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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Answer and explanation..

The correct answer is choice C. Jitteriness.Jitteriness is a sign of low blood sugar (hypoglycemia) which is common in infants of diabetic mothers (IDM) because they have high levels of insulin in their blood that lower their glucose levels after birth.Hypoglycemia can also cause other symptoms such as seizures, lethargy, poor feeding, sweating, trembling, and pale complexion.

Choice A is wrong because abdominal distention is not a typical symptom of IDM.

It can be caused by other conditions such as intestinal obstruction or infection.

Choice B is wrong because high-pitched cry is not a specific symptom of IDM.

It can be caused by many factors such as pain, hunger, or neurological problems.

Choice D is wrong because excessive drooling is not a common symptom of IDM.

It can be a sign of oral problems such as teething or infection.

Normal ranges for blood glucose in newborns are 40 to 150 mg/dL (2.2 to 8.3 mmol/L).

IDM should be monitored closely for hypoglycemia and treated promptly with glucose if needed.

A. Take the mother’s vital signs every 15 minutes. B. Send a specimen of the fluid to the laboratory for analysis. C. Have a suction catheter available for use at delivery. D. Prepare a slide of the fluid for fern testing.

Correct Answer is C

Explanation

The correct answer is choice C. Have a suction catheter available for use at delivery.This is because meconium-stained amniotic fluid indicates that the fetus has passed meconium (first stool) before birth, which can be a sign of fetal distress or hypoxia.Meconium can block the airways and cause breathing problems for the newborn, so suctioning the mouth and nose (or the trachea if needed) is important to prevent meconium aspiration syndrome.

Choice A is wrong because taking the mother’s vital signs every 15 minutes is not a specific intervention for meconium-stained amniotic fluid.

Vital signs should be monitored regularly during labor regardless of the fluid color.

Choice B is wrong because sending a specimen of the fluid to the laboratory for analysis is not a priority action.The color and consistency of the fluid can be observed by the nurse and documented.

The laboratory analysis will not change the immediate management of the newborn.

Choice D is wrong because preparing a slide of the fluid for fern testing is not relevant for meconium-stained amniotic fluid.

Fern testing is used to confirm the rupture of membranes by detecting a fern-like pattern of amniotic fluid under a microscope.It is not useful for assessing the presence or severity of meconium-stained amniotic fluid.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn of a diabetic mother (IDM). What should the nurse monitor for during care of the newborn?

Correct Answer is C

Explanation

A patient’s amniotic fluid is meconium-stained. Which action should the nurse plan to take?

Correct Answer is C

Explanation

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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?