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* 1. Address

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* 2. Nursing License Number 

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* 3. Choose One Best Answer:

In the context of the 2016 AWHONN Guidelines for limited ultrasound examinations, the following may be performed by an RN who has successfully completed recommended nursing practice competencies, following their state and institutional guidelines:

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* 4. Choose One Best Answer:

Prior to performing an ultrasound exam, the nurse must discuss with the patient the indication and components of the examination and:.

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* 5. Choose One Best Answer:

Characteristics of ultrasound transducers include all of the following EXCEPT:.

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* 6. Choose One Best Answer:

According to AWHONN Nursing Practice guidelines 2016, Nurses may:

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* 7. Choose One Best Answer:

In obstetric imaging the most common characteristics of transducers are:

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* 8. Choose One Best Answer: 

The most important parameters which must be adjusted to obtain a good image is the:

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* 9. Choose One Best Answer:

The concept of using the lowest amount of energy possible to obtain necessary diagnostic information is called:

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* 10. Choose One Best Answer:

The most concerning potential effect of ultrasound on human tissue is:

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* 11. Choose One Best Answer:

When setting up the equipment to conduct an ultrasound exam, the following preparations are
correct:

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* 12. Choose One Best Answer:

Ultrasound is defined as:

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* 13. Choose One Best Answer:

According to AIUM, AWHONN, and ACOG the correct terminology for ultrasound exams are:

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* 14. Choose One Best Answer:

Health care providers performing sonography are held to the legal standard of:

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* 15. Choose One Best Answer:

The most accurate time to sonographically determine gestational age is:

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* 16. Ultrasound instruments use sound waves to create a picture.
Which of the following is/are true? Select all true statements.

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* 17. Fill in the blanks
The evaluation of amniotic fluid volume can be done using the more traditional 4 _____________ amniotic fluid index or the __________________ ___________ ______________ method. The normal parameter of the second method must be greater than _______cm. and not more than ___cm.

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* 18. This question has two parts:  Fill in the blanks 

The Amniotic Fluid Index (AFI) is 6 cm with the deepest pocket of 3cm; what would you score the BPP for the fluid parameter? _____________:

What term would be used to describe the fluid level? __________________________________

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* 19. This qustion has three parts: Fill in the blanks 

When performing a BPP:
What is the maximum scanning time for the exam?
_______   ___________________

The only fetal breathing movement noticed lasted 20 seconds, what is the score for this parameter?  ______

How can you best observe for fetal breathing?

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* 20. If anything abnormal is seen or suspected during an ultrasound exam it should be reported immediately to the primary care provider or collaborating provider as appropriate to your clinical setting and provider status.

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* 21. The more accurate, best, ultrasound method for cervical length measurement is

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* 22. The overall recommendation regarding cervical length measurement is that it requires extra practice and should be provided by someone with national certification in the exam.  

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* 23. In the next 8 questions, Match the following terms to the correct description:

23.  Acoustic Impedence

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* 24. Attenuation

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* 25. Resolution 

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* 26. Refraction 

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* 27. 20 Hertz - 20,000  Hertz

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* 28. 1 to 10 Megahertz

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* 29.   > 20,000 Hertz 

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* 30. 2 to 8 Megahertz

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* 31. Which ultrasound exam would be most appropriate in the following situations:
(Select one only for each question unless indicated)

31. Measurement of the AFI in a postdate pregnancy.

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* 32. Performed by a trained professional and adequate for most obstetric patients.

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* 33. Specific, limited information when it is either unnecessary or not possible to obtain a complete-fetal survey.

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* 34. Ultrasound exam performed in patients suspected to be carrying a physiologically or anatomically defective fetus.

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* 35. A general survey of the fetus including biometric measurements.

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* 36. Performance of the biophysical profile in a patient with a Nonreactive Nonstress test (two possible correct answers: just need one for credit).

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* 37. Determining fetal presentation.

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* 38. Measurement of the cervix (two possible correct answers: just need one for credit).

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* 39. Should be performed by an examiner with expertise in sophisticated scanning.

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* 40. The Biophysical Profile (BPP) refers to an assessment of four sonographic parameters,
Name them
AND give the findings needed to score two points for each parameter on a BPP.  

