A 41-week pregnant multigravida presents in the labor and delivery unit after a nonstress test indicated that her fetus could be experiencing some difficulties in utero. Which diagnostic tool would yield more detailed information about the fetus?
Maternal serum alpha-fetoprotein (MSAFP) screening
Percutaneous umbilical blood sampling (PLBS)
Ultrasound for fetal anomalies
Biophysical profile (BPP)
The Correct Answer is D
The biophysical profile (BPP) would yield more detailed information about the fetus in this scenario. The BPP is a prenatal ultrasound evaluation that assesses fetal well-being by evaluating five biophysical variables: fetal breathing movements, fetal movements, fetal tone, amniotic fluid volume, and fetal heart rate. The BPP is a more detailed assessment of fetal well-being compared to a nonstress test and can provide valuable information about the fetus's overall health and well-being, including any potential issues or difficulties.
MSAFP screening is a blood test that can detect certain fetal abnormalities, but it does not provide detailed information about fetal well-being.
Percutaneous umbilical blood sampling (PLBS) is an invasive test that is used to obtain a sample of fetal blood for testing in cases of suspected fetal anemia or other blood disorders. Ultrasound for fetal anomalies is a diagnostic tool used to detect structural abnormalities or defects in the fetus. While it can provide some information about fetal well-being, it is not as comprehensive as the BPP in evaluating fetal health and wellness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Perineal hematoma is a complication that can occur after vaginal births, typically due to trauma or injury to the perineum during delivery. Wound dehiscence, UTIs, and DVTs are all possible complications associated with cesarean births. Wound dehiscence is a separation of the layers of the surgical incision, UTIs can occur due to catheterization during the surgery, and DVTs can occur due to immobility during the recovery period.
Correct Answer is C
Explanation
The nurse recognizes that a nonstress test (NST) in which two or more fetal heart rate (FHR) accelerations of 15 beats/min or more occur with fetal movement in a 20-minute period is considered reactive. A reactive NST is a reassuring sign of fetal well-being and indicates that the fetal nervous system and cardiovascular system are intact and functioning appropriately. If a reactive NST is not obtained, further testing or evaluation may be necessary to assess fetal well-being.
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