Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 147
PTS: 1 DIF: Cognitive Level: Comprehension REF: 253
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion n Maintenance
3. Te nur
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Test Bank - Maternal Child Nursing Care by Perry (6th Edition, 2017) 147
PTS: 1 DIF: Cognitive Level: Comprehension REF: 253
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion n Maintenance
3. Te nurse sees a woman fG te first time when she is 30 weeks pregnant. Te woman has smoked
throughout te pregnancy, n fundal height measurements now R suggestive of growth restriction in tefetus.
In addition to ultrasound to measure fetal size, what oter tool would be useful in confirming te
diagnosis?
a. Doppler blood flow analysis c. Amniocentesis
b. Contraction stresstest (CST) d. Daily fetal movement counts
ANS: A
Doppler blood flow analysis allows te examiner to study te blood flow noninvasively in te fetus n te placenta.
It is a helpful tool in te management of high risk pregnancies because of intrauterine growth restriction
(IUGR), diabetes mellitus, multiple fetuses, G preterm labG. Because of te potential risk of inducing labG n
causing fetal distress, CST is not perfGmed on a woman whose fetusis preterm. IndicationfG amniocentesis
include diagnosis of genetic disGders G congenital anomalies, assessment of pulmonary maturity, n diagnosis
of fetal hemolytic disease, not IUGR. Fetal kick count monitGing is perfGmed to monitG te fetus in
pregnancies complicated by conditions that may affect fetal oxygenation. Although thismay be a useful tool at
some point later in this womans pregnancy, it is not used to diagnose IUGR.
PTS: 1 DIF: Cognitive Level: Analysis REF: 255
OBJ: Nursing Process: Assessment, Diagnosis
MSC: Client Needs: Health Promotion n Maintenance
4. A 41-week pregnant multigravida presentsin te labG n delivery unit after a nonstresstest indicated thather
fetus could be experiencing some difficulties in utero. Which diagnos
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