat the woman comfortably in a recliner. 
C)  Have the woman to drink 1 liter of water prior to the test. 
D)  Place conduction gel on the obese woman's abdomen. 
A)  Position the woman on her left side. 
B)  Seat the woman comfortably in a recliner. 
C)  Have the woman to drink 1 liter of water prior to the test. 
D)  Place conduction gel on the obese woman's abdomen.

Question 11

The nurse providing care for the pregnant woman understands that a factor indicating the need for fetal diagnostic procedures is

Accepted Answer

A)  maternal diabetes. 
B)  maternal age older than 30 years. 
C)  previous infant more than 3000 g at birth. 
D)  weight gain of 25 pounds. 
A)  maternal diabetes. 
B)  maternal age older than 30 years. 
C)  previous infant more than 3000 g at birth. 
D)  weight gain of 25 pounds.

Question 12

A pregnant woman has the following assessments determined from a biophysical profile: reactive nonstress test,3 fetal breathing movements within 30 minutes,1 trunk movement in 30 minutes,opened and closed hand twice in 30 minutes,largest amniotic pocket of 1 cm.Calculate this woman's score.
This woman's score is _____.

Accepted Answer

8
The scoring is as

Question 13

The nurse teaches a student that indications for percutaneous umbilical cord sampling (PUBS)include which of the following? (Select all that apply.)

Accepted Answer

A)  Rh disease 
B)  Fetal well-being 
C)  Infection 
D)  Lung maturity 
E)  Karyotyping 
A)  Rh disease 
B)  Fetal well-being 
C)  Infection 
D)  Lung maturity 
E)  Karyotyping

Question 14

A nurse is teaching a woman how to do "kick counts." What information about this assessment is most appropriate?

Accepted Answer

A)  Notify your provider if the baby's movement patterns change. 
B)  Count the number of fetal movements over 2 hours. 
C)  Call the OB triage area if there are fewer than 10 movements/hour. 
D)  Have your partner verify your count at the same time you perform it. 
A)  Notify your provider if the baby's movement patterns change. 
B)  Count the number of fetal movements over 2 hours. 
C)  Call the OB triage area if there are fewer than 10 movements/hour. 
D)  Have your partner verify your count at the same time you perform it.

Question 15

What is the purpose of amniocentesis for the patient hospitalized at 34 weeks with pregnancy-induced hypertension?

Accepted Answer

A)  Identification of abnormal fetal cells 
B)  Detection of metabolic disorders 
C)  Determination of fetal lung maturity 
D)  Identification of sex of the fetus 
A)  Identification of abnormal fetal cells 
B)  Detection of metabolic disorders 
C)  Determination of fetal lung maturity 
D)  Identification of sex of the fetus

Question 16

The major advantage of chorionic villus sampling (CVS)over amniocentesis is that it

Accepted Answer

A)  is not an invasive procedure. 
B)  does not require hospitalization. 
C)  has less risk of spontaneous abortion. 
D)  is performed earlier in pregnancy. 
A)  is not an invasive procedure. 
B)  does not require hospitalization. 
C)  has less risk of spontaneous abortion. 
D)  is performed earlier in pregnancy.

Question 17

An NST in which two or more fetal heart rate (FHR)accelerations of 15 beats per minute (bpm)or more occur with fetal movement in a 20-minute period is termed

Accepted Answer

A)  nonreactive. 
B)  positive. 
C)  negative. 
D)  reactive. 
A)  nonreactive. 
B)  positive. 
C)  negative. 
D)  reactive.

Question 18

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

Accepted Answer

A)  Multiple-marker screening 
B)  Lecithin/sphingomyelin (L/S) ratio 
C)  Biophysical profile 
D)  Type and crossmatch of maternal and fetal serum 
A)  Multiple-marker screening 
B)  Lecithin/sphingomyelin (L/S) ratio 
C)  Biophysical profile 
D)  Type and crossmatch of maternal and fetal serum

Question 19

While working with the pregnant woman in her first trimester,the nurse is aware that chorionic villus sampling (CVS)can be performed during pregnancy as early as _____ weeks.

Accepted Answer

A)  4 
B)  8 
C)  10 
D)  12 
A)  4 
B)  8 
C)  10 
D)  12

Question 20

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

Accepted Answer

A)  "The test results are within normal limits." 
B)  "Immediate delivery by cesarean birth is needed." 
C)  "Further tests are needed to determine the meaning of this score." 
D)  "We will inform you of your options within the next week." 
A)  "The test results are within normal limits." 
B)  "Immediate delivery by cesarean birth is needed." 
C)  "Further tests are needed to determine the meaning of this score." 
D)  "We will inform you of your options within the next week."

Exam 15: Prenatal Diagnostic Tests

The nurse teaches a pregnant woman that which diagnostic test evaluates the effect of fetal movement on fetal heart activity?

When is the best time to determine gestational age based on biparietal diameter through ultrasound?

Which statement regarding various biochemical assessments used during pregnancy is correct?

A pregnant woman states "This test isn't my idea,but my husband insists." Which response by the nurse is most appropriate?

The nurse's role in diagnostic testing is to provide

The primary reason for evaluating alpha-fetoprotein (AFP)levels in maternal serum is to determine if the fetus has

The purpose of initiating contractions in a CST is to

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

A woman is scheduled for an ultrasound and is asking the nurse questions about this test.Which statement by the nurse regarding ultrasonography during pregnancy is most accurate?

A nurse is preparing a woman for a nonstress test (NST).What nursing action is most appropriate?

The nurse providing care for the pregnant woman understands that a factor indicating the need for fetal diagnostic procedures is

The nurse teaches a student that indications for percutaneous umbilical cord sampling (PUBS)include which of the following? (Select all that apply.)

A nurse is teaching a woman how to do "kick counts." What information about this assessment is most appropriate?

What is the purpose of amniocentesis for the patient hospitalized at 34 weeks with pregnancy-induced hypertension?

The major advantage of chorionic villus sampling (CVS)over amniocentesis is that it

An NST in which two or more fetal heart rate (FHR)accelerations of 15 beats per minute (bpm)or more occur with fetal movement in a 20-minute period is termed

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

While working with the pregnant woman in her first trimester,the nurse is aware that chorionic villus sampling (CVS)can be performed during pregnancy as early as _____ weeks.

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

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating with Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion During Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family with Special Needs

Pregnancy-Related Complications

Concurrent Disorders during Pregnancy

The Woman with an Intrapartum Complication

The Woman with a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High-Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s HealthCare

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child with a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child with a Fluid and Electrolyte Alteration

The Child with an Infectious Disease

The Child with an Immunologic Alteration

The Child with a Gastrointestinal Alteration

The Child with a Genitourinary Alteration

The Child with a Respiratory Alteration

The Child with a Cardiovascular Alteration

The Child with a Hematologic Alteration

The Child with Cancer

The Child with an Alteration in Tissue Integrity

The Child with a Musculoskeletal Alteration

The Child with an Endocrine or Metabolic Alteration

The Child with a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

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