Chapter 26, Assessment of High-Risk Pregnancy

Chapter 26:(TEST) Assessment for Ri
sd sd sd sd


sk Factors in Pregnancy
sd sd sd




1.sdAsdwomansdarrivessdatsdthesdclinicsdseekingsdconfirmationsdthatsdshesdissdpre
gnant.sdThesdfollowingsdinformationsdissdobtained:sdShesdissd24sdyearssdoldsdwit
hsdasdbodysdmasssdindexsd(BMI)sdofsd17.5.sdShesdadmitssdtosdhavingsdusedsdcocai
nesd"severalsdtimes"sdduringsdthesdpastsdyearsdandsddrinkssdalcoholsdoccasionall
y.sdHersdbloodsdpressuresdissd108/70sdmmsdHg,sdhersdpulsesdratesdissd72sdbeats/m
in,sdandsdhersdrespiratorysdratesdissd16sdbreaths/min.sdThesdfamilysdhistorysdissdp
ositivesdforsddiabetessdmellitussdandsdcancer.sdHersdsistersdrecentlysdgavesdbirth
sdtosdansdinfantsdwithsdasdneuralsdtubesddefectsd(NTD).sdWhichsdcharacteristicssd


placesdthesdwomansdinsdasdhighsdrisksdcategory?sd-sdcorrectsdanswer✔ ✔
a.sdBloodsdpressure,sdage,sdBMI
b.sdDrug/alcoholsduse,sdage,sdfamilysdhistory
c.sdFamilysdhistory,sdbloodsdpressuresd(BP),sdBMI
d.sdFamilysdhistory,sdBMI,sddrug/alcoholsdabuse


ANS:sdD


2.sdAsd39-year-
oldsdprimigravidasdthinkssdthatsdshesdissdaboutsd8sdweekssdpregnant,sdalthoughsd
shesdhassdhadsdirregularsdmenstrualsdperiodssdallsdhersdlife.sdShesdhassdasdhistorys
dofsdsmokingsdapproximatelysdonesdpacksdofsdcigarettessdasdday,sdbutsdshesdtellss


dyousdthatsdshesdissdtryingsdtosdcutsddown.sdHersdlaboratorysddatasdaresdwithinsdno


rmalsdlimits.sdWhatsddiagnosticsdtechniquesdcouldsdbesdusedsdwithsdthissdpregn

, antsdwomansdatsdthissdtime?sd-sdcorrectsdanswer✔ ✔
a.sdUltrasoundsdexamination
b.sdMaternalsdserumsdalpha-fetoproteinsd(MSAFP)sdscreening
c.sdAmniocentesis
d.sdNonstresssdtestsd(NST)


ANS:sdA


3.sdAsdnursesdseessdasdwomansdforsdthesdfirstsdtimesdwhensdshesdissd30sdweekssdpre
gnant.sdThesdwomansdhassdsmokedsdthroughoutsdthesdpregnancy,sdandsdfundals
dheightsdmeasurementssdnowsdaresdsuggestivesdofsdintrauterinesdgrowthsdrestri


ctionsd(IUGR)sdinsdthesdfetus.sdInsdadditionsdtosdultrasoundsdtosdmeasuresdfetalsd
size,sdwhatsdissdanothersdtoolsdusefulsdinsdconfirmingsdthesddiagnosis?sd-
sdcorrectsdanswer✔ ✔ a.sdDopplersdbloodsdflowsdanalysis

b.sdContractionsdstresssdtestsd(CST)
c.sdAmniocentesis
d.sdDailysdfetalsdmovementsdcounts


ANS:sdA


4.sdAsd41-
weeksdpregnantsdmultigravidasdpresentssdinsdthesdlaborsdandsddeliverysdunitsdaf
tersdasdnonstresssdtestsdindicatedsdthatsdhersdfetussdcouldsdbesdexperiencingsdso