A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundus of the Uterus and a long, smooth surface on the client's right side, in which abdominal quadrant should the nurse expect to auscultate fetal heart tones?

Choice A Reason:

"I should have a goal of maintaining my fasting blood glucose between 100 and 120." This statement does not indicate understanding of the teaching. Recommended target for fasting blood glucose levels during pregnancy in women with diabetes is typically lower, often between 60 and 90 mg/dL.

Choice B Reason:

"I should engage in moderate exercise for 30 minutes if my blood glucose is 250 or greater." This statement does not indicate understanding of the teaching . Exercising when blood glucose is already elevated to 250 or greater may not be safe. Exercise is generally recommended to help manage blood glucose levels, but the specific approach and timing should be discussed with the healthcare provider.

Choice C Reason:

"I will continue taking my insulin if I experience nausea and vomiting." This statement reflects an awareness of the importance of continuing insulin administration even if the client is experiencing nausea and vomiting. Consistent insulin management is crucial for maintaining blood glucose levels within the target range during pregnancy.

Choice D Reason:

"I will ensure that my bedtime snack is high in refined sugar." This statement does not indicate understanding of the teaching. Bedtime snacks should focus on providing sustained energy and stabilizing blood glucose levels. A snack high in refined sugar is not recommended as it can lead to fluctuations in blood glucose levels.

Choice A Reason:

Percutaneous umbilical blood sampling (PUBS) is not appropriate. This invasive procedure involves sampling blood from the umbilical cord and is not typically used in the context of a positive contraction stress test.

Choice B Reason:

Amnioinfusion is not appropriate. Amnioinfusion is a procedure in which sterile fluid is infused into the amniotic cavity to alleviate conditions such as oligohydramnios. It is not a primary diagnostic test for assessing fetal well-being.

Choice C Reason:

Biophysical profile (BPP) is appropriate. The biophysical profile is a diagnostic test that assesses the well-being of the fetus by evaluating various parameters, including fetal heart rate, fetal breathing movements, fetal movements, fetal tone, and the amniotic fluid volume. This test provides additional information to assess fetal well-being and can help guide decisions about the timing and mode of delivery.

Choice D Reason:

Chorionic villus sampling (CVS) is inappropriate. CVS is a prenatal test used for diagnosing certain genetic conditions but is not indicated in the context of a positive contraction stress test.