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. "It really doesn't matter exactly how much weight you gain, as long as your diet is healthy." – Incorrect; weight gain recommendations exist to reduce pregnancy complications.
B. "The recommendation for you is about 15 to 25 pounds." – Correct; a BMI of 26.5 falls into the overweight category, where the recommended weight gain is 15-25 lbs.
C. "You should gain 11 to 20 pounds." – Incorrect; this range applies to obese clients (BMI ≥30).
D. "A gain of about 25 to 35 pounds is best for you and for your baby." – Incorrect; this range applies to normal-weight clients (BMI 18.5-24.9).

A. "You will need to discuss this with the provider." B. "There are specific pain management options that you need to use." C. "It is better to use pain management options that have been researched." D. "We will work with you to incorporate the practices that are safe for you and your fetus."

Correct Answer is D

Explanation

A. "You will need to discuss this with the provider." – Incorrect; the nurse plays a key role in assessing and incorporating cultural practices into care.
B. "There are specific pain management options that you need to use." – Incorrect; this does not consider the client’s preferences and cultural beliefs.
C. "It is better to use pain management options that have been researched." – Incorrect; while evidence-based practices are important, cultural preferences should be respected.
D. "We will work with you to incorporate the practices that are safe for you and your fetus." – Correct; this response is client-centered and respects cultural beliefs while ensuring safety.

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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

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is pregnant and has a body mass index (BMI) of 26.5. She asks the nurse how much weight she should gain over the course of her pregnancy. Which of the following statements is an appropriate response by the nurse?

Correct Answer is B

Explanation

A practical nurse is gathering data from the client on incorporating cultural practices into their pain management during labor. Which of the following statements by the nurse is most appropriate?

Correct Answer is D

Explanation

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