A nurse is interpreting the results of a biophysical profile (BPP) for a client who is at 34 weeks of gestation.

The nurse should understand that each of the five variables is assigned a score of how many points?

0 or.

1 or.

Answer and Explanation

The Correct Answer is B

Each of the five variables in a biophysical profile (BPP) is assigned a score of either 0 or 2 points, depending on whether it meets the criteria or not.

The five variables are:

Fetal breathing: 2 points if there is at least one episode of rhythmic breathing lasting at least 30 seconds within 30 minutes, 0 points otherwise.

Fetal movement: 2 points if there are at least three discrete body or limb movements within 30 minutes, 0 points otherwise.

Fetal tone: 2 points if there is at least one episode of extremity extension and subsequent return to flexion, 0 points otherwise.

Amniotic fluid volume: 2 points if there is a pocket of amniotic fluid measuring at least 2 cm in two perpendicular planes, 0 points otherwise.

Nonstress test: 2 points if there are at least two accelerations of fetal heart rate with or without fetal movement within 20 minutes, 0 points otherwise.

Choice A is wrong because each variable can have a score of either 0 or 2, not 0 or.

Choice C is wrong because there is no score of 1 for any variable.

Choice D is wrong because it is incomplete and does not provide the full range of possible scores.

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Correct Answer is B

Explanation

A low level of AFP (<0.5 MoM) in a pregnant woman can indicate that the fetus has a chromosomal abnormality, such as Down syndrome or Edwards syndrome.

This is because these conditions affect the development of the fetal liver, which produces AFP.

Choice A is wrong because neural tube defects, such as spina bifida, are associated with high levels of AFP (>2.5 MoM) in the maternal blood.

This is because AFP can leak from the open spinal canal of the fetus into the amniotic fluid and then into the maternal blood.

Choice C is wrong because maternal weight-related factors do not affect the level of AFP in the maternal blood.

However, they can affect the interpretation of the AFP test results, as the test needs to be adjusted for maternal weight, age, ethnicity, and gestational age.

Choice D is wrong because fetal demise (death) can also cause high levels of AFP in the maternal blood, as the AFP from the dead fetus can leak into the amniotic fluid and then into the maternal blood.

Normal ranges of AFP in pregnant women vary depending on the gestational age and the method of measurement.

Generally, normal levels of AFP are below 10 ng/ml in nonpregnant adults and below 2.5 MoM in pregnant women.

A. "I will have sensors placed on my abdomen to monitor the FHR and uterine contractions.". B. "I will need to fast for 24 hours before the test.". C. "I will be sedated during the test to prevent discomfort.". D. "I will need to drink plenty of fluids before the test.".

Correct Answer is A

Explanation

“I will have sensors placed on my abdomen to monitor the FHR and uterine contractions.” This statement indicates the client understands the test procedure of a CST, which is a test that triggers contractions and registers how the baby’s heart reacts.

The test is done by placing two sensor belts around the abdomen, one to measure the baby’s heartbeat and the other to measure contractions.

The client may receive oxytocin through an IV to induce contractions.

Choice B is wrong because the client does not need to fast for 24 hours before the test.

There is no evidence that fasting is required for a CST.

Choice C is wrong because the client will not be sedated during the test.

Sedation is not necessary for a CST and may interfere with the results.

Choice D is wrong because the client does not need to drink plenty of fluids before the test.

There is no evidence that drinking fluids is required for a CST.

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A nurse is interpreting the results of a biophysical profile (BPP) for a client who is at 34 weeks of gestation. The nurse should understand that each of the five variables is assigned a score of how many points?

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A nurse is interpreting the results of a biophysical profile (BPP) for a client who is at 34 weeks of gestation.

The nurse should understand that each of the five variables is assigned a score of how many points?