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Terms in this set (31)4 A 40-year-old woman with a high body mass index is 10 weeks pregnant. Which diagnostic tool is appropriate to suggest to her at this time?
2 The nurse is reviewing the contraction stress test (CST) reports of a pregnant patient. The nurse expects the fetus to have meconium-stained amniotic fluid. What would be the reason for that conclusion? 2, 4, 5 After reviewing the
triple marker screen reports of a patient who is in the second trimester of pregnancy, the nurse concludes that the fetus has trisomy 18. What factors in the report led to the nurse's conclusion? Select all that apply. 1, 2 A patient in the first trimester of pregnancy undergoes a triple marker screening test. On reviewing the report, the nurse infers that the fetus may have Down syndrome. What clinical findings are noted by the nurse in the test reports? Select all that apply. 1 Biochemical examination of the amniotic fluid of a pregnant patient yields the following results: lecithin-to-sphingomyelin (L/S) ratio, 2:1; surfactant-to-albumin (S/A) ratio, 60 mg/g; and phosphatidylglycerol (PG)
present. What conclusions will the nurse draw from this report? 3 The nurse finds that the nonstress test of a pregnant patient is nonreactive. Which factor in the report might have led the nurse to this finding? 4 Nurses should be aware of the strengths and limitations of various biochemical assessments during pregnancy, including that: 2, 1, 4, 5, 3 Arrange the steps
the nurse takes while performing transvaginal ultrasonography for a pregnant patient, in the correct order. 2. 3. 4. 5. 3 The nurse is assessing a pregnant patient and finds that her blood pressure is 150/90 mm Hg. What procedure does the nurse recommend for this patient? 1, 2, 3 Which physiologic parameters does the nurse check in the
ultrasound report to assess fetal well-being? Select all that apply. 2 The primary health care provider advises a pregnant woman to undergo a Doppler blood flow analysis after reviewing the amniocentesis
reports. What clinical condition in the fetus could be the reason for this referral? 4, 3, 1, 5, 2 A primary health care provider is performing a transabdominal amniocentesis procedure in a pregnant patient. Arrange the steps of the amniocentesis procedure in the correct order. 2. 3. 4. 5. 1 The nurse is reviewing lab values to determine Rh incompatibility between mother and fetus. Which specific lab result should the
nurse assess? 3 Which test does the nurse recommend for the patient to help assess fetal genetic abnormalities? 3, 4 While reviewing the ultrasound reports of a patient, the nurse notices a floating fetus in the scanned image. What potential fetal risks should the nurse interpret from this finding? Select all that apply: 1 A 4-week pregnant
patient is undergoing an ultrasound. The report shows an absence of fetal heart activity. What does the nurse infer about the fetus from the report? 2 After reviewing the Doppler umbilical flow reports of a pregnant patient, the nurse advises the patient to quit smoking immediately. Which finding in the report
could be the reason for this instruction? 1 After reviewing the reports of a pregnant patient, the nurse infers that there might be a high risk for intrauterine growth restriction (IUGR). What could be the reason for this? The amniotic fluid
index (AFI) is: 3 The amniotic fluid index (AFI) of a pregnant patient is 3 cm. What clinical information related to the fetus does the nurse infer from this? 2 While performing the fetal acoustic stimulation test (FAST) in a patient, the nurse observes that there is no fetal response even after 3 minutes of testing. Which test does the nurse suggest? 4 During a prenatal checkup, the patient who is 7 months pregnant reports that she is able to
feel about two kicks in an hour. The nurse refers the patient for an ultrasound. What is the primary reason for this referral? To check: 4 After reviewing the biophysical profile (BPP) reports of a pregnant patient close to term, the nurse advises the patient to repeat the test on a weekly basis. What BPP
