TEST BANK FOR WOMEN'S HEALTH: A PRIMARY CARE CLIN
c c c c c c c c
ICAL GUIDE FIFTH EDITION
c c c
Acwomancarrivescatctheccliniccseekingcconfirmationcthatcsheciscpregnant.cThecfollowingci
nformationciscobtained:cShecisc24cyearscoldcwithcacbodycmasscindexc(BMI)cofc17.5.cShec
admitsctochavingcusedccocainec"severalctimes"cduringcthecpastcyearcandcoccasionallycdri
nkscalcohol.cHercbloodcpressurecisc108/70cmmcHg.cThecfamilychistoryciscpositivecforcdiab
etescmellituscandccancer.cHercsistercrecentlycgavecbirthctocancinfantcwithcacneuralctubecd
efectc(NTD).cWhichccharacteristicscplacescthiscclientcincachigh-riskccategory?
a.cBloodcpressure,cage,cBMI
b.cDrugcandcalcoholcuse,cage,cfamilychistory
c.cFamilychistory,cbloodcpressurec(BP),cBMI
d.cFamilychistory,cBMI,cdrugcandcalcoholcabuse
c-canswerd.cFamilychistory,cBMI,cdrugcandcalcoholcabuse
Ac39-year-
oldcprimigravidacwomancbelievescthatcsheciscapproximatelyc8cweekscpregnant,calthoug
hcshechaschadcirregularcmenstrualcperiodscallcherclife.cShechascachistorycofcsmokingcappr
oximatelyconecpackcofccigarettescacday;chowever,cshectellscthecnursecthatcshecisctryingcto
ccutcdown.cHerclaboratorycdatacarecwithincnormalclimits.cWhatcdiagnosticctechniquecwoul
dcbecusefulcatcthisctime?
a.cUltrasoundcexamination
b.cMaternalcserumcalpha-fetoproteinc(MSAFP)cscreening
c.cAmniocentesis
d.cNonstressctestc(NST)
c-canswera.cUltrasoundcexamination
Thecnursecseescacwomancforcthecfirstctimecwhencshecisc30cweekscpregnant.cThecclientch
ascsmokedcthroughoutcthecpregnancy,candcfundalcheightcmeasurementscnowcarecsugg
estivecofcintrauterinecgrowthcrestrictionc(IUGR)cincthecfetus.cIncadditionctocultrasoundctoc
measurecfetalcsize,cwhatciscanotherctoolcusefulcincconfirmingcthecdiagnosis?
a.cDopplercbloodcflowcanalysis
b.cContractioncstressctestc(CST)
c.cAmniocentesis
d.cDailycfetalcmovementccounts
c-canswera.cDopplercbloodcflowcanalysis
Ac41-
weekcpregnantcmultigravidacarrivescatctheclaborcandcdeliverycunitcaftercacNSTcindicatedct
,hatchercfetusccouldcbecexperiencingcsomecdifficultiescincutero.cWhichcdiagnosticctoolcyiel
dscmorecdetailedcinformationcaboutcthecconditioncofcthecfetus?
a.cUltrasoundcforcfetalcanomalies
b.cBiophysicalcprofilec(BPP)
c.cMSAFPcscreening
d.cPercutaneouscumbilicalcbloodcsamplingc(PUBS)c-
canswerb.cBiophysicalcprofilec(BPP)
Atc35cweekscofcpregnancy,cacwomancexperiencescpretermclabor.cAlthoughctocolyticcme
dicationscarecadministeredcandcsheciscplacedconcbedcrest,csheccontinuesctocexperiencec
regularcuterineccontractionscandcherccervixciscbeginningctocdilatecandcefface.cWhatciscanc
importantctestcforcfetalcwell-beingcatcthisctime?
a.cPUBS
b.cUltrasoundcforcfetalcsize
c.cAmniocentesiscforcfetalclungcmaturity
d.cNST
c-canswerc.cAmniocentesiscforcfetalclungcmaturity
Ac30-year-oldcgravidac3,cparac2-0-0-
2ciscatc18cweekscofcgestation.cWhichcscreeningctestcshouldcthecnursecrecommendcbecor
deredcforcthiscclient?
a.cBPP
b.cChorioniccvillicsampling
c.cMSAFPcscreening
d.cScreeningcforcdiabetescmellitus
c-canswerc.cMSAFPcscreening
ThecbiochemicalcassessmentcMSAFPctestciscperformedcfromcweekc15ctocweekc20cofcge
stationc(weeksc16ctoc18carecideal).cAcBPPciscacmethodcofcbiophysicalcassessmentcofcfeta
lcwell-
beingcincthecthirdctrimester.cChorioniccvillicsamplingciscacbiochemicalcassessmentcofcthec
fetuscthatcshouldcbecperformedcfromcthec10thctoc12thcweekscofcgestation.cScreeningcforc
diabetescmellituscbeginscwithcthecfirstcprenatalcvisit.
