59. When a women is being evaluated for her pregnancy, there are a number of tests and procedures that are performed from the beginning of the pregnancy to the end. Please put the test and procedure the order that they are supposed to occur in the normal pregnancy.

Glucose Tolerance Test (GTT)

Human Chorionic Gonadotropin (HCG) on urine.

Group B Beta Strep

Maternal serum alpha-fetoprotein (MSAFP)

Answer and Explanation

The Correct Answer is B, D, A, C

Urine hCG is used to confirm pregnancy and is the first test performed. The maternal serum alpha-fetoprotein test is typically done around 15-20 weeks to screen for fetal abnormalities. The Glucose Tolerance Test (GTT) is typically performed between 24-28 weeks to screen for gestational diabetes. Group B beta strep testing is usually done between 35-37 weeks to screen for bacterial infection.

Nursing Test Bank

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Correct Answer is ["B","D","E"]

Explanation

A. Abdominal girth is not a primary concern for this patient. Monitoring for signs of abdominal distention and changes in the uterus is more relevant for conditions like preeclampsia or uterine rupture.

B. Assessing the amount of bleeding is essential as vaginal bleeding can indicate serious complications like placental abruption or previa.

C. A pelvic exam is not indicated without signs of cervical change or labor. The priority is to assess for active bleeding and fetal well-being.

D. Fetal heart rate patterns are crucial to assess the status of the fetus, particularly with the concern of placental issues.

E. Maternal vital signs are important to monitor to detect signs of shock or bleeding complications that may not be immediately obvious.

A. "A cerclage is a suture placed on the cervix" B. "A cerclage will prevent preterm labor C. “'A cerclage is done to help prevent the cervix from dilating too early." D. "A cerclage is done because I have had spontaneous abortions in the past because my cervix opened too early"

Correct Answer is B

Explanation

A. A cerclage is a surgical procedure in which a suture is placed around the cervix to prevent it from dilating prematurely, typically done in women with a history of cervical insufficiency or preterm labor.

B. A cerclage does not prevent preterm labor itself but helps to prevent early cervical dilation, which could lead to preterm labor.

C. A cerclage is done to prevent cervical dilation that occurs too early in pregnancy, especially in women with a history of spontaneous abortions due to cervical insufficiency.

D. Cerclage is often recommended for women with a history of spontaneous abortions, particularly those caused by cervical incompetence or early dilation.

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59. When a women is being evaluated for her pregnancy, there are a number of tests and procedures that are performed from the beginning of the pregnancy to the end. Please put the test and procedure the order that they are supposed to occur in the normal pregnancy.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Temp 98.6 (0) Sp02 98% on RA Exhibits What three priority assessments will you make for this patient?

Correct Answer is ["B","D","E"]

Explanation

A client tells the nurse she is to have a cerclage and wants to know why the doctor is going to do this. The nurse provides education about a cerclage. Which statement indicates teaching needs to be reinforced?

Correct Answer is B

Explanation

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