A woman who is 15 weeks' gestation received normal chorionic ...

[Cooldude101]

A woman who is 15 weeks' gestation received normal chorionic villus sampling (CVS) results and abnormal quadruple screen test results. For detection of congenital anomalies, which test should the nurse expect the woman to be offered next?
 
  1. Amniocentesis
  2. Ultrasound
  3. Contraction Stress Test (CST)
  4. Nonstress test (NST)

Question 2

Of all the patients who have been scheduled to have a biophysical profile, for which patient should the nurse clarify the physician's order?
 
  1. A gravida with intrauterine growth restriction
  2. A gravida with mild hypertension of pregnancy
  3. A gravida who is post-term
  4. A gravida who complains of decreased fetal movement for 2 days

[thall411]

Answer to Question 1

Correct Answer: 1
Rationale 1: Women who have a normal CVS and an abnormal quadruple screen test would be offered amniocentesis to screen for congenital anomalies.
Rationale 2: While ultrasound has many uses, is not useful in the diagnosis of congenital anomalies.
Rationale 3: The contraction stress test is used to assess fetal status.
Rationale 4: The nonstress test is used to assess fetal status.

Answer to Question 2

Correct Answer: 2
Rationale 1: The infant who has intrauterine growth problems might be compromised due to placental insufficiency.
Rationale 2: The biophysical profile is used when there is a risk of placental and/or fetal compromise. The gravida with mild hypertension will need to be monitored more closely throughout the pregnancy but is not a candidate at present for a biophysical profile.
Rationale 3: The infant who is post-term might be compromised due to placental insufficiency.
Rationale 4: The gravida who is experiencing decreased fetal movement for 2 days needs assessment of the placenta and the fetus.

[Cooldude101]

Gracias!

[nyrave]

TYSM