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ADVANCED WOMEN'S HEALTH FINAL EXAM TEST BANK 2024/2025

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ADVANCED WOMEN'S HEALTH FINAL EXAM TEST BANK A woman arrives at the clinic seeking confirmation that she is pregnant. The following information is obtained: She is 24 years old with a body mass index (BMI) of 17.5. She admits to having used cocaine "several times" during the past year and occas...

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  • November 10, 2024
  • 39
  • 2024/2025
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ADVANCED WOMEN'S HEALTH
FINAL EXAM TEST BANK
A woman arrives at the clinic seeking confirmation that she is pregnant. The following information is
obtained: She is 24 years old with a body mass index (BMI) of 17.5. She admits to having used cocaine
"several times" during the past year and occasionally drinks alcohol. Her blood pressure is 108/70 mm
Hg. The family history is positive for diabetes mellitus and cancer. Her sister recently gave birth to an
infant with a neural tube defect (NTD). Which characteristics places this client in a high-risk category?



a. Blood pressure, age, BMI

b. Drug and alcohol use, age, family history

c. Family history, blood pressure (BP), BMI

d. Family history, BMI, drug and alcohol abuse

- CORRECT ANSWER -d. Family history, BMI, drug and alcohol abuse




A 39-year-old primigravida woman believes that she is approximately 8 weeks pregnant, although she
has had irregular menstrual periods all her life. She has a history of smoking approximately one pack of
cigarettes a day; however, she tells the nurse that she is trying to cut down. Her laboratory data are
within normal limits. What diagnostic technique would be useful at this time?

a. Ultrasound examination

b. Maternal serum alpha-fetoprotein (MSAFP) screening

c. Amniocentesis

d. Nonstress test (NST)

- CORRECT ANSWER -a. Ultrasound examination

,The nurse sees a woman for the first time when she is 30 weeks pregnant. The client has smoked
throughout the pregnancy, and fundal height measurements now are suggestive of intrauterine growth
restriction (IUGR) in the fetus. In addition to ultrasound to measure fetal size, what is another tool
useful in confirming the diagnosis?

a. Doppler blood flow analysis

b. Contraction stress test (CST)

c. Amniocentesis

d. Daily fetal movement counts

- CORRECT ANSWER -a. Doppler blood flow analysis



A 41-week pregnant multigravida arrives at the labor and delivery unit after a NST indicated that her
fetus could be experiencing some difficulties in utero. Which diagnostic tool yields more detailed
information about the condition of the fetus?

a. Ultrasound for fetal anomalies

b. Biophysical profile (BPP)

c. MSAFP screening

d. Percutaneous umbilical blood sampling (PUBS) - CORRECT ANSWER -b. Biophysical profile (BPP)



At 35 weeks of pregnancy, a woman experiences preterm labor. Although tocolytic medications are
administered and she is placed on bed rest, she continues to experience regular uterine contractions
and her cervix is beginning to dilate and efface. What is an important test for fetal well-being at this
time?

a. PUBS

b. Ultrasound for fetal size

c. Amniocentesis for fetal lung maturity

d. NST

- CORRECT ANSWER -c. Amniocentesis for fetal lung maturity

,A i30-year-old igravida i3, ipara i2-0-0-2 iis iat i18 iweeks iof igestation. iWhich iscreening itest ishould ithe
inurseirecommend ibe iordered ifor ithis iclient?


a. BPP

b. Chorionic ivilli isampling

c. MSAFP iscreening

d. Screening ifor idiabetes imellitus

- CORRECT iANSWER i-c. iMSAFP iscreening



The ibiochemical iassessment iMSAFP itest iis iperformed ifrom iweek i15 ito iweek i20 iof igestation i(weeks
i16 ito i18 iare iideal). iA iBPP iis ia imethod iof ibiophysical iassessment iof ifetal iwell-being iin ithe ithird
itrimester. iChorionic ivilli isampling iis ia ibiochemical iassessment iof ithe ifetus ithat ishould ibe iperformed
ifrom ithe i10thito i12th iweeks iof igestation. iScreening ifor idiabetes imellitus ibegins iwith ithe ifirst
iprenatal ivisit.




