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 D

Explanation

This is a contraindication for the Contraction Stress Test (CST) because it increases the risk of infection and umbilical cord prolapse.

A CST is a test that measures the baby’s heart rate during uterine contractions induced by oxytocin or nipple stimulation.

Choice A is wrong because gestational diabetes is not a contraindication for the CST.

It is a condition that affects how the body processes glucose during pregnancy and may cause complications such as macrosomia (large baby), hypoglycemia (low blood sugar) or preeclampsia (high blood pressure and protein in urine).

Choice B is wrong because mild preeclampsia is not a contraindication for the CST.

It is a condition that causes high blood pressure and protein in urine after 20 weeks of pregnancy and may affect the placenta, kidneys, liver or brain.

Choice C is wrong because preterm labor is a relative contraindication for the CST, not an absolute one.

It means that the test may be performed if the benefits outweigh the risks, but it should be avoided if possible because it may trigger early labor or delivery.

Preterm labor is defined as regular uterine contractions with cervical changes before 37 weeks of pregnancy.

Normal ranges for blood pressure are below 120/80 mmHg, for glucose are 70-100 mg/dL (fasting) or below 140 mg/dL (2 hours after eating), and for protein in urine are less than 300 mg/24 hours.

A. Screening for neural tube defects. B. Assessing placental function. C. Determining fetal gender D. Diagnosing chromosomal abnormalities

Correct Answer is A

Explanation

An alpha-fetoprotein test (AFP) is a blood test that measures the amount of AFP present in blood.

It’s usually part of what’s called a triple screen or quad screen in the second trimester of pregnancy.

The yolk sac, GI tract, and liver of an unborn baby produce AFP.

It then circulates through the fetal and maternal blood.

High levels of AFP in pregnant people can indicate that the baby has a neural tube defect, such as spina bifida or anencephaly.

Choice B is wrong because assessing placental function is not the primary purpose of an AFP test.

However, low levels of AFP can indicate problems with the placenta or the baby’s growth.

Choice C is wrong because determining fetal gender is not the primary purpose of an AFP test.

However, some genetic tests that use a sample of the baby’s DNA from the pregnant person’s blood can reveal the baby’s sex as early as 10 weeks of pregnancy.

Choice D is wrong because diagnosing chromosomal abnormalities is not the primary purpose of an AFP test.

However, an AFP test is usually part of a quad screen that also tests for other markers that can indicate the risk of chromosomal abnormalities, such as Down syndrome.

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

Correct Answer is D

Explanation

A nurse is explaining the purpose of an Alpha-fetoprotein Test (AFP) to a pregnant client. What is the test primarily used for ?

Correct Answer is A

Explanation

A nurse is performing an abdominal ultrasound for a client who is at 28 weeks of gestation. The nurse should instruct the client to do which of the following before the procedure?

A nurse is preparing a client for a Contraction Stress Test (CST). Which method can be used to induce uterine contractions during the test?

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?

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?

A nurse is caring for a patient who had an amniocentesis performed at 16 weeks gestation and reports cramping and vaginal bleeding 24 hours later which action should be taken first?

A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?

A client is scheduled for an abdominal ultrasound in two weeks. The client asks the nurse what they should do to prepare for the test. What is the best response by the nurse?

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?

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?