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 A

Explanation

A. Halfway between the symphysis pubis and the umbilicus. – Correct; at 16 weeks, the fundus is typically midway between the symphysis pubis and the umbilicus.

B. Just above the pubic bone – Incorrect; the fundus is at the pubic symphysis at 12 weeks, not 16 weeks.

C. The uterus would not be palpable at 16 weeks – Incorrect; the uterus is palpable by 12 weeks and grows above the symphysis pubis as pregnancy progresses.

D. At the umbilicus – Incorrect; the fundus reaches the umbilicus at 20 weeks, not 16 weeks.

A. "We are looking for increases in fetal heart rate of 15/min for at least 15 seconds. This means the baby is doing well." B. "We will draw blood to evaluate the baby's risk of genetic problems." C. "I am looking at the ultrasound to see if the baby has any congenital anomalies." D. "If the baby moves 5 times in 15 minutes, then the baby is healthy."

Correct Answer is A

Explanation

A. "We are looking for increases in fetal heart rate of 15/min for at least 15 seconds. This means the baby is doing well." – Correct; a reactive NST shows at least two accelerations of 15 bpm lasting at least 15 seconds within 20 minutes, indicating fetal well-being.
B. "We will draw blood to evaluate the baby's risk of genetic problems." – Incorrect; an NST does not involve blood work; genetic testing is done through amniocentesis or blood screening.
C. "I am looking at the ultrasound to see if the baby has any congenital anomalies." – Incorrect; an NST does not evaluate congenital anomalies; an ultrasound or amniocentesis would be used for that.
D. "If the baby moves 5 times in 15 minutes, then the baby is healthy." – Incorrect; fetal movement is assessed with kick counts, not an NST.

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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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The client is 16 weeks pregnant. If the pregnancy is progressing as expected, where would the healthcare provider be able to palpate the uterine fundus?

Correct Answer is A

Explanation

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Correct Answer is A

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