An iMSAFP iscreening iindicates ian ielevated ilevel iof ialpha-fetoprotein. iThe itest iis irepeated, iand iagain
ithe ilevel iis ireported ias ihigher ithan inormal. iWhat iis ithe inext istep iin ithe iassessment isequence ito
idetermine ithe iwell-being iof ithe ifetus?


a. PUBS

b. Ultrasound ifor ifetal ianomalies

c. BPP ifor ifetal iwell-being

d. Amniocentesis ifor igenetic ianomalies

- CORRECT iANSWER i-b. iUltrasound ifor ifetal ianomalies



If iMSAFP ifindings iare iabnormal, ithen ifollow-up iprocedures iinclude igenetic icounseling ifor ifamilies
iwithia ihistory iof iNTD, irepeated iMSAFP iscreenings, ian iultrasound iexamination, iand ipossibly
iamniocentesis. iIndications ifor ithe iuse iof iPUBS iinclude iprenatal idiagnosis iof iinherited iblood
idisorders, ikaryotyping iof imalformed ifetuses, idetection iof ifetal iinfection, idetermination iof ithe iacid-
base istatus iof ifetuses iwith iIUGR, iand iassessment iand itreatment iof iisoimmunization iand
ithrombocytopenia iin ithe ifetus. iA iBPP iis iaimethod iof iassessing ifetal iwell-being iin ithe ithird
itrimester. iBefore ian iamniocentesis, ithe iclient iwould ihave ian iultrasound ifor idirect ivisualization iof
ithe ifetus.

, A iclient iasks iher inurse, i"My idoctor itold ime ithat ihe iis iconcerned iwith ithe igrade iof imy iplacenta
ibecause iIiam ioverdue. iWhat idoes ithat imean?" iWhat iis ithe inurse's ibest iresponse?


a. "Your iplacenta ichanges ias iyour ipregnancy iprogresses, iand iit iis igiven ia iscore ithat iindicates ihow
iwell iitiis ifunctioning."


b. "Your iplacenta iisn't iworking iproperly, iand iyour ibaby iis iin idanger."

c. "We ineed ito iperform ian iamniocentesis ito idetect iif iyou ihave iany iplacental idamage."

d. "Don't iworry iabout iit. iEverything iis ifine." i- iCORRECT iANSWER i-a. i"Your iplacenta ichanges ias
iyouripregnancy iprogresses, iand iit iis igiven ia iscore ithat iindicates ihow iwell iit iis ifunctioning."




A iwoman iis iundergoing ia inipple-stimulated iCST. iShe iis ihaving icontractions ithat ioccur ievery i3
iminutes. iThe ifetal iheart irate i(FHR) ihas ia ibaseline iheart irate iof iapproximately i120 ibeats iper
iminute iwithout ianyidecelerations. iWhat iis ithe icorrect iinterpretation iof ithis itest?


a. Negative

b. Positive

c. Satisfactory

d. Unsatisfactory

- CORRECT iANSWER i-a. iNegative



Adequate iuterine iactivity inecessary ifor ia iCST iconsists iof ithree icontractions iin ia i10-minute itime
iframe. iIfino idecelerations iare iobserved iin ithe i FHR ipattern iwith ithe icontractions, ithen ithe i findings
iare iconsidered ito ibe inegative. iA ipositive iCST iindicates ithe ipresence iof irepetitive ilate iFHR
idecelerations.
The iterms isatisfactory ior iunsatisfactory iare inot iapplicable.



Of ithese ipsychosocial ifactors, iwhich ihas ithe ileast inegative ieffect ion ithe ihealth iof ithe imother
iand/orifetus?


a. Moderate icoffee iconsumption

b. Moderate ialcohol iconsumption

c. Cigarette ismoke

d. Emotional idistress

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