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* 41. LUS Test 1
According to the above image, what Ultrasound term would be used to describe WHERE THE ARROW IS POINTING (not the name of the fetal part) in the image?

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* 42. When assessing amniotic fluid, list two reasons you would not measure a pocket of fluid found?

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* 43. When performing amniotic fluid assessment, describe the correct positioning of the abdominal transducer:

Maternal probe scan orientation or plane of section ________________________

Probe tail _________________________

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* 44. Which method of evaluating amniotic fluid volume would be used when doing a scan on a patient with a multiple gestation?

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* 45. There are two parts of this question:  

You are performing an abdominal scan, holding the probe longitudinal on the mother, and on the monitor you are viewing the fetus longitudinally.
The fetal lie is: _____________________.

Same scan; The fetal head is seen on the right of the screen.
The fetal presentation is: _______________

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* 46. There are two parts to this question:

You are performing an abdominal scan holding the probe transverse on the mother, and on the monitor you are viewing the fetus longitudinally.
The fetal lie is: ____________________

Same scan: The fetal head is seen on the right of the screen.
Document the fetal lie in further detail:

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* 47. You are performing an abdominal scan, holding the probe transverse on the mother, and on the monitor you are viewing the fetus transversely.

To document fetal presentation, why must you describe where you are positioned on the maternal abdomen (fundal or suprapubic)?

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* 48. Why is it important when determining fetal positioning, to hold the probe upright rather than slanting it?

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* 49. Systematic scanning refers to a planned approach to the probe movements, and this is a good way to start an exam.  List three important findings one could observe with this initial approach that can give guidance to the complete limited exam.

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* 50.         

When looking at the ultrasound screen above, if the mother is scanned longitudinal/sagittal
Label the following (Using the Letters on picture above).

1  Mom’s head __________                           2.   Maternal Anterior Wall __________
3. Mom’s feet __________                            4.   Maternal Posterior Wall _________

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* 51.

If the documentation on the monitor screen is in fact correct; explain how the transducer is oriented on the mother:  

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* 52.         

When looking at the ultrasound screen above, but the scanning was done in the Transverse Plane (to the mother)
Label the following (Using the Letters on picture above).

1  Mom’s right __________                           2.   Maternal Anterior Wall __________
3. Mom’s left __________                            4.   Maternal Posterior Wall _________

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* 53.

According to the picture, again scanning in Transverse Plane on the mother’s abdomen,
A.  the fetal lie would be
B.  Document fetal presentation with detail

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* 54. In the Picture below, label the placental location shown (Disregard Arrow in picture). IMAGES iS OBTAINED TRANSABDOMINAL LONGITUDINAL

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* 55. In the Picture below, label the placental location shown IMAGE IS OBTAINED TRANSABDOMINAL LONGITUDINAL

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* 56. In the Picture below, label the placental location shown.   THE IMAGE IS OBTAINED TRANSABDOMINAL LONGITUDINAL

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* 57.

Shown are two different quadrant scans, in the same patient.  What is being measured by the calipers?   

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* 58. Utilize the pictures in Q 57 above to calculate the AFI (assume that there was measurable fluid in just these two quadrants): _________

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* 59. Picture in Q57:  Identify the deepest pocket above: ______________

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* 60. The findings above are  (viewed in Q57)

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* 61. A patient is 36 weeks and has an AFI of 4cm. with one pocket of fluid measuring 2.5 cm.  What would her BPP score be for the amniotic fluid parameter?

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* 62. Referring to the same patient and results in Q60,  the AFI is classified as:

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* 63. During a BPP, what actual “abnormal” finding, would receive 2 points (considered “normal” for that parameter)?

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* 64. You are doing a limited ultrasound exam in triage on a patient who has come in with vaginal bleeding and limited prenatal care.  You have no records available.  You have done a review of history on presentation and are now utilizing limited ultrasound to observe for specific OB findings.  List an approach to her care:

1.   How can you estimate gestational age prior to the ultrasound?  
2.  What are 4 important findings you are observing for in the limited exam?  
3.  Depending on finidings you may be moving to delivery, but if the patient is remaing for further observation it is your responsibility to request a standard ultrasound exam:  True or False

0 of 64 answered
 

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