WOMEN'S HEALTH EXAM #1 ATI QUESTIONS AND
ANSWERS
Nonstress test (NST) - Answers - - Non invasive procedure that monitors response of
the FHR to fetal movement
- Used for antepartum evaluation of fetal well-being performed during 3rd trimester
Nursing actions for nonstress test? - Answers - - Seat client in a reclining chair, or in a
semi fowler's position or left-lateral position
- Apply conduction gel to client abdomen
- Apply two belts to the client's abdomen, and attach the FHR and uterine contraction
monitor
What is used during the nonstress test if there are no fetal movements? - Answers -
Vibroacoustic Stimulation can be activated for 3 seconds on the maternal abdomen over
the fetal head to awaken the sleeping fetus
Biophysical Profile (BPP) - Answers - - uses a real-time ultrasound to visualize physical
and physiological characteristics of the fetus and observe for fetal biophysical
responses to stimuli
- It combines FHR monitoring and fetal ultrasound
Variables of a BPP - Answers - - FHR
- Fetal breathing movements
- Gross body movements
- Fetal tone
- Qualitative amniotic fluid volume
Contraction Stress Test (CST) - Answers - Nipple-Stimulated
- Consist of a client lightly brushing their palm across the nipple for 2 min, which causes
the pituitary gland to release endogenous oxytocin, and then stopping when contraction
begins
Oxytocin-Stimulated
- Used if nipple stimulation fails and consist of IV administration of oxytocin to induce
contractions
Client presentation for CST - Answers - - decreased fetal movement
- intrauterine growth restriction (IUGR)
- postmaturity
- DM
- HTN
- History of fetal demise
- Multiple gestation
- Oligohydramnios
, - Kidney disease
Amniocentesis - Answers - The aspiration of amniotic fluid for analysis by insertion of a
needle transabdominally into the clients uterus and amniotic sac under direct ultrasound
guidance locating the placenta and determining position of fetus.
- Preformed after 14 weeks of gestation
Client education for amniocentesis - Answers - Empty bladder prior to the procedure to
reduce its size and reduce the risk of inadvertent puncture
Test to asses fetal lung maturity - Answers - Lecithin/sphingomyelin (L/S) ratio
- A ratio of 2:1 indicates fetal lung maturity; a ratio of 2.5:1 or 3:1 for client with GDM
Phosphatidylglycerol (PG)
- absence of PG is associated with respiratory disease
A nurse is reviewing findings of a client BPP. The nurse should expect which of the
following variables to be included in this test? SATA
A. Fetal weight
B. Fetal breathing movements
C. Fetal tone
D. Fetal position
E. Amniotic fluid volume - Answers - B. Fetal breathing movement
C. Fetal tone
E. Amniotic fluid
A nurse is caring for a client who is in preterm labor and is scheduled to undergo an
amniocentesis. The nurse should evaluate which of the following tests to assess fetal
lung maturity?
A. Alpha-fetoprotein (AFP)
B. Lecithin/sphingomyelin (L/S) ratio
C. Kleihauer-Betke test
D. Indirect Coombs' test - Answers - B. Lecithin/sphingomyelin (L/S) ratio
A nurse i caring for a client who is pregnant and undergoing a nostress test. The client
ask why the nurse is using an acoustic vibration device. Which of the following response
should the nurse make?
A. "It is used to stimulate uterine contractions."
B. "It will decrease the incidence of uterine contractions."
C. "It lulls the fetus to sleep."
D. "It awakens a sleeping fetus." - Answers - D. "It awakens a sleeping fetus."
A nurse is teaching a client who is pregnant about the amniocentesis procedure. Which
of the following statements should the nurse include in the teaching?
ANSWERS
Nonstress test (NST) - Answers - - Non invasive procedure that monitors response of
the FHR to fetal movement
- Used for antepartum evaluation of fetal well-being performed during 3rd trimester
Nursing actions for nonstress test? - Answers - - Seat client in a reclining chair, or in a
semi fowler's position or left-lateral position
- Apply conduction gel to client abdomen
- Apply two belts to the client's abdomen, and attach the FHR and uterine contraction
monitor
What is used during the nonstress test if there are no fetal movements? - Answers -
Vibroacoustic Stimulation can be activated for 3 seconds on the maternal abdomen over
the fetal head to awaken the sleeping fetus
Biophysical Profile (BPP) - Answers - - uses a real-time ultrasound to visualize physical
and physiological characteristics of the fetus and observe for fetal biophysical
responses to stimuli
- It combines FHR monitoring and fetal ultrasound
Variables of a BPP - Answers - - FHR
- Fetal breathing movements
- Gross body movements
- Fetal tone
- Qualitative amniotic fluid volume
Contraction Stress Test (CST) - Answers - Nipple-Stimulated
- Consist of a client lightly brushing their palm across the nipple for 2 min, which causes
the pituitary gland to release endogenous oxytocin, and then stopping when contraction
begins
Oxytocin-Stimulated
- Used if nipple stimulation fails and consist of IV administration of oxytocin to induce
contractions
Client presentation for CST - Answers - - decreased fetal movement
- intrauterine growth restriction (IUGR)
- postmaturity
- DM
- HTN
- History of fetal demise
- Multiple gestation
- Oligohydramnios
, - Kidney disease
Amniocentesis - Answers - The aspiration of amniotic fluid for analysis by insertion of a
needle transabdominally into the clients uterus and amniotic sac under direct ultrasound
guidance locating the placenta and determining position of fetus.
- Preformed after 14 weeks of gestation
Client education for amniocentesis - Answers - Empty bladder prior to the procedure to
reduce its size and reduce the risk of inadvertent puncture
Test to asses fetal lung maturity - Answers - Lecithin/sphingomyelin (L/S) ratio
- A ratio of 2:1 indicates fetal lung maturity; a ratio of 2.5:1 or 3:1 for client with GDM
Phosphatidylglycerol (PG)
- absence of PG is associated with respiratory disease
A nurse is reviewing findings of a client BPP. The nurse should expect which of the
following variables to be included in this test? SATA
A. Fetal weight
B. Fetal breathing movements
C. Fetal tone
D. Fetal position
E. Amniotic fluid volume - Answers - B. Fetal breathing movement
C. Fetal tone
E. Amniotic fluid
A nurse is caring for a client who is in preterm labor and is scheduled to undergo an
amniocentesis. The nurse should evaluate which of the following tests to assess fetal
lung maturity?
A. Alpha-fetoprotein (AFP)
B. Lecithin/sphingomyelin (L/S) ratio
C. Kleihauer-Betke test
D. Indirect Coombs' test - Answers - B. Lecithin/sphingomyelin (L/S) ratio
A nurse i caring for a client who is pregnant and undergoing a nostress test. The client
ask why the nurse is using an acoustic vibration device. Which of the following response
should the nurse make?
A. "It is used to stimulate uterine contractions."
B. "It will decrease the incidence of uterine contractions."
C. "It lulls the fetus to sleep."
D. "It awakens a sleeping fetus." - Answers - D. "It awakens a sleeping fetus."
A nurse is teaching a client who is pregnant about the amniocentesis procedure. Which
of the following statements should the nurse include in the teaching?
