Question 1

Which complication could occur as a result of percutaneous umbilical blood sampling (PUBS)?

Accepted Answer

A)  Postdates pregnancy 
B)  Fetal bradycardia 
C)  Placenta previa 
D)  Uterine rupture 
A)  Postdates pregnancy 
B)  Fetal bradycardia 
C)  Placenta previa 
D)  Uterine rupture B

Question 2

In preparing a pregnant client for a non-stress test (NST), which of the following should be included in the plan of care?

Accepted Answer

A)  Have the client void prior to being placed on the fetal monitor because a full bladder will interfere with results. 
B)  Maintain NPO status prior to testing. 
C)  Position the client for comfort, adjusting the tocotransducer belt to locate fetal heart rate. 
D)  Have an infusion pump prepared with oxytocin per protocol for evaluation. 
A)  Have the client void prior to being placed on the fetal monitor because a full bladder will interfere with results. 
B)  Maintain NPO status prior to testing. 
C)  Position the client for comfort, adjusting the tocotransducer belt to locate fetal heart rate. 
D)  Have an infusion pump prepared with oxytocin per protocol for evaluation. C

Question 3

The nurse's role in diagnostic testing is to provide which of the following?

Accepted Answer

A)  Advice to the couple 
B)  Information about the tests 
C)  Reassurance about fetal safety 
D)  Assistance with decision making 
A)  Advice to the couple 
B)  Information about the tests 
C)  Reassurance about fetal safety 
D)  Assistance with decision making B

Question 4

A woman who is 36 weeks pregnant asks the nurse to explain the vibroacoustic stimulator (VAS) test. Which should the nurse include in the response? (Select all that apply.)

Accepted Answer

A)  The test is invasive. 
B)  The test uses sound to elicit fetal movements. 
C)  The test may confirm nonreactive non-stress test results. 
D)  The test can only be performed if contractions are present. 
E)  Vibroacoustic stimulation can be repeated at 1-minute intervals up to three times. 
A)  The test is invasive. 
B)  The test uses sound to elicit fetal movements. 
C)  The test may confirm nonreactive non-stress test results. 
D)  The test can only be performed if contractions are present. 
E)  Vibroacoustic stimulation can be repeated at 1-minute intervals up to three times.

Question 5

The nurse is reviewing the procedure for alpha-fetoprotein (AFP) screening with a patient at 16 weeks' gestation. The nurse determines that the patient understands the teaching when she mentions that which fluid will be collected for the initial screening process?

Accepted Answer

A)  Urine 
B)  Blood 
C)  Saliva 
D)  Amniotic 
A)  Urine 
B)  Blood 
C)  Saliva 
D)  Amniotic

Question 6

For which client would an L/S ratio of 2:1 potentially be considered to be abnormal?

Accepted Answer

A)  A 38-year-old gravida 2, para 1, who is 38 weeks' gestation 
B)  A 24-year-old gravida 1, para 0, who has diabetes 
C)  A 44-year-old gravida 6, para 5, who is at term 
D)  An 18-year-old gravida 1, para 0, who is in early labor at term 
A)  A 38-year-old gravida 2, para 1, who is 38 weeks' gestation 
B)  A 24-year-old gravida 1, para 0, who has diabetes 
C)  A 44-year-old gravida 6, para 5, who is at term 
D)  An 18-year-old gravida 1, para 0, who is in early labor at term

Question 7

When is the most accurate time to determine gestational age through ultrasound?

Accepted Answer

A)  First trimester 
B)  Second trimester 
C)  Third trimester 
D)  No difference in accuracy among the trimesters 
A)  First trimester 
B)  Second trimester 
C)  Third trimester 
D)  No difference in accuracy among the trimesters

Question 8

The results of a contraction stress test (CST) are positive. Which intervention is necessary based on this test result?

