Are determination of fetal lung maturity and

are determination of fetal lung maturity and evaluation of the fetus’ condition when the woman
has Rh isoimmunization. The most common purpose for midtrimester amniocentesis is to
examine fetal cells in the amniotic fluid to identify chromosomal abnormalities. Midtrimester
amniocentesis is also performed to evaluate the fetus’ condition when the woman is sensitized to
Rh-positive blood, to diagnose intrauterine infection, and to investigate amniotic-fluid AFP and
acetylcholinesterase when the maternal serum AFP concentration is increased.
° Test-Taking Strategy: Note the strategic word, “most.” Also, noting the words
"third trimester" in the question will help direct you to the option that addresses fetal lung
maturity. Use of the ABCs — airway, breathing, and circulation — will also direct you to the
correct option. Review: the indications for performing an amniocentesis in the third trimester .
° Reference: McKinney, E., James, S., Murray, S., Nelson, K. & Ashwill, J. (2013).
Maternal-child nursing (4th ed., pp. 306-308). St. Louis: Elsevier.
° Level of Cognitive Ability: Applying
° Client Needs: Physiological Integrity
° Integrated Process: Nursing Process/Implementation
° Content Area: Maternity/Antepartum
° Giddens Concepts: Gas Exchange, Reproduction
° HESI Concepts: Oxygenation/Gas Exchange, Sexuality/Reproduction Awarded
1.0 points out of 1.0 possible points.
° 74. ID: 8482544659 A nurse performs a nonstress test on a pregnant client. The
nurse determines that the results are nonreactive if which finding is noted on the electronic
monitoring recording strip?
Absence of accelerations after fetal movement Correct
Accelerations without fetal movement with fetal heart rate (FHR) increases of 15 beats per
minute for 15 seconds
Acceleration of the FHR by 25 to 30 beats per minute for at least 15 seconds in response to fetal

movement
Two fetal heart accelerations within a 20-minute period, peaking at 15 beats per minute above
baseline and lasting 15 seconds from baseline to baseline
° Rationale: In a nonreactive (nonreassuring) stress test, the monitor recording
would not demonstrate the required characteristics of a reactive (reassuring) recording within a
40-minute period. In a reactive (reassuring) recording, at least two fetal heart accelerations, with
or without fetal movement detected by the woman, occur within a 20-minute period, peak at least
15 beats per minute above the baseline, and last 15 seconds from baseline to baseline.
° Test-Taking Strategy: Note the relationship between the word "nonreactive" in the
question and “absence” in the correct option. Review: interpretation of the results of a nonstress
test .
° Reference: McKinney, E., James, S., Murray, S., Nelson, K. & Ashwill, J. (2013).
Maternal-child nursing (4th ed., p. 309). St. Louis: Elsevier.
° Level of Cognitive Ability: Analyzing
° Client Needs: Physiological Integrity
° Integrated Process: Nursing Process/Analysis
° Content Area: Maternity/Antepartum
° Giddens Concepts: Perfusion, Reproduction
° HESI Concepts: Perfusion, Sexuality/Reproduction Awarded 1.0 points out of 1.0
possible points.