maternity week 3 recitation & worksheets

quadruple screen-maternal serum screen

• risk for NTD and trisomy 18 & 21

oligohydramnios

AFI < 5cm

most common abnormality of chromosome number

aneuploidy

nonstress test

• a screening tool that uses FHR patterns and accelerat9iions as an indicator of fetal well being

without sufficient FHR accelerations in 40 mins

nonreactive

principle that sonography should only be performed for a valid indication using the lowest possible exposure

ALARA

chorionic villus sampling

• aspiration of a small amount of placental tissue

> 32 wks gestation: FHR incr 15 beats aboce baseline for 15 secs twice or more in 20 mins

reactive

polyhydramnios

AFI > 24 cm

Gina is a 21 yr old pt, G1P0, currently in her first tri, which of the actions can facilitate adaption to pregnancy?

• Discourage questions from partner or family members during prenatal visits s

• assess for ginas specific learning needs and stressors in life

• immediate referral to psych provider for ambivalence in first trimester

• reassure fina that it is normal to have severe anxiety in first few months

• assess for ginas specific learning needs and stressors in life

Gine is 21 yr old pt, G1/PO, now at 8 wks gestation, gina is at the clinic for her initial prenatal visit, you are the nurse reviewing her med history. which of the following would require additional antenatal tests in her pregnancy?

• grandma with diabetes

• current singleton pregnancy

• history of anemia as a teen which has now resolved

• chronic htn

• chronic htn

Gina is a 21 yr old pt, G1P0, now at 10 wks gestation, Gina asks if she has any incr. risk for fetal genetic disorders. which of the follow categories would incr. that risk?

• havinig no prior children

• maternal age of 21 yrs old

• parental aneuploidy

• negative carrier screening for cystic fibrosis

• parental aneuploidy

gina, 21 yr old pt, G1P0, at 10 wks, wants to discuss chorionic villus sampling (CVS) today. what is the primary advantage of CVS over amniocentesis?

• CVS does not involve any incasive tools, like a catheter

• there is 0 risk of bleeding or rupture of membranes

• CVS is the only test that can detect fetal abnormalities cause by genetic disorders

• CVS can be performed earlier in pregnancy than amniocentesis

• CVS can be performed earlier in pregnancy than amniocentesis

Nursing student was asked to provide pre procedure instructions for a pt undegoing an amniocentesis. Which of the instructions given by the nursing students needs correcting?

• explain potential risks and benefits

• reassure the pt that they will not experience pain with the procedure

• provide online sources for further information

• discuss what the pt can expect during the test of procedure

• reassure the pt that they will not experience pain with the procedure

GIna is a 21yr old G1/P0 in her 2nd tri, nurse providing info on mental health in pregnancy, which of the following statements is true?

• perinatal depression is always detectable bc of changes in sleep, appetite, and libido

• perinatal mood and anxiety disorders may impact the developing fetus and contribute to adverse birth outcomes

• for privacy reasons, OB/GYN physicians should be the only team members involved in the prgenant pts mental health care

• high levels of maternal stress can incr. utero placental blood flow to fetus

• perinatal mood and anxiety disorders may impact the developing fetus and contribute to adverse birth outcomes

Gina, 21 yr old G1P0 now at 36 wks gestation, nurse is reviewing the results of Ginas BPP, which of the following variables should the nurse expect to be included in this test?

• fetal lung maturity, NST, nuchal translucency

• amniotic fluid volume, gross body movement, fetal breathing movements

• fetal weight, abdominal and head circumference

• fetal position, CTS, amniotic fluid volume

• amniotic fluid volume, gross body movement, fetal breathing movements

Gina, 21 yr old pt, G1P0, now at 37 wks of gestation, When analyzing Ginas NST, a visually apparent incr in the fhr that reach a peak of 15 bpm aboce the baseline, and lasts a minimum of 15 secs (but less than 2 mins)

The acceleration of the fhr is:

• a simple uterine contraction

• a sign of fetal distress

• reassuring sign of fetal wellbeing

• a concern for an immediate cesarean section

• reassuring sign of fetal wellbeing

gina is 21 yr old pt, G1P0, now at 38 wks gest, as anurse, you are reviwing fetal kick counts with her, which is true about fetal kick counts?:

• fetal kick counts must be performed in the office with an OB/GYN nurse or provider

• fetal kick counts require a specia monitoring device to count each kick

• 5 distincts movement in 2h rs is considered normal and reassuring

• 10 distincts movements in 2hrs is considered normal and reassuring

• 10 distincts movements in 2hrs is considered normal and reassuring

your client pre-preg BMI is 35, what is their recommended weight gain in pregnancy?

• 11-20 lbs

when[ is the embryo most susceptible to teratogens?

• durng first 8 wks of gestation

you are caring for this client, prior birthst at 30 and 38 wks resulted in living children, what is their GTPAL?
- Current pregnant at 16 wks gest

• HX of 1 prior birth at 30 wks

• hx of 2 prior birthst at 38 wks

• 1 prior pregnanct loss at 11 wks

• GTPAL: 52113

the following are considered risks with an amniocentesis procedure:

• post term labor

• preterm labor

• rh sensitization from fetal blood into maternal blood

• pregnancy loss

• preterm labor

• rh sensitization from fetal blood into maternal blood

• pregnancy loss

which hormone thickens the lining of the uterus for implantation, relaxes smooth muscle, hepls maintain the pregnancy?:

• oxytocin

• progesterone

• HPL

• estrogen

• progesterone

what is a positive sign of pregnancy:

• positive urine test

• ausc. of fetal heart tones

• nausea and comiting

• visualizaiton of the fetus via ultrasound

• ausc of heart tones

• visualization of fetus via ultrasound

which of the following tests screens for open NTDs and is performed at 15-20 wks of pregnancy?

• AFP (alpha-fetoprotien

• NST

• BPP

• cell free fetal DNA

• AFP

cell free detal DNA helps diagnose fetal banormalities, T/F

• false