A gravida 1 para 0 who is 10 weeks pregnant has her first prenatal visit. After performing a history and physical, which test ordered by the physician should the nurse verify with the examiner?

Correct Answer: D

Rationale: The correct answer is D: Abdominal ultrasound. At 10 weeks gestation, an abdominal ultrasound is typically ordered to confirm the viability of the pregnancy, assess fetal development, and determine gestational age. This test allows the healthcare provider to visualize the fetus, placenta, and amniotic fluid. It is essential in monitoring the progress of the pregnancy and identifying any potential complications. Rationale for other choices: A: Serological test for syphilis - While this test is important in prenatal care to screen for syphilis, it is usually done as part of routine prenatal blood work and not typically verified immediately after the first visit. B: Rubella vaccine - Administering the rubella vaccine during pregnancy is contraindicated as it poses a risk to the developing fetus. C: Clean-catch urinalysis - While urinalysis is a common test in prenatal care to screen for urinary tract infections and other conditions, it is not typically the first test verified following

Correct Answer: C

Rationale: The correct answer is C: This test is to determine how many weeks gestation you are. At 12 weeks gestation, an ultrasound is commonly performed to accurately determine the gestational age of the fetus. This is important for monitoring fetal development and ensuring proper prenatal care. A: This test is to determine the position of the fetus - Incorrect. The position of the fetus is usually determined in later stages of pregnancy and not the primary objective of an early pregnancy ultrasound. B: This test is to determine if there is enough amniotic fluid - Incorrect. Amniotic fluid levels are typically assessed in later stages of pregnancy, not at 12 weeks gestation. D: This test is to determine fetal breathing movements - Incorrect. Fetal breathing movements are typically observed in the third trimester, not at 12 weeks gestation.

Correct Answer: D

Rationale: The Bishop score assesses cervical readiness for labor. A score of 8 indicates a cervix that is most favorable for labor, with characteristics such as cervical dilation, effacement, station of the presenting part, cervical consistency, and cervical position all being favorable for childbirth. A score of 8 signifies a well-prepared cervix for labor, making it the correct answer. Choices A, B, and C (2, 4, and 6) represent scores indicating varying degrees of cervical readiness, but they are not as optimal as a score of 8. A Bishop score of 8 is associated with a higher likelihood of successful induction and progression of labor compared to lower scores.

Correct Answer: A

Rationale: The correct answer is A: respiratory distress. During precipitous labor, the rapid delivery can cause the neonate to experience respiratory distress due to inadequate time for fluid clearance from the lungs, leading to transient tachypnea or respiratory distress syndrome. This complication can result in difficulty breathing and require immediate medical intervention. Summary: B: Low birth weight is not directly associated with precipitous labor. C: Prelabor rupture of membranes is unrelated to the speed of labor. D: Placenta previa is a condition involving the placenta's position, not typically related to the duration of labor.

Correct Answer: C

Rationale: The correct answer is C: decreased or absent fetal movement. This is a potential sign of intrauterine fetal demise because it indicates a lack of fetal activity, which could suggest fetal distress or death. Reduced or absent fetal movement may be an early warning sign that the fetus is not receiving enough oxygen or nutrients. It is important to monitor fetal movement regularly to ensure the well-being of the fetus. Other choices are incorrect because: A: increased fetal heart rate is more commonly associated with fetal distress, not demise. B: vaginal bleeding can be a sign of various conditions such as placental abruption or placenta previa, but it is not specific to fetal demise. D: macrosomia refers to a large baby, which is not indicative of fetal demise.