A biophysical profile is performed on a pregnant patient. The following assessments are noted: nonreactive stress test (NST), three episodes of fetal breathing movements (FBMs), limited gross movements, opening and closing of hang indicating the presence of fetal tone, and adequate amniotic fluid index (AFI) meeting criteria. Which answer would be the correct interpretation of this test result?

Correct Answer: B

Rationale: The correct answer is B: A score of 8 would indicate normal results. In a biophysical profile, each component is scored as either 0 or 2, totaling a maximum of 10. In this case, the patient has: 0 for NST, 2 for FBMs, 1 for gross movements, 2 for fetal tone, and 2 for AFI, totaling 7. However, if there are at least 2 episodes of FBMs, this component is given a score of 2. Therefore, the correct total score is 8. This score indicates normal results, as it meets the criteria for a reassuring biophysical profile. Incorrect Choices: A: A score of 10 would indicate that the results are equivocal - This is incorrect as a score of 10 would indicate normal results, not equivocal. C: A score of 6 would indicate that birth should be considered as a possible treatment option - This is incorrect, as a score

Correct Answer: C

Rationale: The correct answer is C: RhoGAM if the patient is Rh-negative. During CVS, there is a risk of maternal-fetal blood mixing, especially if the patient is Rh-negative. RhoGAM is given to prevent sensitization to the Rh factor, which could lead to hemolytic disease in the newborn. Magnesium sulfate (A) is not indicated for CVS. Prostaglandin suppository (B) is used for cervical ripening or induction of labor, not for CVS. Betamethasone (D) is a corticosteroid given to pregnant women at risk of preterm delivery to promote fetal lung maturation, not indicated for CVS.

Correct Answer: B

Rationale: The correct answer is B: Fetal bradycardia. During PUBS, a needle is inserted into the umbilical cord to obtain fetal blood for testing. This procedure carries a risk of causing fetal bradycardia, which is a decrease in the fetal heart rate. This can be a serious complication as it may indicate fetal distress. It is important to monitor the fetal heart rate during and after the procedure to detect and address any signs of bradycardia promptly. Other choices are incorrect because: A: Postdates pregnancy - PUBS is not known to cause postdates pregnancy. C: Placenta previa - PUBS is not associated with the development of placenta previa. D: Uterine rupture - PUBS does not typically lead to uterine rupture. In summary, fetal bradycardia is the potential complication of PUBS due to the invasive nature of the procedure and the risk of affecting fetal well-being.

Correct Answer: B

Rationale: The correct answer is B: Blood. Alpha-fetoprotein (AFP) screening is a test that measures the level of AFP in the mother's blood to screen for certain fetal abnormalities. AFP is a protein produced by the fetus and can be detected in the mother's blood. Blood is the most appropriate sample for this screening as it directly reflects the fetal AFP levels. Urine (A), saliva (C), and amniotic fluid (D) do not contain AFP in levels that can be accurately measured for this screening, making them incorrect choices. Blood is the standard and most reliable sample for AFP screening due to its direct correlation with fetal AFP levels.

Correct Answer: D

Rationale: Managed care describes health care systems in which the provider or the health care system receives a predetermined capitated (fixed amount) payment for each patient enrolled in the program. Therefore, the focus of care shifts from individual illness care to prevention, early intervention, and outpatient care.