AncMSAFPcscreeningcindicatescancelevatedclevelcofcalpha-
fetoprotein.cThectestciscrepeated,candcagainctheclevelciscreportedcaschighercthancnormal.c
Whatciscthecnextcstepcincthecassessmentcsequencectocdeterminecthecwell-
beingcofcthecfetus?
a.cPUBS
b.cUltrasoundcforcfetalcanomalies
c.cBPPcforcfetalcwell-being
d.cAmniocentesiscforcgeneticcanomalies
c-canswerb.cUltrasoundcforcfetalcanomalies
IfcMSAFPcfindingscarecabnormal,cthencfollow-
upcprocedurescincludecgeneticccounselingcforcfamiliescwithcachistorycofcNTD,crepeatedc
MSAFPcscreenings,cancultrasoundcexamination,candcpossiblycamniocentesis.cIndicatio
nscforcthecusecofcPUBScincludecprenatalcdiagnosiscofcinheritedcbloodcdisorders,ckaryoty
pingcofcmalformedcfetuses,cdetectioncofcfetalcinfection,cdeterminationcofcthecacid-
basecstatuscofcfetusescwithcIUGR,candcassessmentcandctreatmentcofcisoimmunizationca
, ndcthrombocytopeniacincthecfetus.cAcBPPciscacmethodcofcassessingcfetalcwell-
beingcincthecthirdctrimester.cBeforecancamniocentesis,cthecclientcwouldchavecancultrasou
ndcforcdirectcvisualizationcofcthecfetus.
Acclientcaskschercnurse,c"Mycdoctorctoldcmecthatcheciscconcernedcwithcthecgradecofcmycpl
acentacbecausecIcamcoverdue.cWhatcdoescthatcmean?"cWhatciscthecnurse'scbestcrespon
se?
a.c"Yourcplacentacchangescascyourcpregnancycprogresses,candcitciscgivencacscorecthatci
ndicateschowcwellcitciscfunctioning."
b.c"Yourcplacentacisn'tcworkingcproperly,candcyourcbabyciscincdanger."
c.c"Wecneedctocperformcancamniocentesisctocdetectcifcyouchavecanycplacentalcdamage."
d.c"Don'tcworrycaboutcit.cEverythingciscfine."c-
canswera.c"Yourcplacentacchangescascyourcpregnancycprogresses,candcitciscgivencacsco
recthatcindicateschowcwellcitciscfunctioning."
Acwomanciscundergoingcacnipple-
stimulatedcCST.cShecischavingccontractionscthatcoccurceveryc3cminutes.cThecfetalcheartc
ratec(FHR)chascacbaselinecheartcratecofcapproximatelyc120cbeatscpercminutecwithoutcan
ycdecelerations.cWhatcisctheccorrectcinterpretationcofcthisctest?
a.cNegative
b.cPositive
c.cSatisfactory
d.cUnsatisfactory
c-canswera.cNegative
AdequatecuterinecactivitycnecessarycforcacCSTcconsistscofcthreeccontractionscincac10-
minutectimecframe.cIfcnocdecelerationscarecobservedcincthecFHRcpatterncwithctheccontrac
tions,cthencthecfindingscarecconsideredctocbecnegative.cAcpositivecCSTcindicatescthecpre
sencecofcrepetitiveclatecFHRcdecelerations.cThectermscsatisfactorycorcunsatisfactorycare
cnotcapplicable.
Ofcthesecpsychosocialcfactors,cwhichchascthecleastcnegativeceffectconcthechealthcofcthec
mothercand/orcfetus?
a.cModerateccoffeecconsumption
b.cModeratecalcoholcconsumption
c.cCigarettecsmoke
d.cEmotionalcdistress
c-canswera.cModerateccoffeecconsumption
Whichcinformationcshouldcnursescprovidectocexpectantcmotherscwhencteachingcthemcho
wctocevaluatecdailycfetalcmovementccountsc(DFMCs)?
a.cAlcoholcorccigarettecsmokeccancirritatecthecfetuscintocgreatercactivity.
b.cKickccountscshouldcbectakenceverychourcandcaveragedceveryc6chours,cwithceverycothe
rc6-hourcstretchcoff.
c.cThecfetalcalarmcsignalcshouldcgocoffcwhencfetalcmovementscstopcentirelycforc12chours.
d.cAccountcofclesscthancfourcfetalcmovementscinc1chourcwarrantscfuturecevaluation.
c-
canswerc.cThecfetalcalarmcsignalcshouldcgocoffcwhencfetalcmovementscstopcentirelycforc1
2chours.