Accepted Answer

A)  Repeat the test in 1 week so that results can be trended based on this baseline result. 
B)  Contact the health care provider to discuss birth options for the client. 
C)  Send the client out for a meal and repeat the test to confirm that the results are valid. 
D)  Ask the client to perform a fetal kick count assessment for the next 30 minutes and then reassess the client. 
A)  Repeat the test in 1 week so that results can be trended based on this baseline result. 
B)  Contact the health care provider to discuss birth options for the client. 
C)  Send the client out for a meal and repeat the test to confirm that the results are valid. 
D)  Ask the client to perform a fetal kick count assessment for the next 30 minutes and then reassess the client.

Question 9

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

Accepted Answer

A)  Hemophilia 
B)  Sickle cell anemia 
C)  A neural tube defect 
D)  A normal lecithin-to-sphingomyelin ratio 
A)  Hemophilia 
B)  Sickle cell anemia 
C)  A neural tube defect 
D)  A normal lecithin-to-sphingomyelin ratio

Question 10

A biophysical profile is performed on a pregnant client. The following assessments are noted: nonreactive stress test (NST), three episodes of fetal breathing movements (FBMs), limited gross movements, opening and closing of hang indicating the presence of fetal tone, and adequate amniotic fluid index (AFI) meeting criteria. What would be the correct interpretation of this test result?

Accepted Answer

A)  A score of 10 would indicate that the results are equivocal. 
B)  A score of 8 would indicate normal results. 
C)  A score of 6 would indicate that birth should be considered as a possible treatment option. 
D)  A score of 9 would indicate reassurance. 
A)  A score of 10 would indicate that the results are equivocal. 
B)  A score of 8 would indicate normal results. 
C)  A score of 6 would indicate that birth should be considered as a possible treatment option. 
D)  A score of 9 would indicate reassurance.

Question 11

A patient at 36 weeks gestation is undergoing a non-stress (NST) test. The nurse observes the fetal heart rate baseline at 135 beats per minute (bpm) and four nonepisodic patterns of the fetal heart rate reaching 160 bpm for periods of 20 to 25 seconds each. How will the nurse record these findings?

Accepted Answer

A)  NST positive, nonreassuring 
B)  NST negative, reassuring 
C)  NST reactive, reassuring 
D)  NST nonreactive, nonreassuring 
A)  NST positive, nonreassuring 
B)  NST negative, reassuring 
C)  NST reactive, reassuring 
D)  NST nonreactive, nonreassuring

Question 12

What does a score of 9 on a biophysical profile signify?

Accepted Answer

A)  Normal 
B)  Abnormal 
C)  Equivocal 
D)  Nonreactive 
A)  Normal 
B)  Abnormal 
C)  Equivocal 
D)  Nonreactive

Question 13

Match each term with the correct definition.
-Lecithin-to-sphingomyelin (L/S) ratio

Accepted Answer

A) A test for estimating fetal lung maturity 
B) A test to assess blood flow to identify abnormalities 
C) A test to diagnose fetal chromosomal, metabolic, or DNA abnormalities 
A) A test for estimating fetal lung maturity 
B) A test to assess blood flow to identify abnormalities 
C) A test to diagnose fetal chromosomal, metabolic, or DNA abnormalities

Question 14

The clinic nurse is obtaining a health history on a newly pregnant client. Which is an indication for fetal diagnostic procedures if present in the health history?

Accepted Answer

A)  Maternal diabetes 
B)  Weight gain of 25 lb 
C)  Maternal age older than 30 
D)  Previous infant weighing more than 3000 g at birth 
A)  Maternal diabetes 
B)  Weight gain of 25 lb 
C)  Maternal age older than 30 
D)  Previous infant weighing more than 3000 g at birth

Question 15

What is the term for a non-stress test in which there are two or more fetal heart rate accelerations of 15 or more bpm with fetal movement in a 20-minute period?