score did the nurse find in the report? 1 A patient in the sixth month of pregnancy expresses her wish to see the fetus. What investigation does the nurse suggest for the patient to help her see the fetus? 2 What parameter does the nurse check in the amniocentesis report of a pregnant patient to assess fetal lung growth? 3 After reviewing the standard ultrasound scan reports of a pregnant patient, the nurse advises the patient to
undergo a specialized ultrasound scan. What is the nurse's rationale for this suggestion? 1 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 tool is useful in confirming the diagnosis? 4 A woman who is at 36 weeks of gestation is having a nonstress test. Which statement by the woman indicates a
correct understanding of the test? 1 A pregnant patient with a normal fetal kick count has come for a regular nonstress testing session. The nurse notices that there are no heart accelerations after 40 minutes of testing. What diagnostic testing will the nurse include in the plan of care? 4 A
pregnant patient is about to undergo magnetic resonance imaging (MRI). What information does the nurse give the patient before the procedure? The patient will: 2, 3, 5 A nonstress test (NST) is ordered on a pregnant woman
at 37 weeks of gestation. What are the most appropriate teaching points to include when explaining the procedure to the woman? Select all that apply. 4 The biophysical profile (BPP) testing report of a pregnant patient gives the following information: one episode of fetal breathing movement lasting for 30 seconds in a 30-minute observation; three limb movements of the fetus in 30 minutes; an amniotic fluid index greater than 5; a reactive nonstress test; and a BPP score of 1. The test is performed for 120 minutes. What does the nurse expect
the primary health care provider to do? Sets with similar termsMaternal Child Nursing Care Chapter 10 Assessment…31 terms awithem240 Maternal Child Nursing Care Chapter 10 Assessment…31 terms vincenttogo2 Chapter 7 Assessment of High Risk Pregnancy31 terms febbeverly Sets found in the same folderCh 11 High Risk Perinatal Care: Preexisting Condit…28 terms awithem240 Ch 12 High Risk Perinatal Care: Gestatio…45 terms awithem240 Ch 09 - Maternal and Fetal Nutrition30 terms awithem240 Ch 10, Assessment of High Risk Pregnancy32 terms wmayala Other sets by this creatorChapter 17: Leading Change - yoder wise23 terms awithem240 chapter 25: Workplace violence and incivility26 terms awithem240 Chapter 17: Leading and Managing Change26 terms awithem240 Chapter 17 (Leading and Managing Change)26 terms awithem240 Other Quizlet setsHistology Quiz 5136 terms jmusson101 s.s. study guide abrahem15 terms louievitton Lecture 4 Study Guide34 terms Jasmine_R7 Chapter 13- Study Guide35 terms KMS563 Related questionsQUESTION Haptoglobin is what type of globulin? 6 answers QUESTION What is the cause of sheep scab? 14 answers QUESTION What are the testing guidelines for HIV? 10 answers QUESTION What is a corrected WBC count? 14 answers Which physiological parameters does the nurse check in the ultrasound report to assess fetal well being?The BPP uses ultrasound to assess 1) fetal movement, 2) tone, 3) breathing and 4) the amniotic fluid volume that surrounds the baby. In addition, the baby's heartbeat is monitored over a 20‐minute period using a CTG machine.
What parameter does the nurse check in the amniocentesis report of a pregnant patient?What parameter does the nurse check in the amniocentesis report of a pregnant patient to assess fetal lung growth? The L/S ratio indicates fetal lung maturity. AFP is assessed to check for the presence of neural defects.
When does the nurse refer the pregnant patient for ultrasonography to detect maternal abnormalities that could affect the fetus?Second trimester ultrasonography should be offered to all patients, between 18 and 22 weeks' gestation, for the detection of fetal structural abnormalities.
What is an indicator for performing a contraction stress test?The contraction stress test is interpreted by the presence or absence of late fetal heart rate decelerations, which are defined as decelerations that reach their nadir after the peak of the contraction and that usually persist beyond the end of the contraction.
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Biochemical examination of the amniotic fluid of a pregnant patient yields the following results
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