Chapter 1 Assessment of Fetal Well-Being
1. A patient who is G2P2 at 33 weeks’ gestation arrives at the triage unit complaining of regular uterine contractions. Her pregnancy history includes a preterm delivery at 34 weeks. Prior to examining her, the nurse performs electronic fetal monitoring and obtains a complete history. The patient reports no bleeding and no rupture of membranes. She has had no vaginal examinations or sexual activity for more than 24 hours. The biochemical marker useful in this situation for predicting preterm birth is:
2. A patient comes to the triage unit at 32 weeks’ gestation concerned because she has been “leaking fluid” from her vagina for the past hour. She says she has felt no contractions and reports normal fetal activity. A bedside immunoassay called AmniSure is performed. This test identifies a glycoprotein abundant in amniotic fluid. This glycoprotein is called:
3. When electronic fetal monitoring is used, the best indicator of fetal oxygenation status during labor is:
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