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NRSG 408 Test 3 Questions And Answers 2024/2025
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NRSG 408 Test 3 Questions And Answers 2024/2025 NRSG 408 Test 3 Questions And Answers 2024/2025 NRSG 408 Test 3 Questions And Answers 2024/2025
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NRSG 408 Test 3Which clinical significance does a maternal blood Coombs test with a titer of 1:8 and increasing indicate?
a. Fetal lung maturity
b. Significant Rh compatibility
c. Significant Rh incompatibility
d. Fetus with trisomy 13, 18, or 21 - CORRECT ANS c. Significant Rh incompatibility
An increase indicates significant Rh incompatibility.
The nurse is caring for a pregnant client at 19 weeks of gestation. On reviewing the ultrasound reports,
the nurse notes that the fetus has a ventricular septal defect (VSD). The nurse knows which type of
ultrasound helps detect VSD?
a. Limited examination
b. Non-medical examination
c. Standard or basic examination
d. Specialized or targeted examination - CORRECT ANS d. Specialized or targeted examination
Rationale: Specialized or targeted examinations are performed if a client is suspected to be carrying an
anatomically or physiologically abnormal fetus. A VSD is an anatomic defect in the ventricular septum,
the wall dividing the left and right ventricles of the heart. Therefore, a specialized or targeted ultrasound
examination of the heart is performed to detect a VSD
Which nursing explanation is appropriate to include when preparing a client for a nonstress test?
,a. "I will be using stimulation to wake up the baby."
b. "You can recline a bit with a slight tilt to the side."
c. "Push this button when you feel the baby move."
d. "You can lie on your back and get comfortable." - CORRECT ANS b. "You can recline a bit with a slight
tilt to the side."
Rationale: The client would be positioned in the semi-Fowler position with a slight lateral tilt to improve
uterine perfusion and prevent supine hypotension. It is not necessary to use vibroacoustic stimulation to
wake up the baby unless the fetal heart rate pattern is nonreactive. The client would be instructed to
push a button if evidence of fetal movement is not on the tracing. The client would not be placed in the
supine position as it can impede uterine perfusion and result in supine hypotension.
On reviewing the medical history of a pregnant client, the nurse finds that the client is taking
carbamazepine. What consequence of the drug on the fetus should the nurse be aware of?
a. Pyelectasis
b. Spina bifida
c. Omphalocele
d. Lupus erythematosus - CORRECT ANS b. Spina bifida
Rationale: Carbamazepine is a teratogenic drug that may cause neural tube defects.
Which testing would be available for a client at 11 weeks of gestation who requests a fetal genetic
assessment?
a. Ultrasonography
b. Amniocentesis
c. Chorionic villus sampling
,d. Percutaneous umbilical blood sampling (PUBS) - CORRECT ANS c. Chorionic villus sampling
Rationale:
- CVS: b/w 10 and 13 wks
- Amniocentesis- after 14 wks
- PUBS- after 18 wks b/c of the fragility of the cord vessels.
Which is the normal range of amniotic fluid index?
a. 1 to 5 cm
b. 10 to 25 cm
c. 25 to 40 cm
d. 40 to 65 cm - CORRECT ANS b. 10 to 25 cm
Rationale: Amniotic fluid index is a biophysical profile that helps to estimate the amniotic fluid volume
and fetal wellbeing.
- NR: 10-25cm
- Oligohydramnios: 1-5cm
- Polyhydramnios: 25+ cm
The nurse is teaching a pregnant client regarding the monitoring of daily fetal movement. Which finding
should be reported to the primary health care provider?
a. Fetal movement was not detected for 12 hours.
b. An episode of limb straightening was observed.
, c. One episode of fetal breathing was seen in 30 minutes.
d. An amniotic fluid index value of more than 5 cm. - CORRECT ANS a. Fetal movement was not detected
for 12 hours
A client is undergoing percutaneous umbilical blood sampling (PUBS). What is the best intervention for
the nurse to perform after conducting the test?
a. Monitor the fetal heart rate (FHR).
b. Give fluids to the client frequently.
c. Elevate the client's bed to a 60-degree angle.
d. Check the patient's blood glucose levels. - CORRECT ANS a. Monitor the fetal heart rate (FHR).
Rationale: an invasive procedure in which the fetal umbilical vessel is punctured for blood transfusion or
sample collection. After 1 to 2 hours of performing this procedure, the nurse should monitor the fetal
heart rate (FHR) to ensure safety.
During a prenatal check-up a client who is 7 months pregnant reports that she is able to feel about two
kicks in an hour. The nurse refers the client for an ultrasound, and which is the primary reason for this
referral?
a. To check for fetal anomalies
b. To check gestational age
c. To check fetal position
d. To check for fetal well-being - CORRECT ANS d. To check for fetal well-being
NR: 30 kicks/hr in 3rd trimester
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