Exam 26: Assessment of High Risk Pregnancy

The indirect Coombs' test is a screening tool for Rh incompatibility.If the titer is greater than ______,amniocentesis may be a necessary next step.

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?

Which information should nurses provide to expectant mothers when teaching them how to evaluate daily fetal movement counts (DFMCs)?

Cell-free deoxyribonucleic acid (DNA)screening is a new method of noninvasive prenatal testing (NIPT)that has recently become available in the clinical setting.This technology can provide a definitive diagnosis of which findings? (Select all that apply).

A 39-year-old primigravida woman believes that she is approximately 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; however,she tells the nurse that she is trying to cut down.Her laboratory data are within normal limits.What diagnostic technique would be useful at this time?

How does the nurse document a NST during which two or more FHR accelerations of 15 beats per minute or more occur with fetal movement in a 20-minute period?

Of these psychosocial factors,which has the least negative effect on the health of the mother and/or fetus?

The nurse is planning the care for a laboring client with diabetes mellitus.This client is at greater risk for which clinical finding?

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 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?" What is the nurse's best response?

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?

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

While working with the pregnant client in her first trimester,what information does the nurse provide regarding when CVS can be performed (in weeks of gestation)?

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

A 41-week pregnant multigravida arrives at the labor and delivery unit after a NST indicated that her fetus could be experiencing some difficulties in utero.Which diagnostic tool yields more detailed information about the condition of the fetus?

Which assessments are included in the fetal BPP? (Select all that apply).

Which information is the highest priority for the nurse to comprehend regarding the BPP?

Which information is an important consideration when comparing the CST with the NST?

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

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?