A nurse in a provider's office is reinforcing teaching with a client who is pregnant and is scheduled for a nonstress test. Which of the following statements should the nurse make?

"You will not be able to eat or drink anything for 8 hours prior to the test."

"You will press the provided button when you feel the baby moving during the test."

"You will receive medication through an IV line to stimulate contractions."

"You will be required to lie flat on your back for the duration of the test."

Answer and Explanation

The Correct Answer is B

A.   There is no fasting requirement for a nonstress test.
B.   The client will press a button whenever they feel the baby move during the test to help correlate fetal movement with changes in the fetal heart rate.
C.   A nonstress test is not meant to stimulate contractions. It monitors the fetal heart rate in response to the baby's movements.
D.   While the client will be monitored, they are not required to lie flat on their back for the entire duration of the test. They may be in a semi-reclining or comfortable position.

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Correct Answer is A

Explanation

A. Increased uterine tone: Methylergonovine is a medication used to prevent or treat postpartum hemorrhage. It works by causing uterine contractions, which helps to control bleeding. An indication that the medication is effective would be an increase in uterine
tone, as this signifies that the uterus is contracting appropriately.
B. Blood pressure 120/74 mm Hg: While a blood pressure of 120/74 mm Hg is within the normal range, it does not specifically indicate the effectiveness of methylergonovine.
Blood pressure is an important parameter to monitor, but it alone does not determine the effectiveness of the medication.
C. Decreased perineal edema: Decreased perineal edema may be a positive sign for the client's overall recovery, but it is not a direct indicator of methylergonovine's
effectiveness. Perineal edema is not a primary concern addressed by this medication.
D. Urinary output 100 mL/hr: Urinary output of 100 mL/hr is an important parameter to monitor for renal function. However, it does not specifically indicate the effectiveness of methylergonovine in preventing or treating postpartum hemorrhage. Urinary output is crucial for assessing kidney function and fluid balance but is not directly related to the action of this medication.

A. Provide the client with ice packs for her breasts. B. Advise the client to avoid using a breast pump. C. Have the client apply purified lanolin to her breasts. D. Encourage the client to wear a loose-fitting bra.

Correct Answer is A

Explanation

A. Ice packs can help reduce swelling and inflammation associated with engorgement by constricting blood vessels and reducing blood flow to the area, which can alleviate pain and discomfort.
B. Avoiding the use of a breast pump may exacerbate engorgement. It is appropriate to use a pump if needed for comfort or to facilitate breastfeeding.
C. While purified lanolin can help soothe sore nipples, it does not address the inflammation and swelling of engorgement.
D. A well-fitting, supportive bra is important, but it should not be too tight. It should provide adequate support without constricting the breasts.

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A nurse in a provider's office is reinforcing teaching with a client who is pregnant and is scheduled for a nonstress test. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is postpartum and has received methylergonovine. Which of the following findings should indicate to the nurse that the medication was effective?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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