c c c c c c c c
ICAL GUIDE FIFTH EDITION
c c c
Acwomancarrivescatctheccliniccseekingcconfirmationcthatcsheciscpregnant.cThecfollowingci
nformationciscobtained:cShecisc24cyearscoldcwithcacbodycmasscindexc(BMI)cofc17.5.cShec
admitsctochavingcusedccocainec"severalctimes"cduringcthecpastcyearcandcoccasionallycdri
nkscalcohol.cHercbloodcpressurecisc108/70cmmcHg.cThecfamilychistoryciscpositivecforcdiab
etescmellituscandccancer.cHercsistercrecentlycgavecbirthctocancinfantcwithcacneuralctubecd
efectc(NTD).cWhichccharacteristicscplacescthiscclientcincachigh-riskccategory?
a.cBloodcpressure,cage,cBMI
b.cDrugcandcalcoholcuse,cage,cfamilychistory
c.cFamilychistory,cbloodcpressurec(BP),cBMI
d.cFamilychistory,cBMI,cdrugcandcalcoholcabuse
c-canswerd.cFamilychistory,cBMI,cdrugcandcalcoholcabuse
Ac39-year-
oldcprimigravidacwomancbelievescthatcsheciscapproximatelyc8cweekscpregnant,calthoug
hcshechaschadcirregularcmenstrualcperiodscallcherclife.cShechascachistorycofcsmokingcappr
oximatelyconecpackcofccigarettescacday;chowever,cshectellscthecnursecthatcshecisctryingcto
ccutcdown.cHerclaboratorycdatacarecwithincnormalclimits.cWhatcdiagnosticctechniquecwoul
dcbecusefulcatcthisctime?
a.cUltrasoundcexamination
b.cMaternalcserumcalpha-fetoproteinc(MSAFP)cscreening
c.cAmniocentesis
d.cNonstressctestc(NST)
c-canswera.cUltrasoundcexamination
Thecnursecseescacwomancforcthecfirstctimecwhencshecisc30cweekscpregnant.cThecclientch
ascsmokedcthroughoutcthecpregnancy,candcfundalcheightcmeasurementscnowcarecsugg
estivecofcintrauterinecgrowthcrestrictionc(IUGR)cincthecfetus.cIncadditionctocultrasoundctoc
measurecfetalcsize,cwhatciscanotherctoolcusefulcincconfirmingcthecdiagnosis?
a.cDopplercbloodcflowcanalysis
b.cContractioncstressctestc(CST)
c.cAmniocentesis
d.cDailycfetalcmovementccounts
c-canswera.cDopplercbloodcflowcanalysis
Ac41-
weekcpregnantcmultigravidacarrivescatctheclaborcandcdeliverycunitcaftercacNSTcindicatedct
,hatchercfetusccouldcbecexperiencingcsomecdifficultiescincutero.cWhichcdiagnosticctoolcyiel
dscmorecdetailedcinformationcaboutcthecconditioncofcthecfetus?
a.cUltrasoundcforcfetalcanomalies
b.cBiophysicalcprofilec(BPP)
c.cMSAFPcscreening
d.cPercutaneouscumbilicalcbloodcsamplingc(PUBS)c-
canswerb.cBiophysicalcprofilec(BPP)
Atc35cweekscofcpregnancy,cacwomancexperiencescpretermclabor.cAlthoughctocolyticcme
dicationscarecadministeredcandcsheciscplacedconcbedcrest,csheccontinuesctocexperiencec
regularcuterineccontractionscandcherccervixciscbeginningctocdilatecandcefface.cWhatciscanc
importantctestcforcfetalcwell-beingcatcthisctime?
a.cPUBS
b.cUltrasoundcforcfetalcsize
c.cAmniocentesiscforcfetalclungcmaturity
d.cNST
c-canswerc.cAmniocentesiscforcfetalclungcmaturity
Ac30-year-oldcgravidac3,cparac2-0-0-
2ciscatc18cweekscofcgestation.cWhichcscreeningctestcshouldcthecnursecrecommendcbecor
deredcforcthiscclient?
a.cBPP
b.cChorioniccvillicsampling
c.cMSAFPcscreening
d.cScreeningcforcdiabetescmellitus
c-canswerc.cMSAFPcscreening
ThecbiochemicalcassessmentcMSAFPctestciscperformedcfromcweekc15ctocweekc20cofcge
stationc(weeksc16ctoc18carecideal).cAcBPPciscacmethodcofcbiophysicalcassessmentcofcfeta
lcwell-
beingcincthecthirdctrimester.cChorioniccvillicsamplingciscacbiochemicalcassessmentcofcthec
fetuscthatcshouldcbecperformedcfromcthec10thctoc12thcweekscofcgestation.cScreeningcforc
diabetescmellituscbeginscwithcthecfirstcprenatalcvisit.
