Module 3 PrepU ?s

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 high level of MS-AFP is associated with a healthy fetus. We will not need to do any additional testing at this time." "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." "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 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 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 sonogram to locate it will be done first." "Placentas always form on the posterior uterine wall." "It would not be harmful even if it were punctured." "A uterus feels soft over the placenta site."

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

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

"Amniotic fluid cushions your baby to prevent injury."

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? 110 to 160 bpm 120 to 170 bpm 100 to 150 bpm 90 to 140 bpm

110 to 160 bpm

Fetal heart rate monitoring reveals baseline tachycardia in the fetus. Which rate would be most likely? 154 beats per minute 144 beats per minute 164 beats per minute 134 beats per minute

164 beats per minute

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? stethoscope fetoscope doppler tocodynometer

Doppler

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

Fetal heart sounds increase in connection with fetal movement.

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? Help the woman change positions. Prepare the woman for an emergency cesarean birth. Obtain assistance to check for a compressed umbilical cord. Document the finding.

Help the woman change positions.

A woman at 15 weeks' gestation is about to undergo amniocentesis. Which nursing intervention should be made first? Observe the fetal heart rate monitor. Place the client in supine position. Obtain a signed consent form. Have the client void.

Obtain a signed consent form.

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? There is limited amniotic fluid, but the fetal heart is not compromised. The mother is experiencing back labor pains, causing a rupture of membranes. There is no concerning data. Fetal heart rate is normal and kidney function exists. The fetal heart is stressed, with an elevated heart rate and nonstress test reactivity.

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

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? Variability is normal. Variability is marked. Variability is absent. Variability is minimal.

Variability is normal.

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

a tracing of fetal heart rate and pattern.

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? at about 6 months at about 2 months at about 4 months Fetal gender can only be determined by analysis of maternal serum.

at about 4 months

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

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

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

fetal heart rate declining late with contractions and remaining depressed

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: measures the fetal liver function. is a screening test for placental function. may reveal chromosomal abnormalities. tests the ability of her heart to accommodate the pregnancy.

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: immediate termination of the pregnancy based on results. special care needed for a Down syndrome infant. a more specific determination of the acid-base status. more definitive evaluations to conclude anything.

more definitive evaluations to conclude anything.

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

neural tube defects Down syndrome

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

prolonged decelerations

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. what type of facial features the fetus will have how much the fetus will weigh at birth whether the fetal lungs are mature enough to support respiration outside of the womb the amniotic fluid can be used for genetic testing what the eye color of the baby will be

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

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? to prevent the woman from falling out of bed to aid the woman as she pushes during labor to prevent supine hypotension syndrome. to decrease the heart rate of the fetus

to prevent supine hypotension syndrome.

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? chorionic villus sampling percutaneous umbilical cord sampling amniocentesis ultrasound

ultrasound