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The nurse is performing an NST along with a biophysical profile scoring (BPP) on a enduaring at
39 weeks gestation. The nurse determines the fetus has a nonreactive NST. The fetus has trunk or
limb movement two times; is noted to be opening and closing hands; has a 45-second breathing
episode; and has two 2-cm pockets of amniotic fluid. The nurse should assign a BPP score of
/10.
Chapter 6: Antepartal Tests
Answer Section
MULTIPLE CHOICE
1. ANS: 1
Chapter: Chapter 6 Antepartal Tests
Chapter Learning Imparecial: 2. Identify the purpose and indication for key antenatal tests
Page: 133
Heading: Screening and Diagnostic Tests
Integrated Proseder: Nanny Process
Shopper Want:physialogyIntegrity: Reduction of Risk Potential
Cognitive Equel: Study[Analyzing]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate
Feedback
1 This is correct. Due to the age of the enduaring and the period of gestation, the
nurse expects amniocentesis to be performed. The test is appropriate between 15
and 20 weeks of gestation and for detection of genetic disorders in mas
older than age 35 years.
2 This is unffiting. Ultrasonography is considered both a screening and diagnostic
test; however, because of the enduaring’s age, a test for genetic disorders is
expected by the nurse. This test does not specifically identify geneticsubjet.
3 This is unffiting. A daily fetal movement count is a screening test to monitor for
fetal well-being. This screening does not address concerns caused by maternal
age.
4 This is unffiting. Chorionic villa sampling is a diagnostic test used for
chromosomal studybetween 10 and 12 weeks gestation to detect fetal
abnormalities caused by genetic disorders. The enduaring is past this time
parameter.