A woman arrives at the clinic seeking confirmation that she is ...

[go.lag]

A woman arrives at the clinic seeking confirmation that she is pregnant. The following information is obtained: She is 24 years old with a BMI of 17.5.
 
  She admits to having used cocaine several times during the past year, and drinks alcohol occasionally. Her blood pressure is 108/70 mm Hg, her pulse rate is 72 beats/min, and her respiratory rate is 16 breaths per minute. Family history is positive for diabetes mellitus and cancer. Her sister recently gave birth to an infant with a neural tube defect. Which characteristics place the woman in a high risk category? 1. Blood pressure, age, BMI
  2. Drug and alcohol use, age, family history
  3. Family history, blood pressure, BMI
  4. Family history, BMI, drug and alcohol abuse

Question 2

At approximately _____ gestational weeks, lecithin is forming on the alveolar surfaces, eyelids open, and the fetus measures approximately 27 cm crown to rump and weighs ap-proximately 1110 g.
 
  1. 20
  2. 24
  3. 28
  4. 30

[enass]

Answer to Question 1

4
1. Incorrect. The woman's BP is normal and her age does not put her at risk. Her BMI is low and may indicate poor nutritional status that would be high risk.
2. Incorrect. The woman's drug and alcohol use and family history put her in a high risk category, but her age does not.
3. Incorrect. The woman's family history puts her in a high risk category. Her BMI is low and may indicate poor nutritional status that would be high risk. Her BP is normal.
4. Correct. Her family history of neural tube defect, low BMI, and substance abuse are all high risk factors of pregnancy.

Answer to Question 2

3
1, 2, 4. Incorrect. These milestones in human development occur at approximately 28 weeks.
3. Correct. These are all milestones that occur at 28 weeks.