A client with a history of diabetes mellitus (T1 D) is 32 weeks pregnant.The client returns to the clinic for a scheduled ultrasound and non-stress test.
What should the nurse expect the non-stress test to determine?
Mother’s ability to tolerate the discomfort of labor.
Fetal lie.
Well-being of the fetus.
Maternal readiness for labor.
The Correct Answer is C
A nonstress test (NST) is a test in pregnancy that measures fetal heart rate and reaction to movement. Your pregnancy care provider performs a nonstress test to make sure the fetus is healthy and getting enough oxygen. It’s safe and painless, and gets its name because it puts no stress (nonstress) on you or the fetus.
Choice A is wrong because a nonstress test does not measure the mother’s ability to tolerate the discomfort of labor. A stress test is a different procedure that involves stimulating contractions and monitoring how the fetus responds.
Choice B is wrong because a nonstress test does not measure fetal lie, which is the position of the fetus in the uterus.
Fetal lie is usually determined by ultrasound or physical examination.
Choice D is wrong because a nonstress test does not measure maternal readiness for labor. A nonstress test typically happens after 28 weeks of pregnancy, when fetal heart rate starts reacting to movements.
Maternal readiness for labor is assessed by other factors, such as cervical dilation and effacement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A. A patient who weighed less than 5 lb (2,268 gm) at birth is at risk for having an infant with intrauterine growth retardation (IUGR).This is because low birth weight is a possible indicator of genetic factors or placental insufficiency that can affect fetal growth.
Choice B is wrong because an ectopic pregnancy one year ago does not increase the risk of IUGR.An ectopic pregnancy is when the fertilized egg implants outside the uterus, usually in the fallopian tube.It does not affect the placental function or fetal development in a subsequent pregnancy.
Choice C is wrong because a mitral valve prolapse does not increase the risk of IUGR.
A mitral valve prolapse is when the valve between the left atrium and left ventricle of the heart does not close properly.It usually does not cause any symptoms or complications during pregnancy, unless it is associated with severe regurgitation or arrhythmias.
Choice D is wrong because the father’s age of 42 years old does not increase the risk of IUGR.The father’s age may affect the risk of chromosomal abnormalities or congenital anomalies in the fetus, but not the fetal growth.
Some of the other risk factors for IUGR include maternal smoking, alcohol, or drug use, medical conditions like anemia or lupus, infections such as rubella or syphilis, carrying twins or multiples, high blood pressure, gestational diabetes, and placenta problems.
Correct Answer is C
Explanation
The correct answer is choice C and explain why.Nipple stimulation can cause uterine contractions and increase the risk of preterm labor, especially in a twin gestation.
The client should avoid nipple stimulation until term or as instructed by the provider.
Choice A is wrong because cocoa butter can help moisturize the skin and prevent itching and dryness.
It does not prevent stretch marks, but it is not harmful.
Choice B is wrong because resting several times a day, lying on the left side, can improve blood flow to the uterus and reduce swelling in the lower extremities.
It is a recommended self-care measure for the third trimester of pregnancy.
Choice D is wrong because drinking at least eight glasses of water a day can prevent dehydration, constipation, and urinary tract infections.
It can also help regulate body temperature and amniotic fluid volume.
Normal ranges for twin gestation are similar to singleton gestation, except for fundal height and weight gain.
The fundal height should be measured in centimeters from the pubic symphysis to the top of the uterus.
It should be approximately equal to the number of weeks of gestation plus or minus 4 cm until 32 weeks, then it may plateau or decrease slightly.
The weight gain should be between 35 and 45 pounds for a normal-weight woman, 25 to 42 pounds for an overweight woman, and 15 to 25 pounds for an obese woman.
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