NR 327: Chapter 10: Antepartum Fetal Assessment

A pregnant client's biophysical profile score is 8. She asks the nurse to explain the results. What is the nurse's best response? a. "The test results are within normal limits." b. "Immediate birth by cesarean birth is ...

A pregnant client's biophysical profile score is 8. She asks the nurse to explain the results. What is the nurse's best response? a. "The test results are within normal limits." b. "Immediate birth by cesarean birth is being considered." c. "Further testing will be performed to determine the meaning of this score." d. "An obstetric specialist will evaluate the results of this profile and, within the next week, will inform you of your options regarding birth." (ANS- a. "The test results are within normal limits." Which analysis of maternal serum may predict chromosomal abnormalities in the fetus? a. Biophysical profile b. Multiple-marker screening c. Lecithin-to-sphingomyelin ratio d. Blood type and crossmatch of maternal and fetal serum (ANS- b. Multiple-marker screening The clinic nurse is obtaining a health history on a newly pregnant client. Which is an indication for fetal diagnostic procedures if present in the health history? a. Maternal diabetes b. Weight gain of 25 lb c. Maternal age older than 30 d. Previous infant weighing more than 3000 g at birth (ANS- a. Maternal diabetes When is the most accurate time to determine gestational age through ultrasound? a. First trimester b. Second trimester c. Third trimester d. No difference in accuracy among the trimesters (ANS- a. First trimester The primary reason for evaluating alpha-fetoprotein (AFP) levels in maternal serum is to determine whether the fetus has which? a. Hemophilia b. Sickle cell anemia c. A neural tube defect d. A normal lecithin-to-sphingomyelin ratio (ANS- c. A neural tube defect When is the earliest that chorionic villus sampling can be performed during pregnancy? a. 4 weeks b. 8 weeks c. 10 weeks d. 12 weeks (ANS- c. 10 weeks