Exam 26: Assessment of High Risk Pregnancy

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

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

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

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 occasionally drinks alcohol.Her blood pressure is 108/70 mm Hg.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 places this client in a high-risk category?

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

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

Which clinical finding is a major use of ultrasonography in the first trimester?

An Maternal Serum Alpha-Fetoprotein Screening (MSAFP)screening indicates an elevated level of alpha-fetoprotein.The test is repeated,and again the level is reported as higher than normal.What is the next step in the assessment sequence to determine the well-being of the fetus?

At 35 weeks of pregnancy,a woman experiences preterm labor.Although tocolytic medications 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 is an important test for fetal well-being at this time?