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NUR 1510 UNIT 4 TEST QUESTIONS AND CORRECT ANSWERS

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  • NUR 1510
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  • NUR 1510

Which patient should the nurse assess first? A. A patient who is 8/100/-1 B. A patient who broke her BOW and has meconium stained fluid C. A patient who stated "I have to push" D. A patient who is long thick and closed and is in triage for a TOL 1st: B. A patient who broke her BOW and has meconium ...

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  • September 17, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 1510
  • NUR 1510
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NUR 1510 UNIT 4 TEST QUESTIONS
AND CORRECT ANSWERS
Which patient should the nurse assess
first?
A. A patient who is 8/100/-1
B. A patient who broke her BOW and has
meconium stained fluid
C. A patient who stated "I have to push"
D. A patient who is long thick and closed and is in triage for a TOL ✅1st: B. A patient
who broke her BOW and has
meconium stained fluid

2nd: C. A patient who stated "I have to push"

3rd: A. A patient who is 8/100/-1

4th: D. A patient who is long thick and closed and is in triage for a TOL

TOL ✅Trial of Labor

antepartum ✅occurring not long before childbirth.

Antepartal Testing
Why? (2) ✅1)To detect congenital anomalies
2)To evaluate the condition of the fetus

Antepartal Testing
Indications for Fetal Diagnostic Procedures: (4) ✅- Maternal Medical Condition:
- Demographic Factors:
- Obstetric Factors:
- Concurrent Maternal Factors

Ultrasound
What is it? ✅High-frequency sound waves are beamed onto the abdomen. Echoes are
returned to a machine that records the fetus's location/size

Ultrasound
What do they check for in your first trimester? (2) ✅• Positive Sign of Pregnancy
• Helps determine due date

Ultrasound

,What do they check for in your Second/Third Trimesters? (3) ✅• Estimates fetal size
• Determine volume of amniotic fluid
• Biophysical Profile (BPP)

Biophysical Profile (BPP) ✅(BPP) test measures the health of your baby (fetus) during
pregnancy. A BPP test may include a nonstress test with electronic fetal heart
monitoring and a fetal ultrasound. The BPP measures your baby's heart rate, muscle
tone, movement, breathing, and the amount of amniotic fluid around your baby.

Chorionic Villus Sampling
Description: ✅Removal of a small piece of villi between 10 to 12 weeks' gestation

Chorionic Villus Sampling
Findings: (2) ✅- This test aids in genetic diagnosis early in the first trimester.
- Has the benefit of fast results.
(Find out about down syndrome)

Chorionic Villus Sampling
Complications: ✅Spontaneous abortion (5%). Controversy regarding fetal anomalies
(limb).

Chorionic Villus Sampling
Contraindications: ✅Infection (GBS)

Chorionic Villus Sampling
Nursing Implication: ✅*Rh Negative Moms must receive Rhogam after procedure

Alpha-Fetoprotein / Multiple-Marker Screening/ Quad Screen ✅Blood test used for
screening for open body wall defect or chromosome defect

MSAFP ✅Maternal Serum Alpha-Fetoprotein Screening
-is a screening test that examines the level of alpha-fetoprotein in the mother's blood
during pregnancy

Alpha-Fetoprotein / Multiple-Marker Screening/ Quad Screen
Not... ✅diagnostic

Alpha-Fetoprotein / Multiple-Marker Screening/ Quad Screen
Offered at... ✅16-18 weeks

Alpha-Fetoprotein / Multiple-Marker Screening/ Quad Screen
Increased MSAFP levels: ✅Neural Tube Defects

Alpha-Fetoprotein / Multiple-Marker Screening/ Quad Screen

, Decreased MSAFP levels: ✅Down Syndrome

Alpha-Fetoprotein / Multiple-Marker Screening/ Quad Screen
Results may be affected by: (5) ✅- Gestational Age
- Maternal Weight
- Twins
- Race
- Diabetes

Alpha-Fetoprotein / Multiple-Marker Screening/ Quad Screen
High Rate of... ✅False Positives!

Alpha-Fetoprotein / Multiple-Marker Screening/ Quad Screen
Catches things (problems) for... ✅further testing

Alpha-Fetoprotein / Multiple-Marker Screening/ Quad Screen
May get abnormal results when... ✅there is nothing wrong

Amniocentesis ✅The removal of amniotic fluid sample from uterus

Amniocentesis
Second Trimester (15 to 20 weeks) ✅Examine fetal cells for chromosomal
abnormalities

Amniocentesis
Third Trimester of Pregnancy: (2) ✅- Fetal Lung Maturity: • L/S Ratio
(lecithin/sphingomyelin) tests for fetal
lung maturity L/S ratio of 2:1> indicates
adequate surfactant & mature lungs
- Rule out Infection

Amniocentesis
Risks: ✅Spontaneous Abortion (1%), Fetal Injury, Infection

Amniocentesis
Can... ✅diagnose

Intra-partum Fetal Assessment
Fetal surveillance is used to: (2) ✅- Identify signs associated with fetal well-being and
how the fetus is tolerating labor
- Identify hypoxic insult and signs associated with
compromise

Fetal Oxygenation: Uteroplacental Exchange ✅blood doesn't mix

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