DIAGNOSTICS

Question 1

why is urinalysis conducted for a pregnant woman?

Answer 1

to test for proteinuria, glycosuria, nitrates, pyuria

Question 2

why is VDRL serologic test conducted for a pregnant woman?

Answer 2

test for syphilis

Question 3

aaron’s wife was asked to take a test with WBC, Hemoglobin, and platelet count. what type of test is this?

Answer 3

complete blood count

Question 4

this laboratory test is conducted between 16-18wks of pregnancy

Answer 4

maternal serum a-fetoprotein

Question 5

this is a test to determine whether Rh antibodies are present in an Rh (-) woman.

Answer 5

coombs test

Question 6

Mary figured she is an Rh (-), her OBGYN told her to take the coombs test. why is it important for the mom to take the test?

Answer 6

• incompatibility of Rh antibodies would lead to complications during the pregnancy.

Question 7

also called as mantoux test

Answer 7

tuberculosis screening

Question 8

it is a noninvasie method of assessing the general well being of the fetus and the fetal assessment.

Answer 8

fetal biophysical profile

Question 9

bpp may be used as early as what week?

Answer 9

26-28 weeks for surveillance of high risk pregnancy.

Question 10

what does bpp test require? and observation time takes about?

Answer 10

• use of ultrasound and electronic fetal monitor
• 30 mins

Question 11

as a nurse on duty, your patient was ordered to take a fetal bpp. what are the four indications for this?

Answer 11

1. mom w/ gestational hypertension
2. fetus is small / not growing properly
3. fetus is less active than normal
4. too much / little amniotic fluid

Question 12

during the lecture, your professor asked you to name the 5 parameters of fetal bpp. what are these?

Answer 12

1. reactivity
2. breathing movement
3. body movement
4. tone
5. amniotic fluid volume

Question 13

during your hospital duty, you hear the physician telling the mom her fetal bpp result is 4. what does this indicate?

Answer 13

denotes a fetus probably in jeopardy

Question 14

you see the fetal bpp result of your patient, it lands between 8-10. what does this indicate?

Answer 14

fetus is considered to be doing well

Question 15

this fetal bpp result is considered suspicious.

Answer 15

6

Question 16

you are conducting a biophysical profile scoring, you need to see at least one episode of 30 seconds of sustained breathing w/in 30 mins. what parameter are you checking?

Answer 16

fetal breathing

Question 17

how would you score the fetal movement?

Answer 17

at least 3 episodes of fetal limb / trunk movement w/in 30 mins

Question 18

how would you score the fetal tone?

Answer 18

observation must extend and then flex extremities or spine at least once in 30 mins

Question 19

you are conducting a biophysical profile scoring, you need to observe 2 or more heart accelerations at least 15 beats/ min. what parameter are you checking?

Answer 19

fetal heart reactivity

Question 20

the doctor told you that a range of amniotic fluid between 5 and 25 cm must be present. what parameter is the doctor pertaining to?

Answer 20

amniotic fluid volume