A nurse is educating a client on their scheduled biophysical profile (BPP). What are the components of the BPP that need to be included in this teaching? Select all that apply

Fetal tone

Fetal breathing movement

Amniotic fluid volume

Non-stress test

Fetal gender

Fetal neck translucency

Answer and Explanation

Correct Answer : A,B,C,D

A. Fetal tone: Fetal tone is a key component of the BPP. This assessment evaluates the fetus's muscle tone by observing spontaneous extension and flexion of an extremity or the trunk. A normal score indicates good neurological function and fetal well-being.

B. Fetal breathing movement: Fetal breathing movement in BPP involves observing episodes of fetal breathing movements over a certain period, typically at least one episode lasting 30 seconds within 30 minutes. Normal breathing movements indicates a mature and healthy central nervous system.

C. Amniotic fluid volume: The amniotic fluid volume (AFV) is assessed as part of the BPP, usually by measuring the amniotic fluid index (AFI) or the single deepest pocket. Adequate amniotic fluid indicates good renal perfusion and placental function, reflecting long-term fetal well-being.

D. Non-stress test: The non-stress test evaluates fetal heart rate and its response to fetal movements, which provides information about fetal well-being. A reactive NST, characterized by accelerations of the fetal heart rate, indicates a healthy, well-oxygenated fetus with an intact neurological system.

E. Fetal gender: Fetal gender is not part of the biophysical profile, it can often be determined during an ultrasound examination. The BPP focuses on fetal health and well-being, not gender identification.

F. Fetal neck translucency: Fetal neck translucency (also known as nuchal translucency) is measured during the first trimester screening for Down syndrome, not during the BPP. The BPP does not include this component.

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Correct Answer is "{\"xRanges\":[289.4375,309.4375],\"yRanges\":[224.42357635498047,244.42357635498047]}"

Explanation

Fundal height is measured in centimeters from the pubic symphysis to the top of the uterus (fundus).

At 20 weeks, the uterus has grown enough to reach the level of the umbilicus.

This measurement helps estimate gestational age and fetal growth.

After 20 weeks, the fundal height in cm often correlates roughly with the number of weeks of gestation as shown in the image below.

A. The vaginal discharge maybe bothersome but is a normal occurrence B. Use tampons if the discharge is bothersome but be sure to change the tampons every two hours C. Report to the emergency department immediately D. Come to the clinic immediately

Correct Answer is A

Explanation

A. The vaginal discharge may be bothersome but is a normal occurrence: White vaginal discharge without odor or itching is common during early pregnancy due to hormonal changes. It is typically harmless unless accompanied by additional symptoms like itching or foul odor.

B. Use tampons if the discharge is bothersome but be sure to change the tampons every two hours: Tampons are not recommended during pregnancy as they can increase the risk of infections. The focus should be on alternative measures like using panty liners for comfort.

C. Report to the emergency department immediately: The discharge described is not abnormal or concerning. Emergency care is unnecessary unless the client experiences additional alarming symptoms such as bleeding, severe pain, or a strong odor.

D. Come to the clinic immediately: The discharge seems normal, so immediate clinic visits are not necessary unless there are other concerning symptoms. A phone call and reassurance would be more appropriate.

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A nurse is educating a client on their scheduled biophysical profile (BPP). What are the components of the BPP that need to be included in this teaching? Select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is "{\"xRanges\":[289.4375,309.4375],\"yRanges\":[224.42357635498047,244.42357635498047]}"

Explanation

A pregnant client in the first trimester calls the nurse at a health care clinic and reports that they noticed white vaginal discharge, without odor or itching. The nurse should make which statement to the client?

Correct Answer is A

Explanation

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