Assessment of fetal well-being
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Questions and Answers

What is the primary purpose of a Nonstress Test (NST)?

  • To predict the onset of labor
  • To assess fetal heart rate in relation to fetal movement (correct)
  • To evaluate the effectiveness of maternal medications
  • To measure maternal blood pressure during labor

    • Which of the following is NOT a disadvantage of the Nonstress Test?

  • High rate of false non-reactive results
  • Maternal medications may affect results
  • Requires invasive procedures (correct)
  • Fetal sleep cycles can blunt response

    • During which gestational weeks is the NST typically recommended for clients with diabetes mellitus?

  • 28 to 32 weeks (correct)
  • 24 to 28 weeks
  • 32 to 36 weeks
  • 20 to 24 weeks

    • What qualifying acceleration indicates a reactive NST result after 32 weeks gestation?

    <p>FHR accelerates at least 15 bpm for 15 seconds</p> Signup and view all the answers

    Which symptom suggests the consideration of an NST?

    <p>Decreased fetal movement</p> Signup and view all the answers

    What is the recommended action if no fetal movements are detected during an NST?

    <p>Use vibroacoustic stimulation to stimulate the fetus</p> Signup and view all the answers

    What does a nonreactive NST result necessitate?

    <p>Further assessment such as a contraction stress test</p> Signup and view all the answers

    Which condition is NOT a potential indication for performing an NST?

    <p>Healthy fetal growth with no concerns</p> Signup and view all the answers

    What is the primary purpose of performing amniocentesis?

    <p>To aspirate amniotic fluid for analysis</p> Signup and view all the answers

    What should be done prior to the amniocentesis procedure to minimize risks?

    <p>Empty the bladder</p> Signup and view all the answers

    Which of the following is NOT a potential indication for amniocentesis?

    <p>History of allergies in the mother</p> Signup and view all the answers

    During the intraprocedure phase of amniocentesis, what is an important step for nursing actions?

    <p>Document baseline vital signs and fetal heart rate</p> Signup and view all the answers

    What feeling should the client expect during the needle insertion for amniocentesis?

    <p>Slight pressure</p> Signup and view all the answers

    What is the ideal time frame for collecting amniotic fluid to measure alpha-fetoprotein (AFP)?

    <p>15 to 20 weeks</p> Signup and view all the answers

    Which of the following is a nursing action to prepare the client for ultrasound during amniocentesis?

    <p>Assist the client into a supine position</p> Signup and view all the answers

    How can high maternal AFP levels be evaluated?

    <p>Through amniotic fluid analysis</p> Signup and view all the answers

    What is the main purpose of using ultrasound during pregnancy?

    <p>To visualize internal organs and assess fetal well-being</p> Signup and view all the answers

    Which type of ultrasound is preferred for obtaining accurate information in early pregnancy?

    <p>Transvaginal ultrasound</p> Signup and view all the answers

    What is the significance of using Doppler ultrasound during pregnancy?

    <p>To assess maternal-fetal blood flow and detect issues like IUGR</p> Signup and view all the answers

    Which of the following is NOT a potential diagnosis for ultrasound use during pregnancy?

    <p>Diagnosing mental health issues in the mother</p> Signup and view all the answers

    Which procedure can ultrasound complement in the evaluation of placental maturation?

    <p>Amniocentesis</p> Signup and view all the answers

    What is the most appropriate indication for performing a transvaginal ultrasound?

    <p>Evaluating obesity-related complications in early pregnancy</p> Signup and view all the answers

    What is a primary requirement for external abdominal ultrasound to be effective?

    <p>Patient must have a full bladder</p> Signup and view all the answers

    Which ultrasound type can display fetal movements in a video format?

    <p>Four-dimensional ultrasound</p> Signup and view all the answers

    What is the primary purpose of percutaneous umbilical blood sampling (PUBS)?

    <p>To obtain fetal blood from the umbilical cord</p> Signup and view all the answers

    What indication necessitates the use of PUBS?

    <p>Assessing fetal chromosomal disorders</p> Signup and view all the answers

    Which of the following nursing actions should be taken after performing PUBS?

    <p>Monitor fetal heart rate</p> Signup and view all the answers

    Which complication is associated with PUBS?

