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.

Nursing Test Bank

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Correct Answer is B

Explanation

AFP is a screening tool that can indicate the possibility of certain fetal anomalies, such as neural tube defects, abdominal wall defects, or chromosomal abnormalities.

However, AFP results are not diagnostic and cannot confirm the presence or absence of these conditions.

Therefore, further tests, such as ultrasound or amniocentesis, are needed to verify the results.

Choice A is wrong because AFP results are not diagnostic for fetal anomalies.

They only indicate a risk level that needs to be confirmed by other tests.

Choice C is wrong because AFP results can detect not only neural tube defects, but also other fetal anomalies, such as abdominal wall defects or chromosomal abnormalities.

Choice D is wrong because AFP results are not affected by maternal race and ethnicity.

They are affected by maternal age, weight, diabetes, multiple gestation, and gestational age.

A. A 25-year-old client who has migraine headaches with aura. B. A 32-year-old client who has endometriosis. C. A 28-year-old client who has polycystic ovary syndrome D. A 22-year-old client who has irregular menstrual cycles.

Correct Answer is A

Explanation

This is because migraine headaches with aura are a contraindication for receiving oral contraceptives, as they increase the risk of stroke and other cardiovascular complications.

Some possible explanations for the other choices are:

Choice B: A 32-year-old client who has endometriosis.

This is not a contraindication for receiving oral contraceptives, as they can actually help reduce the symptoms of endometriosis by suppressing ovulation and reducing menstrual bleeding.

Choice C: A 28-year-old client who has polycystic ovary syndrome (PCOS).

This is not a contraindication for receiving oral contraceptives, as they can help regulate the menstrual cycle and lower the levels of androgens (male hormones) that cause acne, hirsutism (excess hair growth), and other problems in women with PCOS.

Choice D: A 22-year-old client who has irregular menstrual cycles.

This is not a contraindication for receiving oral contraceptives, as they can help normalize the menstrual cycle and prevent unintended pregnancy.

Normal ranges for oral contraceptive doses are:

Estrogen: 10 to 35 mcg of ethinyl estradiol or estradiol valerate

Progestin: varies depending on the type and brand of oral contraceptive

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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 client asks the nurse about the significance of Alpha-fetoprotein Test (AFP) results. How should the nurse respond?

Correct Answer is B

Explanation

A nurse is reviewing contraception options for four clients. The nurse should identify that which of the following clients has a contraindication for receiving oral contraceptives?

Correct Answer is A

Explanation

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 explaining the purpose of a Doppler ultrasound blood flow analysis to a client who has intrauterine growth restriction (IUGR). The nurse should inform the client that this test measures which of the following?

A nurse is interpreting the results of a biophysical profile (BPP) for a client who is at 34 weeks of gestation. The nurse should understand that each of the five variables is assigned a score of how many points?

A nurse is explaining the purpose of a Contraction Stress Test (CST) to a pregnant client. What does the CST aim to assess?

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 nurse is reviewing the results of a Contraction Stress Test (CST) with a pregnant client. What does an equivocal CST indicate?

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 teaching about fetal development to a group of clients in the antenatal clinic. Which of the following statements should the nurse include in the teaching?

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?