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 client’s vital signs during labor and delivery were: BP 100/58–110/66, T 98.6ºF–98.8ºF, P 72–80 bpm, R 20–24 rpm. The client’s vitals 2 hours postpartum are BP 100/56, TPR 99.4ºF, P 70 bpm, R 20 rpm. Which of the following actions should the nurse perform at this time?

  • A. Check the client’s lochia flow.
  • B. Ask the client if she is having chills.
  • C. Encourage the client to drink fluids.
  • D. Assess the client’s lung fields.
Correct Answer: A

Rationale: Checking the client’s lochia flow is important to ensure there is no excessive bleeding, which could indicate postpartum hemorrhage.

An older adult patient has extensive wound care needs after discharge from the hospital. Which facility should the nurse discuss with the patient?

  • A. Hospice
  • B. Respite care
  • C. Assisted living
  • D. Skilled nursing
Correct Answer: D

Rationale: An intermediate care or skilled nursing facility offers skilled care from a licensed nursing staff.

The nurse is obtaining the first postpartum meal for a client who has stated that she practices Mormonism (the Church of Jesus Christ of Latter-Day Saints). Which of the following items should the nurse remove from the clients’ food tray?

  • A. Caffeinated coffee.
  • B. Cheeseburger.
  • C. Fried fish.
  • D. Pork sausage.
Correct Answer: A

Rationale: Mormons typically avoid caffeinated beverages as part of their religious practices.

The nurse reports a nonreactive NST to the physician. The physician orders vibroacoustic stimulation. Which does the nurse understand the appropriate application for the vibroacoustic stimulation to be? Select all that apply.

  • A. Clap loudly by the fetal head
  • B. Apply a sterile drape to abdomen prior to stimulation
  • C. Apply the artificial larynx stimulus by the fetal head
  • D. Limit the use of the artificial larynx stimulus to three times
Correct Answer: C

Rationale: The correct answer is C: Apply the artificial larynx stimulus by the fetal head. Vibroacoustic stimulation involves using sound waves to stimulate the fetus and provoke a response, particularly in cases of nonreactive nonstress test (NST). By applying the artificial larynx stimulus near the fetal head, the nurse ensures direct and effective stimulation of the fetus. This method has been found to be safe and effective in improving fetal heart rate reactivity.

Incorrect Choices:
A: Clap loudly by the fetal head - This is not an appropriate method for vibroacoustic stimulation as it may not provide the controlled and targeted stimulation needed.
B: Apply a sterile drape to abdomen prior to stimulation - This is not necessary for vibroacoustic stimulation and does not contribute to its effectiveness.
D: Limit the use of the artificial larynx stimulus to three times - There is no specific limit to the number of times vibroacoustic stimulation can be applied, as it depends on the

A nurse is reading a research study that states, 'There is a strong negative correlation between the independent and dependent variables (r = --0.85).' The nurse interprets the statement as which of the following?

  • A. The dependent variable caused a change in the independent variable.
  • B. The independent and dependent variables are significantly different.
  • C. As values of the independent variable go up, values of the dependent variable go down.
  • D. When the confidence interval is computed, the negative value will change to positive.
Correct Answer: C

Rationale: A negative correlation means that as one variable increases, the other decreases. The strength of the correlation is indicated by the absolute value of r.

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