Christine presents to the clinic for her first antepartum visit. Her intake assessment shows that she has a two-year-old son who delivered at 40 weeks, a 5-year-old son who delivered at 39 weeks, and 8-year-old twin daughters who delivered at 34 weeks.She had a spontaneous abortion four years ago at 12 weeks. Her last menstrual period was July 7th, placing her at 10 weeks gestation.
1. Determine Christine’s gravida and para. Describe her OB history with the TPAL acronym. (1 point)
2. What is Christine’s EDD? (1 point)
3. What diagnostic studies/labs should the nurse anticipate? What is the purpose of these tests? (1 point)
4. Describe the development of a fetus at 10 weeks gestation. (2 points)
Christine is now in her 32nd week of pregnancy. She was diagnosed with gestational diabetes mellitus following a three-hour blood glucose test at 28 weeks. She is scheduled for a nonstress test (NST).
5. Why is she having the test? (1 point)Christine’s NST is nonreactive. The physician orders her to have a biophysical profile (BPP).
6. What findings suggest that the fetus is healthy? (1 point)
7. Describe the development of a 32-week fetus. (2 points)
8. Identify and describe the five categories of a BPP. (1 point)