Marlo D.

Norbe

BSN2A

Evaluation: Test Your Understanding

A. In your own words, what is your understanding of the term high risk pregnancy?

Based on my own understanding, high risk pregnancy is exist if the woman has a
problem in health or has a complication that may lead their pregnancy in abnormal
growth of the baby and also fetal death. Unhealthy lifestyle and habits also can be a
factor for a high risk pregnancy.

B. Multiple Choice: Choose the letter that corresponds to the correct answer.

B 1. All of the following are major causes of maternal death except:

a. Hypertensive disorders c. infection

b. Cardiac disorder. d. hemorrhage

C 2. What risk factors are included in Psychosocial Factors

1. Caffeine. 4. Drugs

2. Low-income 5. Smoking

3. Alcohol

a. 1,2,3,4 b. 2,3,4,5. c. 1,3,4,5. d. All of the above

C 3. What risk factors are included in Biophysical Factors

1. Genetic make-up. 3. Medical and/or obstetric history

2. Parity 4. Nutritional status

a. 1,2,3. b. 2,3,4 c. 1,3,4 d. All of the above

C 4. Screening tests are useful for?

a. Determining why a person has symptoms

b. c. every kind of disease

c. Testing for potential diseases that are not yet causing

symptoms d. Antenatal diseases only

D 5. Which of these habits of the mother-to-be can be harmful to the fetus?

a. Smoking c. drinking alcohol

b. taking illegal drugs. d. all of the above

A 6. During pre-natal care, a health care provider may recommend genetic

screening tests for certain disorders. What is one thing that amniocentesis test
for?

a. Down syndrome. c. multiple sclerosis

b. cancer. d. Attention deficit disorder

A 7. A score of 10 on a fetal biophysical profile indicates:

a. Strong evidence of fetal health. c. slight risk of perinatal mortality

b. Slight evidence of fetal health. d. significant risk of perinatal mortalit

Evaluation: Apply Your Understanding

A. Create an assessment tool to asses a pregnant woman for high risk pregnancy.
Using the assessment tool that you have made, interview a relative or neighbor who
experienced a high risk pregnancy and determine the factors that placed her
pregnancy in the high-risk category.

PRENATAL ASSESSMENT CHECKLIST

Name: Moriena Pureza Age: 40
Address: Pagbilao, Quezon Blood Type: AB
Occupation: N/A Heigh: 5’5

Trimester 1st 2nd 3rd

AOG in months 2-3 4 5 6 7 8 9

Vaginal Bleeding N
UTI (Y/N) N
Weigh in Kg 45 Kg
Blood Pressure 120/90
BP 140/90 above (Y/N) N
Temperature 36.4°C
Abnormal Presentation (Y/N) N
Abnormal Fundal High (Y/N) N
Missing Fetal Heart Rate N
(Y/N)
Pallor (Y/N) N
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B. Myrna, who has hypertension, and is in 34 weeks of gestation, has been
encouraged to undergo a Nonstress test.

1. How would you prepare Myrna for this test?

* I explain first the procedures to Myrna and then I positioned her to fetal heart
monitor with rhythm strip. Even though Myrna has a hypertension she can undergo
a no stress test that use to assess the fetal heart rate that we use it as a basis in
order to know the well being of the baby. Once the fetus moved it must have a
acceleration in the fetal heart rate, As a nurse we can monitor the FHR in the rhythm
strip in order to know if it is normal that correspond to reactive result where it has 2
or more acceleration of 15 bpm. It this situation even Myrna is high risk in pregnancy
because of her hypertension but the result of her nonstress test is reactive, she
can able to continue her pregnancy as long us that she is in stable or in a good
condition.