A nurse is preparing a client for a biophysical profile (BPP).

The nurse should instruct the client that the test involves which of the following procedures?

An ultrasound and a nonstress test.

An ultrasound and a contraction stress test.

A Doppler ultrasound and a nonstress test.

A Doppler ultrasound and a contraction stress test.

Answer and Explanation

The Correct Answer is A

The test involves an ultrasound and a nonstress test.

A biophysical profile (BPP) is a way to check on the overall fetal health by observing the fetus’s heart rate, breathing, movement, muscle tone, and the amount of amniotic fluid surrounding the fetus in the uterus.

It is typically performed after 28 weeks of pregnancy, especially for high-risk pregnancies or if there is a chance of complications.

Choice B is wrong because a contraction stress test is not part of a BPP.

A contraction stress test measures how the fetus’s heart rate changes during contractions induced by oxytocin or nipple stimulation.

It is a different test from a nonstress test, which measures the fetus’s heart rate while moving and at rest without any stimulation.

Choice C is wrong because a Doppler ultrasound is not part of a BPP.

A Doppler ultrasound uses sound waves to measure the blood flow in the umbilical cord and other blood vessels.

It is a different type of ultrasound from the one used in a BPP, which uses sound waves to create images of the fetus and the amniotic fluid.

Choice D is wrong because it combines two incorrect components from choices B and C. A BPP does not involve a Doppler ultrasound or a contraction stress test.

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Correct Answer is A

Explanation

"NST is performed after 28 weeks of gestation or earlier if there are risk factors."12 This statement indicates that the client understands when and why an NST is done.

Choice B is wrong because it describes a reactive NST, not a nonreactive one.

A reactive NST means that the fetal heart rate increases by at least 15 beats per minute for at least 15 seconds twice or more in a 20-minute period.2

Choice C is wrong because it confuses NST with contraction stress test (CST), which requires monitoring uterine contractions.

NST does not involve contractions.2

Choice D is wrong because it describes possible causes of a nonreactive NST, not a reactive one.

A nonreactive NST may indicate fetal hypoxia, distress, sleep, medication effect, or neurological abnormality.2

A. “This test can detect neural tube defects.”. B. “This test can detect genetic disorders.”. C. “This test can detect chromosomal abnormalities.”. D. “This test can detect Rh sensitization.”.

Correct Answer is B

Explanation

This test can detect genetic disorders.

Chorionic villus sampling (CVS) is a prenatal test that involves taking a sample of tissue from the placenta to test for chromosomal abnormalities and certain other genetic problems.

The placenta is a structure in the uterus that provides blood and nutrients from the mother to the fetus.

Choice A is wrong because CVS does not provide information on neural tube defects, such as spina bifida.

For this reason, women who undergo CVS also need a follow-up blood test between 16 to 18 weeks of their pregnancy to screen for neural tube defects.

Choice C is wrong because CVS can detect chromosomal abnormalities, but not all chromosomal abnormalities are genetic disorders.

For example, Down syndrome is a chromosomal abnormality caused by an extra copy of chromosome 21, but it is not inherited from the parents.

Choice D is wrong because CVS cannot detect Rh sensitization, which is a condition where the mother’s immune system produces antibodies against the fetus’s blood type.

Rh sensitization can be detected by a blood test that measures the level of antibodies in the mother’s blood.

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A nurse is preparing a client for a biophysical profile (BPP). The nurse should instruct the client that the test involves which of the following procedures?

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Naxlex Comprehensive Predictor Exams

A nurse is educating a pregnant client about the Non-Stress Test (NST). Which statement by the client indicates understanding of the test?

Correct Answer is A

Explanation

A nurse is providing education to a client who is scheduled to undergo chorionic villus sampling (CVS). Which statement by the client indicates an understanding of this test?

Correct Answer is B

Explanation

A nurse is reviewing contraception options for four clients. The nurse should identify that which of the following clients has a contraindication for receiving oral contraceptives?

A nurse is caring for a client who had chorionic villus sampling (CVS) performed at 12 weeks’ gestation and asks when she can expect results from this test. The nurse should inform her that results are typically available within which timeframe?

A nurse is observing fetal breathing movements on an ultrasound for a client who is undergoing a biophysical profile (BPP). The nurse should document how many points for this variable if the fetus has at least one episode of breathing lasting for 20 seconds within a 30-minute period?

A nurse is reviewing the contraindications for a Contraction Stress Test (CST) with a pregnant client. Which condition would be a contraindication for the test?

A nurse is educating a pregnant client about the Alpha-fetoprotein Test (AFP). What should the nurse include as a reason why AFP results are reported as multiples of the median (MoM)?

A nurse is explaining the purpose of a Doppler ultrasound blood flow analysis to a client who has intrauterine growth restriction (IUGR). The nurse should inform the client that this test measures which of the following?

A nurse is explaining the purpose of a nuchal translucency (NT) ultrasound to a pregnant client. What does this ultrasound measure?

A nurse is reviewing the results of an Alpha-fetoprotein Test (AFP) with a pregnant client. What does a low level of AFP (<0.5 MoM) potentially indicate?

A nurse is preparing a client for a biophysical profile (BPP).

The nurse should instruct the client that the test involves which of the following procedures?