Management Principles and Nursing Interventions

Management Principles and Nursing Interventions ( 8 Questions)

A nurse is monitoring the fetal well-being of a client with mild pre-eclampsia who is at 28 weeks of gestation.

Which test should the nurse perform at least every two weeks to assess the fetal growth and oxygenation?



Correct Answer: B

A biophysical profile is a test that combines a nonstress test with an ultrasound to assess the fetal well-being and oxygenation. A biophysical profile evaluates five parameters: fetal breathing movements, fetal body movements, fetal tone, amniotic fluid volume, and fetal heart rate reactivity.

Each parameter is scored 0 or 2, and the total score ranges from 0 to 10. A score of 8 to 10 is considered normal, indicating adequate oxygenation and low risk of asphyxia.

Choice A is wrong because a nonstress test is a test that measures the fetal heart rate response to fetal movements. It does not assess the fetal growth or oxygenation directly.

Choice C is wrong because an amniocentesis is a test that involves inserting a needle into the amniotic sac to obtain a sample of amniotic fluid for genetic or biochemical analysis. It does not assess the fetal growth or oxygenation directly.

Choice D is wrong because an umbilical artery doppler is a test that uses ultrasound to measure the blood flow in the umbilical artery.

It can detect placental insufficiency or fetal growth restriction.




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