Author Question: While working with the pregnant woman in her first trimester, the nurse is aware that chorionic ... (Read 33 times)

ereecah · **on:** Jun 28, 2018

While working with the pregnant woman in her first trimester, the nurse is aware that chorionic villus sampling (CVS) can be performed during pregnancy at:

a. 4 weeks c. 10 weeks
b. 8 weeks d. 14 weeks

Question 2

A pregnant woman's biophysical profile score is 8. She asks the nurse to explain the results. The nurse's best response is:

a. The test results are within normal limits.
b. Immediate delivery by cesarean birth is being considered.
c. Further testing will be performed to determine the meaning of this score.
d. An obstetric specialist will evaluate the results of this profile and, within the next week, will inform you of your options regarding delivery.

pratush dev · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
CVS can be performed in the first or second trimester, ideally between 10 and 13 weeks of gestation. During this procedure, a small piece of tissue is removed from the fetal portion of the placenta. If performed after 9 completed weeks of gestation, the risk of limb reduction is no greater than in the general population.

Answer to Question 2

ANS: A
The normal biophysical score ranges from 8 to 10 points if the amniotic fluid volume is adequate. A normal score allows conservative treatment of high-risk patients. Delivery can be delayed if fetal well-being is indicated. Scores less than 4 should be investigated, and delivery could be initiated sooner than planned. This score is within normal range, and no further testing is required at this time. The results of the biophysical profile are usually available immediately after the procedure is performed.