exam 2 module 3 course point

The nurse is evaluating the fetal heart rate rhythm strip and determines that the amplitude varies with a rate 15 to 20 beats/min. What does this assessment finding indicate to the nurse about variability? A. variability is absent B. variability is minimal C. variability is normal D. variability is marked

C. variability is normal

The client's pregnancy screening test shows that the maternal serum alpha-fetoprotein (MS-AFP) level is high. Which information should the nurse provide the client upon this finding? A. "A high level of MS-AFP is associated with neural tube defects. We will schedule you for another type of test to determine if your baby has a neural tube defect." B. "A high level of MS-AFP is associated with an increased risk of preterm labor. We will monitor you closely and start medication if needed." C. "A high level of MS-AFP is associated with a healthy fetus. We will not need to do any additional testing at this time." D. "A high level of MS-AFP is associated with Down syndrome. We will schedule you for another type of test to determine if your baby has Down syndrome."

A. "A high level of MS-AFP is associated with neural tube defects. We will schedule you for another type of test to determine if your baby has a neural tube defect."

A pregnant client scheduled for an amniocentesis asks the nurse how the placenta is not punctured during the procedure. How should the nurse respond to the client? A. "A uterus feels soft over the placenta site." B. "A sonogram to locate it will be done first." C. "It would not be harmful even if it were punctured." D. "Placentas always form on the posterior uterine wall."

B. "A sonogram to locate it will be done first."

The client is having her blood drawn for a Triple or Quad screen. For what does this test screen? Select all that apply. A. rubella B. Down syndrome C. neural tube defects D. pre-eclampsia E. gestational diabetes

B. Down syndrome C. neural tube defects

The fetal-assessment technique of a rhythm strip refers to: A. a fetal EKG, because it is effected by glucose stimulation B. a tracing of fetal heart rate and pattern C. the rhythm of fetal heart rate compared to maternal pulse D. the response of fetal heart to oxytocin stimulated contractions

B. a tracing of fetal heart rate and pattern

When assessing fetal heart rate patterns, which finding would alert the nurse to a possible problem? A. variable decelerations B. prolonged decelerations C. early decelerations D. accelerations

B. prolonged decelerations

The nurse is assessing a new client who presents in early labor. The nurse determines the fetus has an acceptable heart rate if found within which range? A. 90-140 bpm B. 100-150 bpm C. 110-160 bpm D. 120-170 bpm

C. 110-160 bpm

A pregnant woman is asked to observe fetal movements as a fetal-assessment technique. You would instruct her to: A. report if she feels no movement for any half hour period B. count only movements that are strong enough to hurt C. count fetal movements for 1 hour at the same time each day D. choose a different time frame each day to count movements

C. count fetal movements for 1 hour at the same time each day

An 18-year-old pregnant woman asks the nurse why she has to have a routine alpha-fetoprotein serum level drawn. The nurse explains that this: A. is a screening test for placental function B. tests the ability of her heart to accommodate the pregnancy C. may reveal chromosomal abnormalities D. measures the fetal liver function

C. may reveal chromosomal abnormalities

Prenatal testing is used to assess for genetic risks and to identify genetic disorders. In explaining to a couple about an elevated maternal serum alpha-fetoprotein screening test result, the nurse would discuss the need for: A. special care needed for a Down syndrome infant. B. a more specific determination of the acid-base status. C. more definitive evaluations to conclude anything. D. immediate termination of the pregnancy based on results.

C. more definitive evaluations to conclude anything.

A 33-year-old pregnant client asks the nurse about testing for birth defects that are safe for both her and her fetus. Which test would the nurse state as being safe and noninvasive? A. chorionic villus sampling B. amniocentesis C. ultrasound D. percutaneous umbilical cord samping

C. ultrasound

A client is to have an amniocentesis with ultrasound. What does the nurse explain to the client that amniocentesis can determine? Select all that apply. A. what type of facial features the fetus will have B. how much the fetus will weigh at birth C. whether the fetal lungs are mature enough to support respiration outside the womb D. the amniotic fluid can be used for genetic testing E. what the eye color of the baby will be

C. whether the fetal lungs are mature enough to support respiration outside the womb D. the amniotic fluid can be used for genetic testing

fetal heart rate monitoring reveals baseline tachycardia in the fetus. which rate would be most likely? A. 134 bpm B. 144 bpm C. 154 bpm D. 164 bpm

D. 164 bpm

A nonstress test is an assessment test based on which phenomenon? A. Braxton-Hicks contractions cause fetal heart-rate alterations. B. Fetal heart rate slows in response to a uterine contraction. C. Fetal movement causes an increase in maternal heart rate. D. Fetal heart sounds increase in connection with fetal movement.

D. Fetal heart sounds increase in connection with fetal movement.

If a fetus were not receiving enough oxygen during labor because of uteroplacental insufficiency, which pattern would the nurse anticipate seeing on the monitor? A. shallow deceleration occurring with the beginning of contractions B. variable decelerations, too unpredictable to count C. fetal baseline rate increasing at least 5 mmHg with contractions D. fetal heart rate declining late with contractions and remaining depressed

D. fetal heart rate declining late with contractions and remaining depressed

A pregnant woman undergoing amniocentesis asks her nurse why the baby needs this fluid. What would be an accurate response from the nurse? A. "Amniotic fluid cushions your baby to prevent injury." B. "Amniotic fluid provides fetal blood circulation." C. "Amniotic fluid supplies the food your baby needs to grow." D. "Amniotic fluid keeps the fetus from moving freely inside it to prevent injury."

A. "Amniotic fluid cushions your baby to prevent injury."

The nurse is caring for a multigravid client at 38 weeks' gestation and is reviewing diagnostic studies that estimate 1 liter of amniotic fluid surrounding the fetus. The nonstress test is reactive with a heart rate of 142 beats/min and moderate variability. The client verbalizes lower back discomfort. Which interpretation of the fetal status will the nurse make? A. There is no concerning data. Fetal heart rate is normal and kidney function exists. B. There is limited amniotic fluid, but the fetal heart is not compromised. C. The fetal heart is stressed, with an elevated heart rate and nonstress test reactivity. D. The mother is experiencing back labor pains, causing a rupture of membranes.

A. There is no concerning data. Fetal heart rate is normal and kidney function exists.

A woman has just learned that she is pregnant and would like to know how soon she can find out via ultrasound the sex of her fetus. The nurse should respond with which of the following? A. at about 4 months B. at about 2 months C. at about 6 months D. Fetal gender can only be determined by analysis of maternal serum.

A. at about 4 months

A nurse is asked to auscultate the fetal heart sounds in a pregnant client. Which equipment is most appropriate when auscultating fetal heart sounds at the 12th week? A. doppler B. fetoscope C. tocodynometer D. stethoscope

A. doppler

A client is in active labor. Checking the EFM tracing, the nurse notes variables that are abnormal. What would be the nurse's first nursing intervention? A. help the woman change positions B. obtain assistance to check for a compressed umbilical cord C. prepare the woman for an emergency c section D. document finding

A. help the woman change positions

A woman at 15 weeks' gestation is about to undergo amniocentesis. Which nursing intervention should be made first? A. obtained a signed consent form B. have the client void C. place the client in supine position D. observe the fetal heart rate monitor

A. obtained a signed consent form

A nurse is preparing a client for rhythm strip testing. She places the woman into a semi-Fowler position. What is the appropriate rationale for this measure? A. to prevent supine hypotension syndrome B. to decrease HR of fetus C. to aid the woman as she pushes during labor D. to prevent the woman from falling out of bed

A. to prevent supine hypotension syndrome