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?
- "The test results are within normal limits."
- "Immediate birth by cesarean birth is being considered."
- "Further testing will be performed to determine the meaning of this score."
- "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?
- Biophysical profile
- Multiple-marker screening
- Lecithin-to-sphingomyelin ratio
- 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?
- Maternal diabetes
- Weight gain of 25 lb
- Maternal age older than 30
- 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?
- First trimester
- Second trimester
- Third trimester
- No difference in accuracy among the trimesters
(ANS- a. First trimester 1 / 2
The primary reason for evaluating alpha-fetoprotein (AFP) levels in maternal serum is to determine whether the fetus has which?
- Hemophilia
- Sickle cell anemia
- A neural tube defect
- 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?
- 4 weeks
- 8 weeks
- 10 weeks
- 12 weeks
(ANS- c. 10 weeks
On which aspect of fetal diagnostic testing do parents usually place the most importance?
- Safety of the fetus
- Duration of the test
- Cost of the procedure
- Physical discomfort caused by the procedure
(ANS- a. Safety of the fetus
The nurse's role in diagnostic testing is to provide which of the following?
- Advice to the couple
- Information about the tests
- Reassurance about fetal safety
- Assistance with decision making
(ANS- b. Information about the tests
Which should be considered a contraindication for transcervical chorionic villus sampling?
- Rh-negative mother
- / 2