AncMSAFPcscreeningcindicatescancelevatedclevelcofcalpha-
fetoprotein.cThectestciscrepeated,candcagainctheclevelciscreportedcaschighercthancnormal.c
Whatciscthecnextcstepcincthecassessmentcsequencectocdeterminecthecwell-
beingcofcthecfetus?
a.cPUBS
b.cUltrasoundcforcfetalcanomalies
c.cBPPcforcfetalcwell-being
d.cAmniocentesiscforcgeneticcanomalies
c-canswerb.cUltrasoundcforcfetalcanomalies
IfcMSAFPcfindingscarecabnormal,cthencfollow-
upcprocedurescincludecgeneticccounselingcforcfamiliescwithcachistorycofcNTD,crepeatedc
MSAFPcscreenings,cancultrasoundcexamination,candcpossiblycamniocentesis.cIndicatio
nscforcthecusecofcPUBScincludecprenatalcdiagnosiscofcinheritedcbloodcdisorders,ckaryoty
pingcofcmalformedcfetuses,cdetectioncofcfetalcinfection,cdeterminationcofcthecacid-
basecstatuscofcfetusescwithcIUGR,candcassessmentcandctreatmentcofcisoimmunizationca
, ndcthrombocytopeniacincthecfetus.cAcBPPciscacmethodcofcassessingcfetalcwell-
beingcincthecthirdctrimester.cBeforecancamniocentesis,cthecclientcwouldchavecancultrasou
ndcforcdirectcvisualizationcofcthecfetus.
Acclientcaskschercnurse,c"Mycdoctorctoldcmecthatcheciscconcernedcwithcthecgradecofcmycpl
acentacbecausecIcamcoverdue.cWhatcdoescthatcmean?"cWhatciscthecnurse'scbestcrespon
se?
a.c"Yourcplacentacchangescascyourcpregnancycprogresses,candcitciscgivencacscorecthatci
ndicateschowcwellcitciscfunctioning."
b.c"Yourcplacentacisn'tcworkingcproperly,candcyourcbabyciscincdanger."
c.c"Wecneedctocperformcancamniocentesisctocdetectcifcyouchavecanycplacentalcdamage."
d.c"Don'tcworrycaboutcit.cEverythingciscfine."c-
canswera.c"Yourcplacentacchangescascyourcpregnancycprogresses,candcitciscgivencacsco
recthatcindicateschowcwellcitciscfunctioning."
Acwomanciscundergoingcacnipple-
stimulatedcCST.cShecischavingccontractionscthatcoccurceveryc3cminutes.cThecfetalcheartc
ratec(FHR)chascacbaselinecheartcratecofcapproximatelyc120cbeatscpercminutecwithoutcan
ycdecelerations.cWhatcisctheccorrectcinterpretationcofcthisctest?
a.cNegative
b.cPositive
c.cSatisfactory
d.cUnsatisfactory
c-canswera.cNegative
AdequatecuterinecactivitycnecessarycforcacCSTcconsistscofcthreeccontractionscincac10-
minutectimecframe.cIfcnocdecelerationscarecobservedcincthecFHRcpatterncwithctheccontrac
tions,cthencthecfindingscarecconsideredctocbecnegative.cAcpositivecCSTcindicatescthecpre
sencecofcrepetitiveclatecFHRcdecelerations.cThectermscsatisfactorycorcunsatisfactorycare
cnotcapplicable.
Ofcthesecpsychosocialcfactors,cwhichchascthecleastcnegativeceffectconcthechealthcofcthec
mothercand/orcfetus?
a.cModerateccoffeecconsumption
b.cModeratecalcoholcconsumption
c.cCigarettecsmoke
d.cEmotionalcdistress
c-canswera.cModerateccoffeecconsumption
Whichcinformationcshouldcnursescprovidectocexpectantcmotherscwhencteachingcthemcho
wctocevaluatecdailycfetalcmovementccountsc(DFMCs)?
a.cAlcoholcorccigarettecsmokeccancirritatecthecfetuscintocgreatercactivity.
b.cKickccountscshouldcbectakenceverychourcandcaveragedceveryc6chours,cwithceverycothe
rc6-hourcstretchcoff.
c.cThecfetalcalarmcsignalcshouldcgocoffcwhencfetalcmovementscstopcentirelycforc12chours.
d.cAccountcofclesscthancfourcfetalcmovementscinc1chourcwarrantscfuturecevaluation.
c-
canswerc.cThecfetalcalarmcsignalcshouldcgocoffcwhencfetalcmovementscstopcentirelycforc1
2chours.
