A client is scheduled for a transvaginal ultrasound in two weeks.

The client asks the nurse what they should do to prepare for the test.

What is the best response by the nurse?

“The patient should have a full bladder for a transabdominal US and an empty bladder for a transvaginal US.”.

“The patient should wear tight-fitting clothing and lie prone on an examination table.”.

“The patient should wear loose-fitting clothing and lie supine on an examination table.”.

“The patient should wear loose-fitting clothing and lie prone on an examination table.”.

Answer and Explanation

The Correct Answer is A

“The patient should have a full bladder for a transabdominal US and an empty bladder for a transvaginal US.”1 This is because a full bladder helps to lift the uterus and improve the visibility of the pelvic organs in a transabdominal US, while an empty bladder prevents distortion of the image in a transvaginal US.

Choice B is wrong because tight-fitting clothing is not necessary and lying prone on an examination table is uncomfortable and may interfere with the insertion of the vaginal probe.

Choice C is wrong because loose-fitting clothing is not necessary and lying supine on an examination table may cause supine hypotension syndrome in pregnant women.

Choice D is wrong because loose-fitting clothing is not necessary and lying prone on an examination table is uncomfortable and may interfere with the insertion of the vaginal probe.

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Correct Answer is A

Explanation

"NST is performed after 28 weeks of gestation or earlier if there are risk factors."12 This statement indicates that the client understands when and why an NST is done.

Choice B is wrong because it describes a reactive NST, not a nonreactive one.

A reactive NST means that the fetal heart rate increases by at least 15 beats per minute for at least 15 seconds twice or more in a 20-minute period.2

Choice C is wrong because it confuses NST with contraction stress test (CST), which requires monitoring uterine contractions.

NST does not involve contractions.2

Choice D is wrong because it describes possible causes of a nonreactive NST, not a reactive one.

A nonreactive NST may indicate fetal hypoxia, distress, sleep, medication effect, or neurological abnormality.2

A. “The patient should have a full bladder for a transabdominal US and an empty bladder for a transvaginal US.”. B. “The patient should wear tight-fitting clothing and lie prone on an examination table.”. C. “The patient should wear loose-fitting clothing and lie supine on an examination table.”. D. “The patient should wear loose-fitting clothing and lie supine on an examination table.”.

Correct Answer is C

Explanation

The patient should wear loose-fitting clothing and lie supine on an examination table.

This is because loose-fitting clothing allows easy access to the abdomen and lying supine helps relax the abdominal muscles.

The patient should also avoid food and drinks for 8 to 12 hours before the test, as undigested food can interfere with the sound waves and affect the image quality.

Choice A is wrong because a full bladder is not necessary for an abdominal ultrasound, unless the patient is pregnant or has a pelvic condition.

A transvaginal ultrasound is a different type of ultrasound that uses a probe inserted into the vagina to examine the reproductive organs.

Choice B is wrong because tight-fitting clothing can restrict the movement of the ultrasound probe and make it harder to get a clear image.

Lying prone (on the stomach) can also tense up the abdominal muscles and obscure the organs.

Choice D is wrong because lying prone can have the same disadvantages as choice B. Additionally, wearing loose-fitting clothing does not mean that the patient can eat or drink anything before the test, as this can affect the results.

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A client is scheduled for a transvaginal ultrasound in two weeks. The client asks the nurse what they should do to prepare for the test. What is the best response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a pregnant client about the Non-Stress Test (NST). Which statement by the client indicates understanding of the test?

Correct Answer is A

Explanation

A client is scheduled for an abdominal ultrasound in two weeks. The client asks the nurse what they should do to prepare for the test. What is the best response by the nurse?

Correct Answer is C

Explanation

A nurse is caring for a client who has oligohydramnios and is undergoing a biophysical profile (BPP). The nurse should expect to see which of the following findings on the ultrasound?

During a CST, the nurse observes variable decelerations of the FHR with or without contractions. What does this finding indicate?

A nurse is caring for a patient who had an amniocentesis performed at 16 weeks gestation and reports cramping and vaginal bleeding 24 hours later which action should be taken first?

A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?

A nurse is educating a pregnant client about the Alpha-fetoprotein Test (AFP). What should the nurse include as a reason why AFP results are reported as multiples of the median (MoM)?

A nurse is observing fetal breathing movements on an ultrasound for a client who is undergoing a biophysical profile (BPP). The nurse should document how many points for this variable if the fetus has at least one episode of breathing lasting for 20 seconds within a 30-minute period?

A nurse is caring for a client who is scheduled for an amniocentesis at 16 weeks gestation. Which of the following should the nurse report to the provider?

A nurse is caring for a client who is scheduled for chorionic villus sampling (CVS). Which of the following statements should indicate to the nurse that the client understands the procedure?

A client is scheduled for a transvaginal ultrasound in two weeks.

The client asks the nurse what they should do to prepare for the test.

What is the best response by the nurse?