    <p>Amniotic fluid emboli</p> Signup and view all the answers

    What does a lecithin/sphingomyelin (L/S) ratio of 2:1 signify?

    <p>Fetal lung maturity</p> Signup and view all the answers

    What is a common area to monitor for complications after PUBS?

    <p>Vaginal discharge</p> Signup and view all the answers

    What does the absence of phosphatidylglycerol (PG) indicate?

    <p>Respiratory distress risk</p> Signup and view all the answers

    Which finding would suggest a high risk for fetal chromosomal disorders?

    <p>High levels of alpha-fetoprotein</p> Signup and view all the answers

    What is a key indication for using chorionic villus sampling (CVS)?

    <p>It assesses a portion of the developing placenta.</p> Signup and view all the answers

    Which of the following is a disadvantage of chorionic villus sampling (CVS)?

    <p>It is associated with an increased risk of fetal anomalies.</p> Signup and view all the answers

    At what gestational age is chorionic villus sampling ideally performed?

    <p>Between 10 and 13 weeks of gestation.</p> Signup and view all the answers

    What does the quad marker screening primarily assess?

    <p>It measures the levels of specific hormones and proteins.</p> Signup and view all the answers

    What abnormal result in maternal serum alpha-fetoprotein (MSAFP) levels may indicate Down syndrome?

    <p>Low levels of AFP.</p> Signup and view all the answers

    What is a recommended nursing action prior to performing chorionic villus sampling (CVS)?

    <p>Obtain informed consent from the client.</p> Signup and view all the answers

    Which hormone is NOT typically assessed in quad marker screening?

    <p>Insulin</p> Signup and view all the answers

    What is an important step to take before undergoing maternal serum alpha-fetoprotein (MSAFP) testing?

    <p>Clients should discuss their medical history with the nurse.</p> Signup and view all the answers

    What is the purpose of the nipple-stimulated contraction test?

    <p>To assess fetal tolerance to the stress of labor</p> Signup and view all the answers

    What is a contraindication for the oxytocin-stimulated contraction test?

    <p>Confirmed placenta previa</p> Signup and view all the answers

    Which finding indicates a negative contraction stress test (CST)?

    <p>At least three contractions with no late decelerations</p> Signup and view all the answers

    In the nipple-stimulated contraction test, how should the client respond when a contraction begins?

    <p>Stop the stimulation immediately</p> Signup and view all the answers

    What defines tachysystole during labor?

    <p>Contractions lasting longer than 90 seconds</p> Signup and view all the answers

    Which scenario could indicate a positive CST?

    <p>Late decelerations with 50% or more of the contractions</p> Signup and view all the answers

    What is an example of an ongoing nursing action during the contraction tests?

    <p>Monitor for contractions longer than 90 seconds after stimulation</p> Signup and view all the answers

    Which condition is considered a high-risk pregnancy warranting contraction testing?

    <p>Gestational diabetes mellitus</p> Signup and view all the answers

    What should be done if hyperstimulation occurs during the oxytocin-stimulated contraction test?

    <p>Administer tocolytics as prescribed</p> Signup and view all the answers

    What client preparation is necessary before conducting the CST?

    <p>Document baseline fetal heart rate and movements for 10-20 minutes</p> Signup and view all the answers

    What is the purpose of having a client maintain a full bladder before an abdominal ultrasound?

    <p>To improve sound wave reflection for better image quality</p> Signup and view all the answers

    During a transvaginal ultrasound, what equipment is necessary for probe insertion?

    <p>A protective covering for the vaginal probe</p> Signup and view all the answers

    Which score on a biophysical profile indicates normal fetal assessment?

    <p>8 - 10</p> Signup and view all the answers

    What is a requirement for scoring the fetal breathing movements in a biophysical profile?

    <p>One episode lasting more than 30 seconds</p> Signup and view all the answers

    Which presentation is NOT considered a risk factor for fetal distress?

    <p>Increased fetal movement</p> Signup and view all the answers

    What is the point value assigned for the absence of gross body movements in a biophysical profile?

    <p>0 points</p> Signup and view all the answers

    What type of gel is used for vaginal probes during transvaginal ultrasound?

    <p>Water-soluble gel</p> Signup and view all the answers

    What does a nonreactive nonstress test indicate in relation to the biophysical profile?

    <p>Potential fetal distress or hypoxia</p> Signup and view all the answers

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