Your patient is a 37-year-old pregnant woman who is 5 weeks ...

[Zoey63294]

Your patient is a 37-year-old pregnant woman who is 5 weeks pregnant and is considering genetic testing. During your discussion, the woman asks the nurse what the advantages of chorionic villus sampling (CVS) are over amniocentesis.
 
  The best response is:a. You will need anesthesia for amniocentesis, but not for CVS.b. CVS is a faster procedure.c. CVS provides more detailed information than amniocentesis.d. CVS can be done earlier in your pregnancy, and the results are available more quickly.

Question 2

Your patient is 34 weeks pregnant and during a regular prenatal visit tells you she does not understand how to do kick counts. The best response by the nurse would be to explain:
 
  a. Here is an information sheet on how to do kick counts.b. It is not important to do kick counts because you have a low-risk pregnancy.c. Fetal kick counts are not a reliable indicator of fetal well-being in the third trimester.d. Fetal movements are an indicator of fetal well-being. You should count twice a day, and you should feel 10 fetal movements in 2 hours.

[emsimon14]

Answer to Question 1

ANS: d
Feedback
a. Anesthesia is not done for either procedure.
b. The length of time for either procedure is similar.
c. Both amniocentesis and CVS provide the same information.
d. CVS can be done earlier in gestation.

Answer to Question 2

ANS: d
Feedback
a. Providing written information may not be enough, and the patient may need a verbal explanation.
b. Kick counts are indicated for all pregnancies.
c. Kick counts are a reliable indicator of fetal well-being after 32 to 34 weeks' gestation.
d. This response provides the patient with information on how to do kick counts and the rationale for doing kick counts and criteria for normal fetal movement.