The obstetrician is caring for a client with gestational hypertension. She is concerned about placental perfusion and intrauterine growth restriction (IUGR) after noting minimal fetal growth over the past month. What non-invasive antenatal test would the nurse anticipate the provider will order?
Choices:

Magnetic Resonance Imaging (MRI).

Doppler Flow Studies.

Amniocentesis.

Chorionic Villus Sampling (CVS).

Answer and Explanation

The Correct Answer is B

Choice A rationale

MRI is not typically used for assessing placental perfusion or IUGR. It provides detailed imaging but is not the primary tool for evaluating fetal growth.

Choice B rationale

Doppler Flow Studies are used to assess placental and fetal blood flow, making them crucial for evaluating placental perfusion and diagnosing IUGR in gestational hypertension.

Choice C rationale

Amniocentesis is used for genetic testing and assessing fetal lung maturity, not for evaluating placental perfusion or diagnosing IUGR in gestational hypertension.

Choice D rationale

Chorionic Villus Sampling (CVS) is for early genetic testing and not suitable for assessing placental perfusion or IUGR, which requires evaluation of blood flow.

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Correct Answer is A

Explanation

Choice A rationale

Polyhydramnios is characterized by excessive amniotic fluid, exceeding 24 cm in amniotic fluid index. This can cause uterine distension and complicate labor and delivery.

Choice B rationale

Fetal congenital anomalies, growth restriction, or distress are possible complications of polyhydramnios, but they are not definitive diagnoses for the condition itself.

Choice C rationale

Carrying more than one fetus is associated with increased amniotic fluid levels, but polyhydramnios specifically refers to the excess fluid, not the number of fetuses.

Choice D rationale

Elevated alpha-fetoprotein (AFP) levels can indicate neural tube defects or other fetal anomalies, but it is not a direct cause or indicator of polyhydramnios.

A. To determine the presentation and position of the fetus. B. To determine whether the client’s cervix has dilated. C. To assess the frequency and intensity of the contractions. D. To assess whether membranes have been ruptured.

Correct Answer is A

Explanation

Choice A rationale

Leopold's maneuvers help determine the fetus's presentation (head, breech) and position (left, right) within the uterus for optimal birth planning.

Choice B rationale

Cervical dilation is assessed through a vaginal exam, not through Leopold's maneuvers, which focus on external palpation.

Choice C rationale

Frequency and intensity of contractions are monitored using a tocodynamometer, not determined by Leopold's maneuvers.

Choice D rationale

Membrane rupture is assessed by inspecting fluid leakage or testing fluid, not by Leopold's maneuvers, which assess fetal positioning.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?Choices:

Correct Answer is A

Explanation

The nurse performs Leopold’s maneuvers for a client admitted in labor. Which is the main goal of Leopold’s maneuvers?Choices:

Correct Answer is A

Explanation

The nurse is caring for a client in labor at term. The nurse reviews the external monitor tracing below. The nurse identifies that the deceleration pattern seen indicates which of the following?Choices:

A 30-year-old pregnant woman is in labor, and the obstetrician suspects that there might be a complication with the progression of labor due to the fetus. Which fetal issue is most likely causing this complication? Choices:

A nurse is educating a patient about the gate control theory of pain management. Which statement by the patient indicates an understanding of this theory?Choices:

You are the nurse providing teaching to a pregnant woman on how to do kick counts. You will tell her all of the following except:Choices:

Which of the following are indications for performing a contraction stress test in pregnancy?Choices:

What is the interpretation of a biophysical profile score of 2/10?Choices:

A nurse is caring for a client who is having a nonstress test. The fetal heart rate (FHR) baseline is 145 bpm, there is moderate variability, but there have been no accelerations or fetal movement. Which of the following actions should the nurse complete next?Choices:

A nurse is educating a patient on the interpretation of a positive contraction stress test. Which of the following explanations is correct?Choices: