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4. Your patient is 34 week s pregnant and during a regular prenatal visit tells you she does not understand how to do —k ick counts.l The best response by the nurse would be to explain: a. —Here is an information sheet on how to do k ick counts.Ib. —It is not important to do k ick counts because you have a low-risk pregnancy.le. —Fetal k ick counts are not a reliable indicator of fetal well-being in the third trimester.ld. —Fetal movements are an indicator of fetal well-being. You should count twice a day, and you should feel 10 fetal movements in 2 hours.| ANS: dFeedback a. Providing written information may not be enough, and the patient may need a verbal explanation.b. Kick counts are indicated for all pregnancies.c. Kickcounts are areliable indicator of fetal well-being after 32 to 34 week s gestation.d. This response provides the patient with information on how to do k ick counts and the rationale for doing k ick counts and criteria for normal fetal movement. KEY: Integrated Process: Teaching and Leaming | Cognitive Level: Application | Content Area: Matemity | Client Need: Health Promotion and Maintenance | Difficulty Level: Moderate s. Your patient is a 37-year-old pregnant woman who is 5 week s pregnant and is considering genetic testing. During your discussion, the woman ask s the nurse what the advantages of chorionic villus sampling (CVS) are over amniocentesis. The best response is: a. —You will need anesthesia for amniocentesis, but not for CVS.lb. —CVS is a faster procedure.le. —CVS provides more detailed information than amniocentesis.ld. —CVS can be done earlier in your pregnancy, and the results are available more quick ly.1 Maternal-Newbom Nursing: The Crtical Components Of Nursing Care, 3rd Edition, Roberta Durham, Linda Chapman ANS: dFeedback a. Anesthesia is not done for either procedure.b. The length of time for either procedure is similar.c. Both amniocentesis and CVS provide the same information. d. CVS can be done earlier in gestation. KEY: Integrated Process: Teaching and Learning | Cognitive Level: Analysis | Content Area: Maternity | Client Need: Safe and Effective Care Environment | Difficulty Level: Moderate 6. The clinic nurse meets with Rebecca, a 30-year-old woman who is experiencing her first pregnancy. Rebecca’s quadruple mark er screen result is positive at 17 week s* gestation. The nurse explains that Rebecca needs a referral to: a. A genetics counselor/specialistb. An obstetricianc. A gynecologistd. A social work er ANS: aFeedback a. All women should be offered screening with maternal serum mark ers. The Triple Mark er screen and the Quadruple Mark er screen test for the presence of alpha- fetoprotein (AFP), estradiol, human chorionic gonadotropin (hCG), and other mark ers. These tests screen for potential neural tube defects, Down syndrome, and Trisomy 18. If the screen is positive, the woman should be referred to a genetics specialist for counseling, and further testing, such as chorionic villus sampling (CVS) or amniocentesis, should be performed.b. If genetic screening is positive, the woman should @ O 2