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A woman at 12 weeks gestation asks about the quad screen test. Which of the following
answers by the nurse is incorrect?
1. we can do a test called a quad screen to diagnose Down syndrome and neural tube
defects
2. The quad screen can't be done until around 16-18 weeks gestation
3. The quad screen is not the best choice for you since you are having triplets
4. The quad screen is a tool that can screen for Trisomy 18 and 21 - ANSWERS-1
The nurse finishes performing a BPP and ends up with a score of 8. She knows that this
score means that:
1. the fetus is showing signs of distress and will likely be delivered in the next 24 hours
2. the fetus is showing signs of distress and needs to be delivered immediately
3. the fetus is doing well right now
4. the fetus has passed away in utero - ANSWERS-3
The nurse listens as the doctor explains the risks of an amniocentesis to a pregnant
patient. The nurse would need to intervene if the doctor stated which of the following:
1. this procedure could cause a miscarriage
2. this procedure has a risk of infection
3. please let us know if you have contractions after this procedure
4. since you are Rh negative, you do not need Rhogam before this procedure -
ANSWERS-4
,A pregnant woman wants to know which test should be done to give the earliest results
of genetic anomalies in the baby. The nurse's correct answer is:
1. amniocentesis
2. quad screen
3. chorionic villi sampling
4. oral GTT - ANSWERS-3
The NICU nurse has been notified that a new admission is coming from the L&D floor
and the mother has congenital heart problems. Which of the following could the nurse
expect to see in the neonate? SATA
1. complications from hypoxia
2. IUGR
3. increased risk of cardiac anomalies
4. microcephaly
5. pathologic jaundice - ANSWERS-1, 2, 3
A diabetic woman has just discovered that she is pregnant. The woman's diabetes has
not been well controlled in the past, but she is able to keep her glucose levels under
control for the duration of her pregnancy. Which of the following are possible
complications of her newborn?
1. macrosomia
2. low birth weight
3. cephalopelvic disproportion
4. decreased surfactant production - ANSWERS-2
A Type 1 diabetic has become pregnant and asks the nurse what this means for her
glucose and insulin needs. The nurse correctly replies:
1. your baby will take glucose and insulin from you, so you will need to keep your
diabetes well controlled
2. your baby needs glucose to grow, so make sure that you keep your blood sugar
higher than normal
, 3. your baby can produce insulin, but you'll need to make sure your glucose stays in
range to prevent complications
4. we won't know what your needs are until your oral glucose challenge test, which is
scheduled for around 24 weeks gestation - ANSWERS-3
The nurse is reviewing the chart of a pregnant patient and notices that this is her third
pregnancy and she is blood type A-. The nurse knows that this patient:
1. will not need a RhoGam shot because she is Rh-
2. will not need a RhoGam shot because this is not her first pregnancy
3. will need a RhoGam shot if her baby shows signs of distress
4. will need a RhoGam shot at 28 weeks - ANSWERS-4
A woman is pregnant for the first time and asks why her doctor has ordered RhoGam
injections. The nurse's best reply is:
1. since you have a negative blood type, your blood could attack your baby's blood and
result in miscarriage or severe birth defects
2. since you have a negative blood type, you could transfer antigens to your baby and
cause hyperbilirubinemia in your baby
3. this injection will help prevent complications in a future pregnancy
4. this injection will prevent you from developing a blood incompatibility with your baby -
ANSWERS-3
A client calls the maternity nurseline and states "I'm 32 weeks pregnant and I think I'm
having contractions. When I got my cerclage, the doctor told me to call if I thought I was
going into labor." The nurse's best reply is:
1. Please go relax and drink 8 ounces of water, and call me back if the contractions
haven't stopped in one hour
2. You need to go the ER immediately
3. The doctor will want to see you today, can you come to the office now?
4. You'll need to go to the hospital when the contractions are 2 minutes apart. -
ANSWERS-3