A nurse is reinforcing teaching with a client who is pregnant about a biophysical profile (BPP). Which of the following key elements are included in a BPP and should be included in the teaching? (Select All that Apply.)

Fetal weight

Fetal urine

Fetal tone

Fetal position

Fetal movement

Fetal breathing

Answer and Explanation

Correct Answer : C,E,F

A. Fetal weight – Not included in a BPP; estimated fetal weight is assessed separately.
B. Fetal urine – Not a direct component of the BPP; however, amniotic fluid volume is assessed, which indirectly reflects fetal kidney function.
C. Fetal tone – Included in the BPP; assesses fetal flexion and extension.
D. Fetal position – Not part of the BPP; fetal positioning is evaluated in general obstetric ultrasounds.
E. Fetal movement – Included in the BPP; measures gross body movements as an indicator of fetal well-being.
F. Fetal breathing – Included in the BPP; evaluates fetal respiratory movements, which indicate neurological function.

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Correct Answer is B

Explanation

A. 6 cm dilated and 80% effaced – Incorrect; this is more consistent with active labor, but the symptoms suggest transition phase.
B. 8 cm dilated and 100% effaced – Correct; the transition phase (8-10 cm dilation) is characterized by intense contractions, nausea, and the sensation of rectal pressure.
C. 5 cm dilated and 70% effaced – Incorrect; this is too early for the transition phase symptoms.
D. Unmeasurable – Incorrect; cervical dilation and effacement can always be measured during labor unless obstructed by fetal descent.

A. Have you noticed any bloody show or mucus plug discharge? B. Do you have a fever or chills? C. Are your contractions continuing despite changes in activity or position? D. Is the baby moving less than usual? E. Are your contractions becoming more frequent and intense?

Correct Answer is ["A","C","E"]

Explanation

A. Have you noticed any bloody show or mucus plug discharge? – Correct; bloody show is a sign of cervical dilation, indicating true labor.

B. Do you have a fever or chills? – Incorrect; fever and chills suggest infection, not labor progression.

C. Are your contractions continuing despite changes in activity or position? – Correct; contractions in true labor persist even with activity changes.

D. Is the baby moving less than usual? – Incorrect; fetal movement changes require assessment, but they do not confirm true labor.

E. Are your contractions becoming more frequent and intense? – Correct; contractions in true labor become stronger, longer, and closer together.

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A nurse is reinforcing teaching with a client who is pregnant about a biophysical profile (BPP). Which of the following key elements are included in a BPP and should be included in the teaching? (Select All that Apply.)

Nursing Test Bank

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Correct Answer is B

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Correct Answer is ["A","C","E"]

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