Antepartum NCLEX style questions Module 6 Chapter 4

____ 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? 1.Doppler flow studies 2.Nonstress testing 3.Magnetic resonance imaging 4.Ultrasonography studies

#4 Ultrasonography studies are appropriate in determining placental placement and possible abnormalities.

____ 1. 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? 1.Amniocentesis 2.Ultrasonography 3.Daily fetal movement count 4.Chorionic villi sampling

Answer = 1 Due to the age of the mother and the need to have genetic testing 4 = no This is incorrect. Chorionic villa sampling is a diagnostic test used for chromosomal analysis between 10 and 12 weeks gestation to detect fetal abnormalities caused by genetic disorders. The patient is past this time parameter.

____ 2. 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? 1."Multiple screening tests are ordered for every pregnancy." 2."It is better to identify problems before birth than afterward." 3."Screening tests are primarily to identify those without disease or abnormality." 4."Diagnostic testing is a reason for worry because they indicate fetal problems."

#3 Just tell the truth #2 is not therapeutic or sensitive

____ 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? 1. Fetal ultrasound 2.Magnetic resonance imaging 3.Chorionic villa sampling (a test made in early pregnancy to detect congenital abnormalities in the fetus. A tiny tissue sample is taken from the villi of the chorion, which forms the fetal part of the placenta.) 4.Amniocentesis

#1 This is correct. Fetal ultrasound in the first trimester of pregnancy can be performed for nuchal translucency, which measures the midsagittal plane with the neck of the fetus to assess the amount of fluid behind the neck. An elevated measurement is associated with trisomy 21. This is the initial test the nurse can expect; results may require further diagnostic testing. 2. NO -- MRI are for brain development 3. NO this carries a 7% chance of miscarriage 4. Amniocentesis is in 2nd semester and carries a risk. The test for nuchal translucency would be done first.