A pregnant patient has a biophysical profile score of 8. What does this result mean?
The patient will need an immediate cesarean delivery.
Additional tests are required to interpret this score.
The test results are normal.
An obstetric specialist will review the profile results and discuss delivery
The Correct Answer is C
The correct answer is C. The test results are normal.
Choice A rationale:
A biophysical profile (BPP) score of 8 does not necessarily indicate a need for immediate cesarean delivery.
Cesarean delivery is typically reserved for cases where there is a clear and urgent risk to the health of the mother or fetus, such as severe fetal distress or placental abruption.
A score of 8, while not the highest possible score, is still within the normal range and does not, by itself, constitute a reason for immediate surgical intervention.
Choice B rationale:
Additional tests may be considered in certain cases, such as when the BPP score is borderline or when there are other risk factors present.
However, a score of 8 is generally considered reassuring and does not typically warrant further testing.
It's essential to evaluate the BPP score in the context of the overall clinical picture, including the gestational age, maternal health, and fetal history.
Choice D rationale:
While an obstetric specialist may review the BPP results and discuss delivery options with the patient, this is not typically done within a week for a score of 8.
A score of 8 indicates reassuring fetal well-being, and there is usually no need for such urgent consultation or decision-making.
The timing of delivery discussions would depend on the overall clinical situation and the patient's individual preferences.
Choice C rationale:
A BPP score of 8 is considered normal.
It suggests that the fetus is well-oxygenated and has normal heart rate, breathing movements, muscle tone, and amniotic fluid levels.
This score does not raise immediate concerns about fetal well-being and does not typically require any immediate interventions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Drug/alcohol use: While substance abuse during pregnancy can lead to adverse outcomes such as preterm labor, fetal growth restriction, and birth defects, it is not considered a primary factor in determining high-risk status for this patient. The specific substances involved (cocaine and alcohol) are indeed associated with risks, but they are not as significant as other factors in this case.
Age: The patient's age of 24 is not considered a high-risk factor for pregnancy. Advanced maternal age (typically defined as 35 years or older) is associated with increased risks for chromosomal abnormalities and other complications, but this patient falls below that age threshold.
Family history: Family history of diabetes mellitus, cancer, and neural tube defects can be relevant to pregnancy risk, but in this case, other factors outweigh their significance.
Choice B rationale:
Blood pressure: The patient's blood pressure of 108/70 mm Hg is within the normal range and does not contribute to highrisk categorization. High blood pressure (hypertension) during pregnancy can lead to preeclampsia and other complications, but this patient does not present with hypertension.
Age: As explained in Choice A, the patient's age is not a high-risk factor.
BMI: A BMI of 17 is considered underweight, which can increase the risk of certain pregnancy complications such as preterm birth and low birth weight. However, in this case, other factors are more significant in determining high-risk status.
Choice C rationale:
Family history: The patient's family history of a neural tube defect (NTD) in a close relative is a significant risk factor for NTDs in her own pregnancy. NTDs are serious birth defects that affect the brain and spinal cord, and they can have lifelong implications for the child. This factor alone warrants a high-risk categorization.
BMI: The patient's underweight BMI of 17 further contributes to her high-risk status, as it can increase the likelihood of certain complications as mentioned earlier.
Drug/alcohol abuse: The patient's admission of cocaine and alcohol use, even if occasional, is a concerning factor for pregnancy. Cocaine, in particular, is a potent vasoconstrictor that can negatively impact fetal growth and development. Alcohol consumption during pregnancy can lead to fetal alcohol spectrum disorders (FASDs), which can cause a range of physical, cognitive, and behavioral problems.
Choice D rationale:
Age: As explained previously, the patient's age is not a high-risk factor.
BMI: The patient's BMI is a contributing factor, but not the most significant one in this case.
Family history: The patient's family history is relevant, but the presence of a neural tube defect in a close relative is the most significant aspect of her family history in terms of pregnancy risk.
Correct Answer is B
Explanation
Choice A rationale:
While non-pharmacologic methods can promote relaxation and coping, they may not guarantee full alertness at all times.
The intensity of labor pain can vary significantly, and even non-pharmacologic methods may not completely prevent fatigue or exhaustion.
Factors such as prolonged labor, anxiety, or discomfort can still impact alertness.
Choice C rationale:
Non-pharmacologic methods often provide significant pain relief, but they may not achieve the same degree of pain control as pharmacologic options like epidural analgesia.
The level of pain relief experienced with non-pharmacologic methods can depend on individual factors, preferences, and the specific techniques used.
Choice D rationale:
While relaxation and reduced anxiety can sometimes contribute to a more efficient labor, there's no guarantee that nonpharmacologic methods will consistently lead to a more rapid labor.
The duration of labor is influenced by various factors, including the strength and frequency of contractions, the position of the fetus, and the mother's overall health and preparedness.
Choice B rationale:
Non-pharmacologic pain management techniques do not involve medications or interventions that could potentially have adverse effects on the fetus.
This makes them a safe and desirable option for many pregnant women who are concerned about the potential risks of pharmacologic pain relief.
Common non-pharmacologic techniques include:
Relaxation techniques (deep breathing, guided imagery, meditation)
Hydrotherapy (immersion in water, showers, hot or cold compresses)
Positioning and movement (walking, rocking, changing positions frequently)
Massage and touch therapy
Acupuncture and acupressure
Transcutaneous electrical nerve stimulation (TENS)
Biofeedback
Hypnosis
Continuous labor support (from a doula, partner, or other support person)
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