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

The correct answer is choice B. Monitor fetal heart rate.

This is because cramping and vaginal bleeding after amniocentesis are signs of possible complications such as miscarriage, preterm labor, or injury to the fetus.

Monitoring fetal heart rate can help assess the well-being of the fetus and detect any signs of distress.

Choice A is wrong because administering Rho(D) immunoglobulin is only necessary if the mother has Rh-negative blood and the baby has Rh-positive blood, which can cause Rh sensitization.

This is not given routinely to all women who have amniocentesis.

Choice C is wrong because assessing maternal vital signs is not the first priority when there is a risk of fetal compromise.

Maternal vital signs can be affected by many factors and are not specific indicators of fetal health.

Choice D is wrong because obtaining an order for an ultrasound exam is not the first action to take.

An ultrasound exam can help confirm the diagnosis of complications such as placental abruption or fetal demise, but it requires time and equipment that might delay immediate intervention.

Monitoring fetal heart rate can be done quickly and easily at the bedside.

A. An ultrasound and a nonstress test. B. An ultrasound and a contraction stress test. C. A Doppler ultrasound and a nonstress test. D. A Doppler ultrasound and a contraction stress test.

Correct Answer is A

Explanation

The test involves an ultrasound and a nonstress test.

A biophysical profile (BPP) is a way to check on the overall fetal health by observing the fetus’s heart rate, breathing, movement, muscle tone, and the amount of amniotic fluid surrounding the fetus in the uterus.

It is typically performed after 28 weeks of pregnancy, especially for high-risk pregnancies or if there is a chance of complications.

Choice B is wrong because a contraction stress test is not part of a BPP.

A contraction stress test measures how the fetus’s heart rate changes during contractions induced by oxytocin or nipple stimulation.

It is a different test from a nonstress test, which measures the fetus’s heart rate while moving and at rest without any stimulation.

Choice C is wrong because a Doppler ultrasound is not part of a BPP.

A Doppler ultrasound uses sound waves to measure the blood flow in the umbilical cord and other blood vessels.

It is a different type of ultrasound from the one used in a BPP, which uses sound waves to create images of the fetus and the amniotic fluid.

Choice D is wrong because it combines two incorrect components from choices B and C. A BPP does not involve a Doppler ultrasound or a contraction stress test.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who had an amniocentesis at 16 weeks gestation and reports cramping and vaginal bleeding 24 hours later. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is preparing a client for a biophysical profile (BPP). The nurse should instruct the client that the test involves which of the following procedures?

Correct Answer is A

Explanation

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?

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

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

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 discussing the risks associated with a Contraction Stress Test (CST) with a pregnant client. Which complication should the nurse mention?

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?