In the past, factors to determine whether a woman was likely to have a high-risk pregnancy were evaluated primarily from a medical point of view. A broader, more comprehensive approach to high-risk pregnancy has been adopted. There are now four categories based on threats to the health of the woman and the outcome of pregnancy. Which of the options listed here is not included as a category?
The fourth category is correctly referred to as the sociodemographic risk category.
A 40-year-old woman with a high body mass index (BMI) is 10 weeks pregnant. Which diagnostic tool is appropriate to suggest to her at this time?
An ultrasound is the method of biophysical assessment of the infant that is performed at this gestational age. Transvaginal ultrasound is especially useful for obese women, whose thick abdominal layers cannot be penetrated adequately with the abdominal approach.
What is an appropriate indicator for performing a contraction stress test?
Which of the following is the most common kind of placental adherence seen in pregnant women?
Placenta accreta is the most common kind of placental adherence seen in pregnant women and is characterized by slight penetration of myometrium.
While making a visit to the home of a postpartum woman 1 week after birth, the nurse should recognize that the woman would characteristically:
One week after birth the woman should exhibit behaviors characteristic of the dependent-independent or taking-hold stage. She still has needs for nurturing and acceptance by others.
Which behaviors would be exhibited during the letting-go phase of maternal role adaptation. Select all that apply.
Please select 3 correct answers
The emergence of family unit, sexual intimacy relationship continuing and defining one’s individual roles represent interdependent behaviors associated with the letting-go phase.
A nurse providing care for the antepartum woman should understand that the contraction stress test (CST):
No late decelerations indicate a positive CST result.
The nurse sees a woman for the first time when she is 30 weeks pregnant. The woman has smoked throughout the pregnancy, and fundal height measurements now are suggestive of growth restriction in the fetus. In addition to ultrasound to measure fetal size, what would be another tool useful in confirming the diagnosis?
Doppler blood flow analysis allows the examiner to study the blood flow noninvasively in the fetus and the placenta. It is a helpful tool in the management of high-risk pregnancy due to intrauterine growth restriction (IUGR), diabetes mellitus, multiple fetuses, or preterm labor.
A woman who is at 36 weeks of gestation is having a nonstress test. Which statement indicates her correct understanding of the test?
The nonstress test is one of the most widely used techniques to determine fetal well-being and is accomplished by monitoring fetal heart rate in conjunction with fetal activity and movements
A nurse is providing instruction for an obstetrical patient to perform a daily fetal movement count (DFMC). Which instructions could be included in the plan of care? Select all that apply.
Please select 3 correct answers
The fetal alarm signal is reached when no fetal movements are noted for a period of 12 hours.
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