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 C

Explanation

. The client’s cervix is dilated.

This indicates that the client may be in preterm labor, which is a contraindication for amniocentesis.

Amniocentesis is a procedure that involves inserting a needle into the amniotic sac to obtain a sample of amniotic fluid for genetic testing or other purposes.

It is usually performed between 15 and 20 weeks of gestation.

Choice A is wrong because the client’s bladder should be full for amniocentesis.

This helps to push the uterus upward and away from the bladder, reducing the risk of injury and making it easier to visualize the fetus and the needle.

Choice B is wrong because the client’s uterus should be above the symphysis pubis at 16 weeks of gestation.

This is a normal finding and does not affect the procedure.

Choice D is wrong because the client’s fundal height should measure around 16 cm at 16 weeks of gestation.

A fundal height of 20 cm may indicate a large for gestational age fetus, multiple gestation, or polyhydramnios (excess amniotic fluid), but these are not absolute contraindications for amniocentesis.

However, they may require further evaluation and adjustment of the technique.

A. Maternal weight. B. Fetal heart rate. C. Gestational age. D. Placental function.

Correct Answer is C

Explanation

The level of AFP in a pregnant woman’s blood depends on how far along she is in her pregnancy.

AFP levels are normally high in the early weeks of pregnancy and then decline as the pregnancy progresses.

If the AFP level is too high or too low for the gestational age, it may indicate a problem with the baby’s development.

Choice A is wrong because maternal weight does not affect AFP levels.

Choice B is wrong because fetal heart rate does not affect AFP levels.

Choice D is wrong because the placental function does not affect AFP levels directly, but it may affect the levels of other hormones that are measured along with AFP in a quad screen.

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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 caring for a client who is scheduled for an amniocentesis at 16 weeks gestation. Which of the following should the nurse report to the provider?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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A nurse is caring for a client who had an amniocentesis at 16 weeks gestation and reports cramping and vaginal bleeding 24 hours later. Which of the following actions should the nurse take first?

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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 preparing a client for a biophysical profile (BPP).

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