Deck 6: Antepartal Tests

Question 1

The nurse is assisting a patient who is pregnant to prepare for an MRI scheduled to assess fetal brain development. Which situation causes the nurse to notify the radiology department personnel?

A)The patient had breakfast before the test.
B)The patient reports having an iodine allergy.
C)The patient expresses concern about pain.
D)The patient has a permanent body piercing.

Answer 1

The patient has a permanent body piercing.

Question 2

The nurse is reviewing the purpose of a modified BPP for a patient at 38 weeks gestation. The nurse recognizes which determinations can be made through a modified BPP regarding fetal well-being? Select all that apply.

A)The NST is an indicator of short-term fetal well-being.
B)The test is normal if NST is considered to be nonreactive.
C)The test is considered most predictive for perinatal outcomes.
D)The AFI is an indicator of long-term placental function.
E)An AFI of 5 cm is indicative of fetal asphyxia.

Answer 2

The NST is an indicator of short-term fetal well-being.
The test is considered most predictive for perinatal outcomes.
The AFI is an indicator of long-term placental function.
An AFI of 5 cm is indicative of fetal asphyxia.

Question 3

A patient has experienced an uneventful pregnancy but begins to have vaginal spotting at 38 weeks gestation. The health care provider (HCP) suspects placenta previa initiated by cervical thinning. Which testing does the nurse expect the HCP to schedule?

A)Doppler flow studies
B)Nonstress testing
C)Magnetic resonance imaging
D)Ultrasonography studies

Answer 3

Ultrasonography studies

Question 4

A patient is in her first trimester of her second pregnancy. The patient's first child was born with a trisomy 21 defect. The patient is requesting testing to determine whether the current fetus has the same defect. Which initial testing does the nurse expect the HCP to prescribe?

A)Fetal ultrasound
B)Magnetic resonance imaging
C)Chorionic villa sampling
D)Amniocentesis

Question 5

A patient is scheduled for transvaginal ultrasound testing. Which preparation by the nurse is appropriate?

A)Place the patient supine with a pillow beneath her head.
B)Explain that pain at 4 or less on a 0 to10 scale is expected.
C)Ascertain whether the patient has a latex or banana allergy.
D)Request that the patient's partner leave the testing room.

Question 6

An Eastern European Jewish couple had two children who died from Tay-Sachs disease. The couple is currently pregnant and have asked for genetic confirmation about this fetus with the intention of early termination if the fetus tests positively. For which reason does the nurse expect chorionic villa sampling to be prescribed?

A)The test is performed as early as 10 weeks gestation.
B)Risks to the fetus and mother are less than other tests.
C)A positive result allows termination during the test.
D)This is the only testing that is disease specific.

Question 7

A patient who is at 20 weeks gestation is being prepared for an MRI after a nonconclusive ultrasound testing for suspected brain abnormality related to possible zika virus exposure. Which nursing actions are appropriate for this patient? Select all that apply.

A)Provide information regarding the test.
B)Allow patient to express feelings about her high-risk pregnancy.
C)Promote open communication with her primary health care providers.
D)Encourage patient to think about resolutions for negative testing.
E)Provide psychological support to the patient and her partner.

Question 8

The ____________________ in conjunction with NST is a strong indicator of fetal status, as it is accurate in detecting fetal hypoxia.

Question 9

A patient in the second trimester of pregnancy becomes upset when the health care provider (HCP) schedules several screening tests. The patient voices concern that something is wrong with her baby. Which statement by the nurse will reduce the patient's anxiety?

A)"Multiple screening tests are ordered for every pregnancy."
B)"It is better to identify problems before birth than afterward."
C)"Screening tests are primarily to identify those without disease or abnormality."
D)"Diagnostic testing is a reason for worry because they indicate fetal problems."

Question 10

A patient in the second trimester of pregnancy is scheduled for a Doppler flow study because the health care provider (HCP) is concerned about an assessment finding during a routine prenatal visit. Which finding of concern does the nurse suspect?

A)Fetal movement count is less than 8 per hour.
B)Patient shows no weight gain in 2 weeks.
C)Patient exhibits mild lower extremity edema.
D)Fetal growth is below expectation for gestational age.

Question 11

The nurse is aware that some ____________________ tests, such as multiple marker screening and ultrasound, are offered to all pregnant women.

Question 12

The nurse is providing pre-amniocentesis teaching for a patient who is at 18 weeks gestation. Which information does the nurse provide? Select all that apply.

A)Positioning on the left side will avoid injury to the fetus.
B)A full bladder will assist in ultrasound visualization.
C)Discomfort will be minimized with a local anesthetic.
D)Avoid lifting heavy objects for a period of 2 weeks.
E)Abdominal cramping and bleeding is normal for 24 hours.

Question 13

The nurse is providing care for a 45-year-old patient who has just learned she is in the second trimester of pregnancy. The patient thought she was experiencing manifestations of menopause until she recognized fetal movement. Which diagnostic test does the nurse expect to be prescribed for this patient?

A)Amniocentesis
B)Ultrasonography
C)Daily fetal movement count
D)Chorionic villi sampling

Question 14

A patient who is at 30 weeks gestation is involved in a car crash. The nurse recognizes that which initial testing will be used to assess fetal well-being?

A)Ultrasonography
B)Nonstress testing
C)Contraction stress test
D)Fetal movement counting

Question 15

The nurse is assessing a patient who just received confirmation of pregnancy. While collecting information about the patient's medical history, which information alerts the nurse to biophysical risk factors? Select all that apply.

A)The patient is primip who is 38 years of age.
B)The patient smokes two packs of cigarettes weekly.
C)The patient has been a strict vegetarian for 25 years.
D)The patient works as a nuclear medicine technician.
E)The patient is medically treated for rheumatoid arthritis.

Question 16

____________________ stimulation may be effective in eliciting a change in fetal behavior, fetal startle movements, and increased FHR variability.

Question 17

An adolescent patient who is 15 weeks pregnant refuses to have an alpha-fetoprotein test performed because, "I don't like needles." Which initial approach does the nurse take to achieve the testing?

A)Insist that testing will be done with or without her cooperation.
B)Explain the testing is important in detecting serious birth defects.
C)Ask an accompanying parent to help persuade the patient.
D)Notify the health care provider of the patient's refusal.

Question 18

A patient in the third trimester of pregnancy is instructed on how to perform daily fetal movement count. The nurse needs to inform the patient what to do if fetal movement is decreased. Which patient actions are appropriately recommended by the nurse? Select all that apply.

A)Eat something.
B)Recount movements the next morning.
C)Arrange for a period of rest.
D)Focus on movement for 1 hour.
E)Exercise or take a walk.

Question 19

A patient is scheduled for a contraction stress test (CST) at 36 weeks gestation. The nurse is aware that a successful testing is dependent on which factor?

A)Whether Braxton-Hicks contractions are occurring
B)Whether uterine contractions can be stimulated
C)If the mother is not overly tired or anxious
D)If the fetus is in an awake cycle and active