RASMUSSEN COLLEGE MATERNAL CHILD NURSING NUR 2513 EXAM 3 STUDY GUIDE (100% CORRECT WITH ANSWERS EXPLAINED) 1. A newly pregnant patient tells the nurse that she has irregular periods and is ... unsure of when she got pregnant. Scheduling an ultrasound is a standing prescription for the patient’s health care provider. When is the best time for the nurse to schedule the patient’s ultrasound? a. Immediately b. In 2 weeks c. In 4 weeks d. In 6 weeks ANSWER: A. Immediately An embryo can be seen about 5 to 6 weeks after the last menstrual period. At this time the crown-rump length (CRL) of the embryo is the most reliable measure of gestational age. Fetal viability is confirmed by observation of fetal heartbeat, which is visible when the CRL of the embryo is 5 mm. 2. The nurse is reviewing the procedure for alpha-fetoprotein (AFP) screening with a patient at 16 weeks’ gestation. The nurse determines that the patient understands the teaching when she mentions that which fluid will be collected for the initial screening process? a. Urine b. Blood c. Saliva d. Amniotic ANSWER: B. Blood Initial screening is completed with blood. AFP can be detected in amniotic fluid; however, that procedure is more costly and invasive. Procedures progress from least invasive to most invasive. 3. A patient at 36 weeks gestation is undergoing a non–stress (NST) test. The nurse observes the fetal heart rate baseline at 135 beats per minute (bpm) and four non episodic patterns of the fetal heart rate reaching 160 bpm for periods of 20 to 25 seconds each. How will the nurse record these findings? a. NST positive, non-reassuring b. NST negative, reassuring c. NST reactive, reassuring d. NST nonreactive, non-reassuring ANSWER: C. NST reactive, reassuring [Show More]
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