Review Practice Exercise 6

Antepartum Diagnostic Testing > Maternal Newborn

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Practice Exercise 6

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Total Questions : 5

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Question 1:

What is a key nursing responsibility before a patient undergoes amniocentesis?

A. Administering pain medication B. Ensuring informed consent is obtained C. Checking maternal blood glucose levels D. Performing a fetal stress test

Answer and Explanation

Choice A:

Pain medication is not typically required for amniocentesis. The procedure causes mild discomfort similar to venipuncture, and pain management is not a primary nursing responsibility.

Choice B:

Ensuring informed consent is obtained is the key nursing responsibility before amniocentesis. The nurse verifies that the patient understands the purpose, risks, and benefits of the procedure and has signed the consent form before it is performed.

Choice C:

Checking maternal blood glucose levels is not related to amniocentesis. Blood glucose monitoring is indicated for diabetic mothers but is not specific to this procedure.

Choice D:

A fetal stress test is not performed before amniocentesis. Instead, ultrasound guidance is used during the procedure to identify a safe pocket of fluid and avoid fetal injury.

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Question 2:

What is a key nursing role during prenatal testing?

A. Performing the ultrasound procedure B. Providing emotional support to patients C. Analyzing genetic test results D. Prescribing follow-up diagnostic tests

Answer and Explanation

Choice A:

Nurses do not perform the ultrasound procedure. Sonographers or physicians are trained to perform and interpret obstetric ultrasounds.

Choice B:

Providing emotional support is a key nursing role during prenatal testing. Nurses help patients cope with stress, explain the procedures in simple terms, and offer reassurance throughout testing.

Choice C:

Nurses do not analyze genetic test results. Laboratory geneticists and physicians interpret results, while nurses may reinforce explanations and provide support.

Choice D:

Nurses do not prescribe follow-up diagnostic tests. Ordering or prescribing tests is a physician’s responsibility, while the nurse facilitates communication and coordination of care.

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Question 3:

A nurse is monitoring a patient post-amniocentesis. Which complication should the nurse assess for?

A. Elevated blood pressure B. Fluid leakage from the vagina C. Increased fetal heart rate D. Maternal weight gain

Answer and Explanation

Choice A:

Elevated blood pressure is not a typical complication of amniocentesis. Hypertension in pregnancy is more associated with preeclampsia, not the procedure itself.

Choice B:

Fluid leakage from the vagina indicates rupture of membranes and possible amniotic fluid loss, a known complication of amniocentesis. This finding requires immediate evaluation and intervention to prevent infection and preterm labor.

Choice C:

Increased fetal heart rate is not a common complication of amniocentesis. The nurse monitors fetal heart rate for bradycardia or decelerations, but tachycardia is not directly caused by the procedure.

Choice D:

Maternal weight gain is unrelated to amniocentesis. Weight gain occurs gradually during pregnancy and is not linked to immediate post-procedure complications.

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Question 4:

Which of the following are nursing responsibilities post-amniocentesis? Select all that apply

A. Monitoring for fluid leakage B. Administering pain medication C. Monitoring fetal heart rate D. Checking maternal blood glucose E. Providing post-procedure instructions

Answer and Explanation

Choice A:

Monitoring for fluid leakage is essential to detect rupture of membranes or persistent amniotic fluid loss, a potential complication of the procedure.

Choice B:

Administering pain medication is not routinely required post-amniocentesis. The procedure causes only mild discomfort, and analgesics are not standard post-procedure care.

Choice C:

Monitoring fetal heart rate ensures fetal well-being and detects early signs of distress, such as bradycardia or decelerations.

Choice D:

Checking maternal blood glucose is not related to amniocentesis. This is specific to diabetic care, not post-procedure monitoring after amniotic fluid sampling.

Choice E:

Providing post-procedure instructions is a critical nursing role. Patients must be educated to report vaginal bleeding, contractions, fever, or fluid leakage immediately.

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Question 5:

Which of the following are key components of patient education for antepartum diagnostic testing? Select all that apply

A. Explaining the purpose and risks of the test B. Performing the procedure independently C. Discussing potential emotional impacts of results D. Providing information on test alternatives E. Interpreting genetic test results

Answer and Explanation

Choice A:

Explaining the purpose and risks ensures informed decision-making. Patients must understand why the test is done and the possible complications.

Choice B:

Nurses do not independently perform antepartum diagnostic procedures like amniocentesis or chorionic villus sampling. These require specialized physician training.

Choice C:

Discussing potential emotional impacts helps patients prepare for stress or anxiety related to abnormal results and future decisions.

Choice D:

Providing information on test alternatives allows patients to make informed choices, such as choosing between screening and diagnostic tests.

Choice E:

Interpreting genetic test results is done by genetic counselors, laboratory specialists, or physicians. Nurses can clarify results in simpler language but not provide formal interpretation.

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Practice Exercise 6

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