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NR327 EXAM 2 QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED GRADED A++
Terms in this set (291)
Over the fundus
-as abdomen gets hard, it will push button on
Where do you place a toco transducer?
device
On the back of fetus
Where do we put the ultrasound
transducer?
What are the two indications for fetal 1. To detect congenital abnormalities
diagnostic testing? 2. To evaluate the condition of the fetus
𝖣 Ultrasound
What are the kinds of diagnostic test? 𝖣 Chorionic Villus Sampling (CVS)
𝖣 Amniocentesis
High-frequency sound waves are aimed at body tissues
✣ directed through tissues of the abdomen or vagina to provide two-dimensional
Ultrasound
images
𝖣 Quick and easy
Images have greater detail
Three dimensional ultrasound ✣ they provide more detailed, accurate identification of the extent and size of
abnormalities
𝖣 Shows movement as it happens
𝖣 Allows the observer to see fetal heart motion, fetal breathing activity, and fetal
Real-time scanning ultrasound
body movement
𝖣 Can distinguish between moving tissues of the fetus and maternal tissues
• Some parents are excited.
• Some parents report anxiety.
Ultrasound: Emotional Response • Many couples expect to know the gender of the fetus.
• Others do not want to know the gender.
• Sonographers often give parents a still image.
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, 4/4/25, 6:05 NR327 Exam 2 |
PM
1. Naegele's rule
3 different ways to determine
2.Fundal measurement
gestational age
3. Ultrasound
At 20 weeks where should the fundus be? At the umbilicus
How will a sonographer measure From crown to rump
gestational age using an ultrasound?
Standard (basic)
✣ General survey
𝖣 Example: anatomy scan
Specialized (comprehensive)
Levels of obstetrics via Ultrasound ✣ Specific
𝖣 Example: looking for abnormalities
Limited
✣ Address a specific question
𝖣 Example: fetal presentation
Which type of ultrasound would be used Specialized ultrasound
to look for a specific congenital
defect?
A nurse goes to check the presenting part Limited
and touches something squishy but is -help determine fetal presentation
unsure what she's feeling. What type of
ultrasound would the doctor order to
help determine what it is?
Purpose
• Confirm pregnancy
• Verify the location of the pregnancy
• Detect multifetal gestations
• Determine gestational age
Ultrasound: First Trimester • Identify markers
• Determine the locations of the uterus, cervix, and placenta for procedures
such as chorionic villus sampling (CVS) (if needed)
Procedure
• done transvaginal
Purpose
• Confirm viability
• Evaluate fetal anatomy
• Determine gestational age
• Assess serial fetal growth
• Compare growth of fetuses in multifetal gestations
Ultrasound: Second and Third Trimester • Evaluate four of five markers in a biophysical profile (usually during 3rd trimester)
• Locate the placenta when placenta previa is suspected
• Determine fetal presentation
• Guide needle for amniocentesis or percutaneous umbilical cord sampling (PUBS)
Procedure
• Transabdominal
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