Author Question: A patient at 37 weeks' gestation has a mildly elevated blood pressure. Her antenatal testing ... (Read 75 times)

xroflmao · **on:** Jun 27, 2018

A patient at 37 weeks' gestation has a mildly elevated blood pressure. Her antenatal testing demonstrates a fetal heart rate baseline of 150 with three contractions in 10 minutes, no decelerations, and accelerations four times in 1 hour.

This test would be considered a: 1. Positive nonstress test.
2. Negative contraction stress test.
3. Positive contraction stress test.
4. Negative nonstress test.

Question 2

The maternalnewborn nurse recognizes that cord-blood banking has ethical issues related to which of the following questions? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.

1. Who owns the blood?
2. How is informed consent obtained?
3. How will confidentiality be maintained?
4. Will standards of care be met fairly?
5. What external agents force or restrict a therapy?

adf223 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
Rationale 1: The fact that the contractions are present rules out the nonstress test.
Rationale 2: The desired result is a negative contraction stress test; this means that there are three contractions in 10 minutes, without decelerations.
Rationale 3: A positive contraction stress test is undesirable because the fetus is experiencing decelerations with over half the contractions.
Rationale 4: The fact that the contractions are present rules out the nonstress test.

Answer to Question 2

1,2,3
Rationale 1: Who owns the blood is an ethical question related to cord-blood banking.
Rationale 2: How informed consent is obtained is an ethical question related to cord-blood banking.
Rationale 3: How confidentiality is maintained is an ethical question related to cord-blood banking.
Rationale 4: Standards of care are a legal, not an ethical, problem.
Rationale 5: Which external forces are at work to restrict or force a therapy relates to maternalfetal conflicts.