women's health exam 3 test bank Exam With 100% Verified Answers
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Course
Women\'s health
Institution
Women\'s Health
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
- ANSWER -d. Family history, BMI, drug and alcohol abuse
A 39-year-old primigravida woman believes that she is approximat...
women's health exam 3 test bank Exam
With 100% Verified Answers
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
- 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)
- 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
- 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) - 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
- ANSWER -c. Amniocentesis for fetal lung maturity
A 30-year-old gravida 3, para 2-0-0-2 is at 18 weeks of gestation. Which screening test
should the nurse recommend be ordered for this client?
a. BPP
b. Chorionic villi sampling
c. MSAFP screening
d. Screening for diabetes mellitus
- ANSWER -c. MSAFP screening
The biochemical assessment MSAFP test is performed from week 15 to week 20 of
gestation (weeks 16 to 18 are ideal). A BPP is a method of biophysical assessment of
fetal well-being in the third trimester. Chorionic villi sampling is a biochemical
assessment of the fetus that should be performed from the 10th to 12th weeks of
gestation. Screening for diabetes mellitus begins with the first prenatal visit.
An MSAFP screening indicates an elevated level of alpha-fetoprotein. The test is
repeated, and again the level is reported as higher than normal. What is the next step in
the assessment sequence to determine the well-being of the fetus?
a. PUBS
b. Ultrasound for fetal anomalies
c. BPP for fetal well-being
d. Amniocentesis for genetic anomalies
- ANSWER -b. Ultrasound for fetal anomalies
If MSAFP findings are abnormal, then follow-up procedures include genetic counseling
for families with a history of NTD, repeated MSAFP screenings, an ultrasound
examination, and possibly amniocentesis. Indications for the use of PUBS include
prenatal diagnosis of inherited blood disorders, karyotyping of malformed fetuses,
detection of fetal infection, determination of the acid-base status of fetuses with IUGR,
and assessment and treatment of isoimmunization and thrombocytopenia in the fetus. A
, BPP is a method of assessing fetal well-being in the third trimester. Before an
amniocentesis, the client would have an ultrasound for direct visualization of the fetus.
A client asks her nurse, "My doctor told me that he is concerned with the grade of my
placenta because I am overdue. What does that mean?" What is the nurse's best
response?
a. "Your placenta changes as your pregnancy progresses, and it is given a score that
indicates how well it is functioning."
b. "Your placenta isn't working properly, and your baby is in danger."
c. "We need to perform an amniocentesis to detect if you have any placental damage."
d. "Don't worry about it. Everything is fine." - ANSWER -a. "Your placenta changes as
your pregnancy progresses, and it is given a score that indicates how well it is
functioning."
A woman is undergoing a nipple-stimulated CST. She is having contractions that occur
every 3 minutes. The fetal heart rate (FHR) has a baseline heart rate of approximately
120 beats per minute without any decelerations. What is the correct interpretation of this
test?
a. Negative
b. Positive
c. Satisfactory
d. Unsatisfactory
- ANSWER -a. Negative
Adequate uterine activity necessary for a CST consists of three contractions in a 10-
minute time frame. If no decelerations are observed in the FHR pattern with the
contractions, then the findings are considered to be negative. A positive CST indicates
the presence of repetitive late FHR decelerations. The terms satisfactory or
unsatisfactory are not applicable.
Of these psychosocial factors, which has the least negative effect on the health of the
mother and/or fetus?
a. Moderate coffee consumption
b. Moderate alcohol consumption
c. Cigarette smoke
d. Emotional distress
- ANSWER -a. Moderate coffee consumption
Which information should nurses provide to expectant mothers when teaching them
how to evaluate daily fetal movement counts (DFMCs)?
a. Alcohol or cigarette smoke can irritate the fetus into greater activity.
b. Kick counts should be taken every hour and averaged every 6 hours, with every other
6-hour stretch off.
c. The fetal alarm signal should go off when fetal movements stop entirely for 12 hours.
d. A count of less than four fetal movements in 1 hour warrants future evaluation.
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