A biophysical profile is performed on a pregnant client. The ...

[@Brianna17]

A biophysical profile is performed on a pregnant client. The following assessments are noted: nonreactive stress test (NST), three episodes of fetal breathing movements (FBMs), limited gross movements,
 
  opening and closing of hang indicating the presence of fetal tone, and adequate amniotic fluid index (AFI) meeting criteria. What would be the correct interpretation of this test result?
 
  a. A score of 10 would indicate that the results are equivocal.
  b. A score of 8 would indicate normal results.
  c. A score of 6 would indicate that birth should be considered as a possible treatment option.
  d. A score of 9 would indicate reassurance.

Question 2

Which response by the nurse is most appropriate to the statement, This test isn't my idea, but my husband insists?
 
  a. It's your decision.
  b. Don't worry. Everything will be fine.
  c. Why don't you want to have this test?
  d. You're concerned about having this test?

[upturnedfurball]

Answer to Question 1

ANS: B
The biophysical profile is used to assess fetal well-being. Five categories of assessment are used in this combination test: fetal monitoring NST, evaluation of FBMs, gross movements, fetal tone, and calculation of the amniotic fluid index (AFI). A maximum of 2 points is used if criteria are met successfully in each category; thus a score in the range of 8 to 10 indicates a normal or reassuring finding. A score of 6 provides equivocal results and further testing or observation is necessary. A score of 4 or less requires immediate intervention, and birth may be warranted. The provided assessments indicate a score of 8 as the only area that has not met the stated criteria in the NST.

Answer to Question 2

ANS: D
The nurse should clarify the statement and assist the client in exploring her feelings about the test. It's your decision is a closed statement and does not encourage the woman to express her feelings. Don't worry is false reassurance and does not deal with the concerns expressed by the woman. The woman may not be able to answer why questions. It may also make her defensive.

[@Brianna17]

Excellent

[mammy1697]

TYSM