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7 Cards in this Set
- Front
- Back
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A 40 year old woman with a high body mass index (BMI) is 10 weeks pregnant. Which diagnostic tool is appropriate to suggest to her at this time?
a) Biophysical profile b) Amniocentesis c) Maternal serum alpha-fetoprotein (MSAFP) d) Transvaginal ultrasound |
Transvaginal ultrasound
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A nurse providing care for antepartum woman should understand that the contraction stress test (CST):
a) Sometimes use vibroacoustic stimulation b) Is an invasive test; however, contractions are stimulated c) Is considered negative if no late decelerations are observed with the contractions d) Is more effective than nonstress test (NST) if the membranes have already been ruptured |
Is considered negative if no late decelerations are observed with the contractions
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In the past, factors to determine whether a woman was likely to develop a high risk pregnancy were evaluated primarily from a medical point of view. A broader more comprehensive approach to high risk pregnancy has been adopted. There are now four categories based on threats to the health of the woman and the outcome of pregnancy. These categories include all of these except:
a) Biophysical b) Psychosocial c) Geographic d) Environmental |
Geographic
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A woman who is at 36 weeks of gestation is having a nonstress test. Which statement indicates her correct understanding of the test?
a) I will need to have a full bladder for the test to be done accurately b) I should have my husband drive me home after the test because I may be nauseated c) This test will help determine if the baby has Down syndrome or a neural tube defect d) This test observes for fetal activity and an acceleration of the fetal heart rate to determine the well-being of the baby |
This test observes for fetal activity and an acceleration of the fetal heart rate to determine the well-being of the baby
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What is an appropriate indicator for performing a contraction stress test?
a) Increased fetal movement and small for gestational age b) Maternal diabetes mellitus and postmaturity c) Adolescent pregnancy and poor prenatal care d) History of preterm labor and intrauterine growth restriction |
Maternal diabetes mellitus and postmaturity
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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 would be another tool useful in confirming the diagnosis?
a) Doppler blood flow analysis b) Contraction stress test (CST) c) Amniocentesis d) Daily fetal movement counts |
Doppler blood flow analysis
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Nurses should be aware of the strengths and limitations of various biochemical assessments during pregnancy, including that:
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 only for women at risk for neural tube defects c) Percutaneous umbilical blood sampling (PUBS) is one of the quad-screen tests for Down syndrome d) MSAFP is a screening tool only; it identifies candidates for more definitive procedures |
MSAFP is a screening tool only; it identifies candidates for more definitive procedures
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