Pregnancy Assessment Questions

Pregnancy Assessment Questions Related

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A patient at 36 weeks gestation is undergoing a nonstress (NST) test. The nurse observes the fetal heart rate baseline at 135 beats per minute (bpm) and four nonepisodic 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, nonreassuring
  • B. NST negative, reassuring
  • C. NST reactive, reassuring
  • D. NST nonreactive, nonreassuring
Correct Answer: C

Rationale: Step 1: The baseline fetal heart rate is 135 bpm, which is within the normal range of 110-160 bpm.
Step 2: The four nonepisodic patterns of fetal heart rate reaching 160 bpm for 20-25 seconds each indicate accelerations, a positive sign.
Step 3: A reactive NST requires at least two accelerations of the fetal heart rate within a 20-minute window, which this scenario meets.
Step 4: Therefore, the nurse will record these findings as NST reactive, reassuring because the fetal heart rate responded appropriately to stimuli.
Summary of Other Choices:
A: NST positive, nonreassuring - Inaccurate, as the findings indicate a reassuring response.
B: NST negative, reassuring - Incorrect, as the test results are actually reactive, not negative.
D: NST nonreactive, nonreassuring - Wrong, as the test is reactive and reassuring, not nonreactive and nonreassuring.

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Which finding indicates the best quality improvement process?

  • A. Staff identifies the wait time in the emergency department is too long.
  • B. Administration identifies the design of the facility’s lobby increases patient stress.
  • C. Director of the hospital identifies the payment schedule does not pay enough for overtime.
  • D. Health care providers identify the inconsistencies of some of the facility’s policy and procedures.
Correct Answer: A

Rationale: The quality improvement process begins at the staff level, where problems are defined by the staff. It is not identified by administration, the hospital director, or health care providers.

The umbilical cord is being clamped by the obstetrician. Which of the following physiological changes is taking place at this time?

  • A. The baby’s blood bypasses its pulmonary system.
  • B. The baby’s oxygen level begins to drop.
  • C. Bacteria begin to invade the baby’s bowel.
  • D. Bilirubin rises in the baby’s bloodstream.
Correct Answer: A

Rationale: Clamping the umbilical cord initiates the transition from fetal to neonatal circulation, allowing blood to bypass the pulmonary system as the lungs take over oxygen exchange.

A nurse is teaching a family about health care plans. Which information from the nurse indicates a correct understanding of the Affordable Care Act?

  • A. A family can choose whether to have health insurance with no consequences.
  • B. Primary care physician payments from Medicaid services can equal Medicare.
  • C. Adult children up to age 26 are allowed coverage on the parent’s plan.
  • D. Private insurance companies can deny coverage for any reason.
Correct Answer: C

Rationale: Adult children up to the age of 26, regardless of student status, are allowed to be covered under their parents’ health insurance plan.

A client, who is 6 hours post–vaginal delivery, has a BP of 150/110. Her last 4 BP readings were: 114/88, 120/80, 134/86, 140/90. Which of the following questions should the nurse ask the client at this time?

  • A. Have you had a bowel movement since delivery?'
  • B. Is there anything that is making you anxious about the baby?'
  • C. When you last went to the bathroom were you bleeding heavily?'
  • D. Do you have a headache or blurring of your vision?'
Correct Answer: D

Rationale: Headache or blurring of vision could indicate postpartum preeclampsia, a serious condition requiring immediate intervention.

Which government-instituted programs should the nurse include in a teaching session about controlling health care costs? (Select all that apply.)

  • A. Professional standards review organizations
  • B. Prospective payment systems
  • C. Diagnosis-related groups
  • D. Third-party payers
Correct Answer: B

Rationale: The federal government, the biggest consumer of health care, which pays for Medicare and Medicaid, has created professional standards review organizations (PSROs) to review the quality, quantity, and costs of hospital care. One of the most significant factors that influenced payment for health care was the prospective payment system (PPS). Established by Congress in 1983, the PPS eliminated cost-based reimbursement. Instead, the PPS grouped inpatient hospital services for Medicare patients into diagnosis-related groups (DRGs).

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