Pregnancy Assessment Questions

Pregnancy Assessment Questions Related

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The nurse has admitted a client who is 30 weeks gestation with suspected intrauterine growth restriction. The physician has ordered a Doppler blood flow study. What does the nurse suspect if the results show an S/D ratio above the 95th percentile for the gestational age, a ratio above 3, or end-diastolic blood flow that is absent or reversed?

  • A. Decreased blood pressure
  • B. Placental insufficiency
  • C. Increased amniotic fluid
  • D. Decreased fetal movement
Correct Answer: B

Rationale: The correct answer is B: Placental insufficiency. An elevated S/D ratio (>95th percentile for gestational age or >3) and absent/reversed end-diastolic blood flow on Doppler study indicate impaired placental blood flow, leading to decreased oxygen and nutrient delivery to the fetus. This can result in intrauterine growth restriction (IUGR) and compromise fetal well-being. Decreased blood pressure (A) is not directly related to these Doppler findings. Increased amniotic fluid (C) is more commonly associated with conditions like fetal anomalies or maternal diabetes. Decreased fetal movement (D) may be a sign of fetal distress but is not specifically indicated by Doppler findings in IUGR.

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A birth plan is being developed by a pregnant couple. Which of the following items should be included in the plan?

  • A. The method of infant feeding the mother plans on using.
  • B. The name and address of her health care insurance company.
  • C. The couple's baby name preferences.
  • D. The couple's cell phone numbers.
Correct Answer: A

Rationale: A birth plan typically includes the mother's preferences for labor, delivery, and postpartum care, including infant feeding methods.

A client on the obstetric unit is receiving IV medications per physician’s orders. On rounds the nurse notes that the client’s IV has infiltrated. Which of the following actions should the nurse perform first?

  • A. Determine whether the infusion is a vesicant.
  • B. Stop the infusion and remove the catheter.
  • C. Document the occurrence in the medical record.
  • D. Elevate the extremity and monitor the site.
Correct Answer: B

Rationale: Stopping the infusion and removing the catheter prevents further tissue damage from the infiltrated medication.

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.

A pregnant patient has received the results of her triple-screen testing and it is positive. She provides you with a copy of the test results that she obtained from the lab. What would the nurse anticipate as being implemented in the patient's plan of care?

  • A. No further testing is indicated at this time because results are normal.
  • B. Refer to the physician for additional testing.
  • C. Validate the results with the lab facility.
  • D. Repeat the test in 2 weeks and have the patient return for her regularly scheduled prenatal visit.
Correct Answer: B

Rationale: The correct answer is B: Refer to the physician for additional testing. When a triple-screen test is positive in a pregnant patient, it indicates an increased risk of certain conditions such as neural tube defects or chromosomal abnormalities. Therefore, the appropriate course of action is to refer the patient to a physician for further diagnostic testing, such as amniocentesis or ultrasound, to confirm or rule out these conditions.

Choice A is incorrect because a positive result on a triple-screen test does not indicate that results are normal; it suggests the need for further investigation. Choice C is incorrect because validating the results with the lab facility does not address the need for additional diagnostic testing. Choice D is incorrect because waiting 2 weeks to repeat the test and returning for a regular prenatal visit may delay necessary interventions or treatment for the patient.

In 2000, the perinatal mortality rate in one county was 16. The nurse interprets that information as which of the following?

  • A. 16 babies died between 28 and 40 weeks' gestation per 1,000 full-term pregnancies.
  • B. 16 babies died between 28 weeks' gestation and 28 days of age per 1,000 live births.
  • C. 16 babies died between birth and 1 month of life per 1,000 full-term pregnancies.
  • D. 16 babies died between 1 month of life and 1 year of life per 1,000 live births.
Correct Answer: B

Rationale: The perinatal mortality rate includes deaths from 28 weeks of gestation to 28 days after birth per 1,000 live births.

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