What are advantages of intermittent EXTERNAL monitoring? - correct answer ✔✔Can be used all 3
trimesters
What are disadvantages of intermittent EXTERNAL monitoring? - correct answer ✔✔Hard to detect
patterns
What is an example of a EXTERNAL electronic continuous fetal monitoring? - correct answer ✔✔-
Tocodynamometer
Disadvantage of Tocodynamometer use? - correct answer ✔✔Must be at least 24 weeks
What are advantages of Tocodynamometer? - correct answer ✔✔-Permanent document
-Patterns
What can interfere with Tocodynamometer and cause artifacts? - correct answer ✔✔-Movement
-Mom obesity
What is a 3 criteria's for internal monitoring? - correct answer ✔✔-2 CM's dilated
-Head down
-ROM
What are 2 examples of INTERNAL fetal monitoring? - correct answer ✔✔-IUPC
-ISE/FSE
,What does IUPC measure? - correct answer ✔✔intrauterine pressure and activity
What does ISE/FSE measure? - correct answer ✔✔Fetal heart rate
Advantages of INTERNAL fetal monitoring? - correct answer ✔✔-Most accurate
-No artifact
-Permanent documentation
Disadvantages of INTERNAL fetal monitoring? - correct answer ✔✔-ROM
-HCP placement
-May be able to be placed r/t mom infection
who can place IUPC's? - correct answer ✔✔only provider
What fetal monitoring is most accurate but invasive? - correct answer ✔✔internal monitoring
what is important to obtain before placing a toco on? - correct answer ✔✔obtain mother's heart rate to
ensure you know difference between mom's & baby's
what is the bottom part of monitor strip? - correct answer ✔✔Contractions
what is the top part of the monitor strip? - correct answer ✔✔fetal heart rate
How does the fetal strip read? - correct answer ✔✔-thick lines 1 minute
-6 blocks between each minute (10 secs)
What is the preferred gestational age to have chorionic villi sampling (CVS) performed? - correct answer
✔✔11 weeks
,What ethnicity group has the lowest risk for having a fetus with a neural tubal defect? - correct answer
✔✔African-American
What screening test monitors fetal activity? - correct answer ✔✔Non=stress test (NST)
The nurse understand that an ultrasound that is scheduled in the second trimester may be primarily
done for which purpose? - correct answer ✔✔To confim fetal viability
A nurse working in a prenatal clinic understands that which maternal risk factors require antepartum
fetal assessment? - correct answer ✔✔Obesity
What are 5 criteria's for scoring a biophysical profile? - correct answer ✔✔-Fetal tone
-Nonstress test
-Gross body movement
-Amniotic fluid volume
-Fetal breathing movement
What test will be included in a pregnant patient's appointment at 17 weeks of gestation? - correct
answer ✔✔Multiple-marker triple screen
How is 4d ultrasound different that 3d? - correct answer ✔✔It provides streaming video images
What is complication related to percutaneous umbilical blood sampling (PUBS)? - correct answer
✔✔Thrombosis
What prenatal screen test measures the small space behind the fetal neck? - correct answer ✔✔Nuchal
translucency ultrasound
What does a nurse providing care for antepartum woman need to understand about contraction stress
test (CST)? - correct answer ✔✔It is considered negative if no late decels are observed with the
contractions
, What assessment is done for fetal well-being in third trimester? - correct answer ✔✔Biophysical profile
What test is performed after 14th week of pregnancy? - correct answer ✔✔Aminocentesis
What test is performed from weeks 15 to 22? - correct answer ✔✔MSAFP (Maternal serum alpha-
fetoprotein)
What test would be performed if a pregnant women is obese? - correct answer ✔✔Transvaginal
ultrasound
What position should patient be for Trans-vaginal ultrasound? - correct answer ✔✔Lithotomy
What are disadvantage of amniocentesis? - correct answer ✔✔Test results take at least 10 days
How is percutaneous umbilical blood sampling (PUBS) performed? - correct answer ✔✔A long needle is
inserted through the abdomen into the umbilical vein
What intervention might a nurse perform in order to elicit FHR accels? - correct answer ✔✔Provide
vibroacoustic stimulation
Nursing instructor is teaching nursing students about the fetal movement count. Which statement by a
student indicates a need for further teaching? - correct answer ✔✔Fetal movements decrease 1 week
before the expected date of delivery
What test would be used to measure fetal size if growth restriction is suspected? - correct answer
✔✔Doppler blood flow analysis
What condition can be diagnosed in the second month of pregnancy? - correct answer ✔✔Ectopic
pregnancy
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