Accepted Answer

A)  Positive 
B)  Negative 
C)  Reactive 
D)  Nonreactive 
A)  Positive 
B)  Negative 
C)  Reactive 
D)  Nonreactive

Question 16

Match each term with the correct definition.
-Chorionic villus sampling (CVS)

Accepted Answer

A) A test for estimating fetal lung maturity 
B) A test to assess blood flow to identify abnormalities 
C) A test to diagnose fetal chromosomal, metabolic, or DNA abnormalities 
A) A test for estimating fetal lung maturity 
B) A test to assess blood flow to identify abnormalities 
C) A test to diagnose fetal chromosomal, metabolic, or DNA abnormalities

Question 17

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

Accepted Answer

A)  Determine if a metabolic disorder is genetic. 
B)  Identify the sex of the fetus. 
C)  Identify abnormal fetal cells. 
D)  Determine fetal lung maturity. 
A)  Determine if a metabolic disorder is genetic. 
B)  Identify the sex of the fetus. 
C)  Identify abnormal fetal cells. 
D)  Determine fetal lung maturity.

Question 18

A pregnant woman is scheduled to undergo chorionic villus sampling (CVS) based on genetic family history. Which medication does the nurse anticipate will be administered?

Accepted Answer

A)  Magnesium sulfate 
B)  Prostaglandin suppository 
C)  RhoGAM if the client is Rh-negative 
D)  Betamethasone 
A)  Magnesium sulfate 
B)  Prostaglandin suppository 
C)  RhoGAM if the client is Rh-negative 
D)  Betamethasone

Question 19

Match each term with the correct definition.
-Doppler ultrasound

Accepted Answer

A) A test for estimating fetal lung maturity 
B) A test to assess blood flow to identify abnormalities 
C) A test to diagnose fetal chromosomal, metabolic, or DNA abnormalities 
A) A test for estimating fetal lung maturity 
B) A test to assess blood flow to identify abnormalities 
C) A test to diagnose fetal chromosomal, metabolic, or DNA abnormalities

Question 20

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

Accepted Answer

A)  Biophysical profile 
B)  Multiple-marker screening 
C)  Lecithin-to-sphingomyelin ratio 
D)  Blood type and crossmatch of maternal and fetal serum 
A)  Biophysical profile 
B)  Multiple-marker screening 
C)  Lecithin-to-sphingomyelin ratio 
D)  Blood type and crossmatch of maternal and fetal serum

Exam 10: Antepartum Fetal Assessment

Which complication could occur as a result of percutaneous umbilical blood sampling (PUBS)?

In preparing a pregnant client for a non-stress test (NST), which of the following should be included in the plan of care?

The nurse's role in diagnostic testing is to provide which of the following?

A woman who is 36 weeks pregnant asks the nurse to explain the vibroacoustic stimulator (VAS) test. Which should the nurse include in the response? (Select all that apply.)

The nurse is reviewing the procedure for alpha-fetoprotein (AFP) screening with a patient at 16 weeks' gestation. The nurse determines that the patient understands the teaching when she mentions that which fluid will be collected for the initial screening process?

For which client would an L/S ratio of 2:1 potentially be considered to be abnormal?

When is the most accurate time to determine gestational age through ultrasound?

The results of a contraction stress test (CST) are positive. Which intervention is necessary based on this test result?

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

What does a score of 9 on a biophysical profile signify?

Match each term with the correct definition. -Lecithin-to-sphingomyelin (L/S) ratio

The clinic nurse is obtaining a health history on a newly pregnant client. Which is an indication for fetal diagnostic procedures if present in the health history?

What is the term for a non-stress test in which there are two or more fetal heart rate accelerations of 15 or more bpm with fetal movement in a 20-minute period?

Match each term with the correct definition. -Chorionic villus sampling (CVS)

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

A pregnant woman is scheduled to undergo chorionic villus sampling (CVS) based on genetic family history. Which medication does the nurse anticipate will be administered?

Match each term with the correct definition. -Doppler ultrasound

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

Maternity and Women's Health Care Today

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