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?

“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.”.

Answer and Explanation

The Correct Answer is C

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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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. "I will have sensors placed on my abdomen to monitor the FHR and uterine contractions.". B. "I will need to fast for 24 hours before the test.". C. "I will be sedated during the test to prevent discomfort.". D. "I will need to drink plenty of fluids before the test.".

Correct Answer is A

Explanation

“I will have sensors placed on my abdomen to monitor the FHR and uterine contractions.” This statement indicates the client understands the test procedure of a CST, which is a test that triggers contractions and registers how the baby’s heart reacts.

The test is done by placing two sensor belts around the abdomen, one to measure the baby’s heartbeat and the other to measure contractions.

The client may receive oxytocin through an IV to induce contractions.

Choice B is wrong because the client does not need to fast for 24 hours before the test.

There is no evidence that fasting is required for a CST.

Choice C is wrong because the client will not be sedated during the test.

Sedation is not necessary for a CST and may interfere with the results.

Choice D is wrong because the client does not need to drink plenty of fluids before the test.

There is no evidence that drinking fluids is required for a CST.

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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?

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 caring for a client scheduled for a CST. Which statement indicates the client understands the test procedure?

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?

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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 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 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 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?