HIGH RISK PERINATAL CERTIFICATION
REVIEW 2026 COMPLETE SOLUTIONS
BUNDLED
●● 2. A 39-year-old primigravida thinks that she is about 8 weeks
pregnant, although she has had irregular menstrual periods all her life.
She has a history of smoking approximately one pack of cigarettes a day,
but she tells you that she is trying to cut down. Her laboratory data are
within normal limits. What diagnostic technique could be used with this
pregnant woman at this time?
a. Ultrasound examination
b. Maternal serum alpha-fetoprotein (MSAFP) screening
c. Amniocentesis
d. Nonstress test (NST). Answer: a. Ultrasound examination
●● 3. The nurse sees a woman for the first time when she is 30 weeks
pregnant. The woman has smoked throughout the pregnancy, and fundal
height measurements now are suggestive of growth restriction in the
fetus. In addition to ultrasound to measure fetal size, what other tool
would be useful in confirming the diagnosis?
a. Doppler blood flow analysis
b. Contraction stress test (CST)
, c. Amniocentesis
d. Daily fetal movement counts. Answer: a. Doppler blood flow analysis
●● 4. A 41-week pregnant multigravida presents in the labor and
delivery unit after a nonstress test indicated that her fetus could be
experiencing some difficulties in utero. Which diagnostic tool would
yield more detailed information about the fetus?
a. Ultrasound for fetal anomalies
b. Biophysical profile (BPP)
c. Maternal serum alpha-fetoprotein (MSAFP) screening
d. Percutaneous umbilical blood sampling (PUBS). Answer: b.
Biophysical profile (BPP)
●● 5. At 35 weeks of pregnancy a woman experiences preterm labor.
Tocolytics are administered and she is placed on bed rest, but she
continues to experience regular uterine contractions, and her cervix is
beginning to dilate and efface. What would be an important test for fetal
well-being at this time?
a. Percutaneous umbilical blood sampling (PUBS)
b. Ultrasound for fetal size
c. Amniocentesis for fetal lung maturity
d. Nonstress test (NST). Answer: c. Amniocentesis for fetal lung
maturity
REVIEW 2026 COMPLETE SOLUTIONS
BUNDLED
●● 2. A 39-year-old primigravida thinks that she is about 8 weeks
pregnant, although she has had irregular menstrual periods all her life.
She has a history of smoking approximately one pack of cigarettes a day,
but she tells you that she is trying to cut down. Her laboratory data are
within normal limits. What diagnostic technique could be used with this
pregnant woman at this time?
a. Ultrasound examination
b. Maternal serum alpha-fetoprotein (MSAFP) screening
c. Amniocentesis
d. Nonstress test (NST). Answer: a. Ultrasound examination
●● 3. The nurse sees a woman for the first time when she is 30 weeks
pregnant. The woman has smoked throughout the pregnancy, and fundal
height measurements now are suggestive of growth restriction in the
fetus. In addition to ultrasound to measure fetal size, what other tool
would be useful in confirming the diagnosis?
a. Doppler blood flow analysis
b. Contraction stress test (CST)
, c. Amniocentesis
d. Daily fetal movement counts. Answer: a. Doppler blood flow analysis
●● 4. A 41-week pregnant multigravida presents in the labor and
delivery unit after a nonstress test indicated that her fetus could be
experiencing some difficulties in utero. Which diagnostic tool would
yield more detailed information about the fetus?
a. Ultrasound for fetal anomalies
b. Biophysical profile (BPP)
c. Maternal serum alpha-fetoprotein (MSAFP) screening
d. Percutaneous umbilical blood sampling (PUBS). Answer: b.
Biophysical profile (BPP)
●● 5. At 35 weeks of pregnancy a woman experiences preterm labor.
Tocolytics are administered and she is placed on bed rest, but she
continues to experience regular uterine contractions, and her cervix is
beginning to dilate and efface. What would be an important test for fetal
well-being at this time?
a. Percutaneous umbilical blood sampling (PUBS)
b. Ultrasound for fetal size
c. Amniocentesis for fetal lung maturity
d. Nonstress test (NST). Answer: c. Amniocentesis for fetal lung
maturity
