A woman who is 6 weeks' pregnant is scheduled for an ultrasound. She asks the nurse what can be seen at this stage of the pregnancy. The nurse would be correct if she responded correct answers the baby's heartbeat
Fetal presentation is determined during correct answers the second and third trime...
Maternal Test 1- Antepartum (100% correct answers)
A woman who is 6 weeks' pregnant is scheduled for an ultrasound. She asks the nurse what can be seen at this stage of the pregnancy. The nurse would be correct if she responded correct answers the baby's heartbeat
Fetal presentation is determined during correct answers the second and third trimesters
The nurse is teaching a woman in her second trimester about an upcoming ultrasonography exam. The nurse knows her teaching has been successful when the woman states correct answers "I will drink several glasses of water about an hour before I come in for the test." Drinking several glasses of clear fluid 1 hour before the time of the examination will produce a full bladder. The bladder will displace the intestines and elevate the uterus for
better visibility. It is not necessary to be NPO for 8 hours prior to this exam. No fetal post-procedure assessments are necessary.
On which aspect of fetal diagnostic testing do parents usually place the most importance? correct answers Safety of the fetus
The nurse is explaining the results of a maternal serum alpha-fetoprotein screening test to the woman. The nurse knows the woman does not understand the teaching if she says correct answers "Since the levels were within normal limits, I know the baby does not have any anomalies." Alpha-fetoprotein levels are a screening test. Some fetal defects are covered by skin and do not produce elevated levels of AFP. MSAFP levels are a screening test and must be viewed as the first step in a series of diagnostic procedures that are indicated if
abnormal concentrations are found. Inaccurate estimation of gestational age can result in false-positive or false-negative results. Low levels are an indication of Down syndrome; more testing is indicated.
A woman had a chorionic villus sampling procedure. Prior to discharge the nurse should
teach her to report what symptom that may be an indication of a complication? correct answers Vaginal bleeding or passage of amniotic fluid Vaginal bleeding or passage of amniotic fluid suggests possible miscarriage and should be reported. Chorionic villus sampling is done between 10 and 12 weeks of gestation. Fetal movement is not felt until about 16 weeks. Frequent urination, nausea, and vomiting are common symptoms of pregnancy during the first trimester and not an indication of procedural complications. A woman who is 8 months pregnant has been advised to have an amniocentesis. She asked the nurse the reason for the procedure. The usual reason for an amniocentesis during this period of pregnancy would be to correct answers determine fetal lung maturity. The usual reason for amniocentesis during the third trimester is to determine fetal lung maturity. Amniocentesis to identify chromosomal abnormalities or to detect levels of AFP are done during the second trimester. Amniocentesis is not done to measure amniotic fluid amounts.
The results of a nonstress test shows three fetal heart rate accelerations with fetal movement that peak at 15 beats per minute above baseline and last 15 seconds. The nurse's next action should be to correct answers do nothing
A reactive sign is at least two fetal heart rate accelerations with or without fetal movement, occurring within a 20-minute period, peaking at least 15 beats per minute above the baseline, and lasting 15 seconds. This is reassuring, and no further testing is necessary. Acoustic stimulation can be used if the fetus is not active. The results given in the base of the question are reassuring, and no other testing is necessary.
A woman who is 8 months' pregnant had a biophysical profile test done. The results give a score of 4/10. The nurse can anticipate that the next plan of action may be to correct answers consider delivery
A score of 4 out of 10 (4/10) is nonreassuring. Delivery may be considered as an option,
because the fetus is at risk. Three hours will not alter the test results significantly. Interventions may be necessary with a score of 4/10. A biophysical profile indicates the condition of the fetus, not the woman.
When is the most accurate time to determine gestational age through ultrasound? correct answers First trimester During the first trimester, measurement of the crown-rump length of the embryo is the most reliable indicator of gestational age. Gestational age determination by ultrasonography is increasingly less accurate after the first trimester.
The purpose of initiating contractions in a contraction stress test is to correct answers apply a stressful stimulus to the fetus
The contraction stress test involves recording the response of the fetal heart rate to stress induced by uterine contractions.
The nurse is admitting a woman to the labor unit. When reviewing the prenatal record, the nurse notices that the woman did not gain the adequate amount of weight that was recommended for her pregnancy. The nurse is aware that the neonate will be at risk for correct answers low birth weight
In teaching about weight gain during pregnancy, the nurse should include correct answers during the third trimester, the pregnant woman should gain about 1 pound of weight per week. The pattern of weight gain is as important as the total increase. The general recommendation for the third trimester is 1 pound per week. Weight gain during pregnancy differs according to the beginning weight. A woman who is overweight should gain 15 to 25 pounds; a woman who is underweight should gain 28 to 40 pounds. Weight gain is important during pregnancy even for a woman who is overweight. An adolescent pregnant woman needs to gain weight toward the top end of the recommended weight gains. She needs to provide not only for the fetus but also for her own growth.
To increase her folic acid intake, what snack would be most beneficial for a pregnant woman? correct answers Orange juice and fortified cereal Both orange juice and fortified cereal are excellent sources of folic acid. Most meats and
condiments are not high in folic acid. The bread may have folic acid added if it is enriched. Strawberries, bananas, most meats and tomatoes are NOT high in folic acid.
A woman has been diagnosed with iron deficiency anemia. The nurse knows that patient teaching about increasing iron intake has been effective if the woman chooses correct answers green salad with broccoli, black beans, and strawberries. Green leafy vegetables and legumes are rich in iron. The strawberries are rich in vitamin C, which increases the absorption of iron. Boiled eggs and whole grain bread are rich in iron, but milk will decrease the absorption of iron and should not be taken at the same time. Meats and legumes are rich in iron; tea will decrease the absorption of iron and should not be taken at the same time. Broiled fish, fried potatoes, and green beans are not rich in iron.
A Native American woman has lactose intolerance. In doing patient teaching, the nurse should instruct the woman to include what foods in her diet to increase calcium intake? correct answers Dried pinto beans, dark-green leafy vegetables, nuts Dried pinto beans, dark-green leafy vegetables, and nuts are substitutes for dairy products. The woman will not be able to tolerate milk and dairy products due to her lactose intolerance. Legumes can be used to increase calcium intake, but meat and fresh fruit are poor choices. Calcium supplementation may be necessary, but it is best to first attempt to obtain the woman's needs through dietary intake.
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