A nurse in a prenatal clinic is caring for a group of clients.
Which of the following clients should the nurse recognize as having a contraindication for a contraction stress test?
A client who has gestational diabetes mellitus
A client who had a previous stillbirth
A client who had a nonreactive nonstress test
A client who has a previous classical incision .
The Correct Answer is D
Choice A rationale
A client who has gestational diabetes mellitus does not have a contraindication for a contraction stress test.
Choice B rationale
A client who had a previous stillbirth does not have a contraindication for a contraction stress test.
Choice C rationale
A client who had a nonreactive nonstress test does not have a contraindication for a contraction stress test. In fact, a nonreactive nonstress test is often an indication for further testing, such as a contraction stress test.
Choice D rationale
A client who has a previous classical incision is at risk for uterine rupture, which is a contraindication for a contraction stress test.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Breast tenderness is a common side effect of clomiphene citrate. This medication stimulates the release of hormones needed for ovulation, which can also cause changes in breast tissue leading to tenderness.
Choice B rationale
Urinary frequency is not a known side effect of clomiphene citrate. However, urinary frequency can be a symptom of pregnancy, which is the intended outcome of using this medication.
Choice C rationale
Chills are not a known side effect of clomiphene citrate. If a patient experiences chills while taking this medication, it may be due to other causes and should be evaluated by a healthcare provider.
Choice D rationale
Tinnitus, or ringing in the ears, is not a known side effect of clomiphene citrate. If a patient experiences tinnitus while taking this medication, it may be due to other causes and should be evaluated by a healthcare provider.
Correct Answer is D
Explanation
Choice A rationale
While it’s true that symptoms of GBS in pregnant women are often not apparent, the absence of symptoms does not eliminate the risk of transmission to the baby during delivery.
Therefore, this is not the primary reason for the timing of the test.
Choice B rationale
Even though a woman’s previous deliveries were negative for GBS, it doesn’t mean she won’t have GBS in subsequent pregnancies. GBS can come and go in a person’s body without symptoms, so even if previous tests were negative, a woman could still have GBS in her current pregnancy.
Choice C rationale
GBS is not typically part of early prenatal testing. It is usually tested for late in the third trimester because a woman can test negative earlier in pregnancy and be positive by the time of delivery.
Choice D rationale
This is the correct answer. The primary reason for testing for GBS late in pregnancy is to identify women who are GBS positive at the time of delivery, as these women have a risk of transmitting GBS to their newborns during delivery.
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