ULTRASOUND 1. The following are purpose of an ultrasound except: a. diagnose pregnancy by visualizing gestational sac as early as 4 weeks b.

evaluate fetal structure and function c. estimate amniotic fluid d. all of the above 2. The nurse knows that prior to a trans abdominal ultrasound the client will a. will empty her bladder b. will need to drink at least 1 to 1 ½ liter of water approximately 1 to 2 hours before examination c. position the client in a lithotomy position d. assess the age mothers knowledge 3. In conducting a transvaginal ultrasound, the nurse will position the client in a a. b. c. d. lithotomy supine dorsal recumbent genupectoral

d. Amnio fusion 6. Amniotic fluid of less than 500 is classified as a. b. c. d. Oligohydramnios Polyhydramnios Amniocentesis Amnio fusion

7. With Ultrasound fetal structure and function is determine through a. b. c. d. Fetal movement Presence of structural anomalies Blood flow through the umbilical cord All of the above

8. At the end of the procedure, which of the following must be monitored when arising? a. Be alert for signs for postural hypotension b. Be alert for signs for supine hypotension c. Both a & b d. Be alert for signs hyperemesis gravidarium 9. During the procedure, which of the following must be monitored ? a. Be alert for signs for postural hypotension b. Be alert for signs for supine hypotension c. Both a & b d. Be alert for signs hyperemesis gravidarium 10. Mothers are instructed to have a full bladder prior to a transabdominal to a. To facilitate identification of pelvic organs and positioning of uterus for visualization

4. Which of the following is NOT true to an ultrasound? a. It can detect multiple gestation b. It evaluates fetal structure and function c. It detects congenital anomaly and blood disorders d. It can monitor fetal growth 5. Amniotic fluid of more than 1500 is classified as a. Oligohydramnios b. Polyhydramnios c. Amniocentesis

removal of tissue sample from the fetal portion of the developing placenta b. The best time to do Chorionic villi sampling is a. to determine the response of the fetal heart rate to the stress to activity d. Second trimester AMNIOCENTESIS 16. Assurance of fetal lung maturity c. To determine amount of amniotic fluid c.b. To determine the presence sickle cell anemia d. all of the above 17. d. The following are possible complication of the chorionic villi sampling procedure except: a. To determine inborn errors of metabolism c. to determine the response of the fetal heart rate to the stress to activity d. aspiration of the amniotic fluid c. Which of the following describes amniocentesis? a. Which of the following describes the purpose of chorionic villi sampling? a. Late third trimester d. more than 35 years old b. None of the above 19. Which of the following is an indication of amniocentesis? a. removal of tissue sample from the fetal portion of the developing placenta b. b. To facilitate attachment CHORIONIC VILLI SAMPLING 11. To facilitate a faster and a more accurate examination d. all of the above 12. To determine the presence of genetic abnormalities d. Which of the following best describe chorionic villi sampling? a. Bleeding Rupture of membrane Infection Posterm birth 15. Both a and b d. Anytime during pregnancy c. c. Vital signs are monitored c. Women of advanced age. Which of the following describes the purpose of amniocentesis? a. An ultrasound is used throughout to guide the procedure b. To monitor fetal growth 14. Which of the following is not true with chorionic villi sampling? a. To determine multiple gestation b. An informed consent must be signed prior to the procedure d. Mother must be on full bladder 13. Earlier in pregnancy approximately 9 to 12 weeks of gestation b. aspiration of the amniotic fluid c. Which of the following best describes nurse responsibility in the performance of amniocentesis? . All of the above 18. To determine Maternal Serum Alphafeto protein b. To cause discomfort c.

All of the above 25. When a patient is receiving magnesium sulfate. Which of the following discuss the nursing responsibility in the administration of Magnesium sulfate? a. Hot flushes and generalized muscle weakness b. the nurse know that a. d. All of the above 26. Which of the following must be discussed or reported after amniocentesis? a. Verify informed consent c. All of the above . the nurse should monitor all of the following except: a. c. blood pressure b. Calcium gluconate should be at the bed side c. Nausea and vomiting d. Calcium tablet should be at the bed side b. the nurse must a. c. Monitor vital signs Encourage woman to rest on her side Monitor uterine contraction All of the above Magnesium sulfate 22. Assess woman and fetus to obtain baseline before beginning therapy and then before each and after each increment a.a. Monitor serum magnesium levels with higher doses c. Nifedipine must be administered d. deep tendon reflex 23. d. Which of the following is an indication of magnesium sulfate? a. Assist woman to empty bladder d. b. To pregnant mothers wit preeclampsia/eclampsia c. Presence of pain Changes in fetal movement Urine output of >30 cc/hr Both a & b b. Ensure that calcium gluconate is ate bed side as an antidote d. None of the above 24. Client with hypomagnesemia d. Provide emotional support and assistance with relaxation technique b. All of the above 20. Sweating c. After the procedure. b. To prevent seizure b. The following are adverse effects of magnesium sulfate except: 21. When a patient is receiving magnesium sulfate. urine output c. heart rate d.

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