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 be required to lie flat on your back for the duration of the test.”.
“You will receive medication through an IV line to stimulate contractions.”. .
The Correct Answer is B
Choice A rationale
There is no need to fast before a nonstress test. The test measures the fetal heart rate in response to fetal movements and does not require any dietary restrictions.
Choice B rationale
During a nonstress test, the client will press a button whenever they feel the baby move. This helps correlate fetal movements with heart rate changes.
Choice C rationale
The client is not required to lie flat on their back for the duration of the test. They can be in a semi-reclined position to ensure comfort and avoid supine hypotensive syndrome.
Choice D rationale
Medication to stimulate contractions is not used during a nonstress test. This is done during a contraction stress test, which is a different procedure.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Diuresis, or increased urine production, is not a common adverse effect of nalbuphine hydrochloride. This medication is an opioid analgesic used for pain relief during labor.
Choice B rationale
Fever is not a typical adverse effect of nalbuphine hydrochloride. Fever may indicate an infection or other underlying condition that needs to be addressed separately.
Choice C rationale
Diarrhea is not a common adverse effect of nalbuphine hydrochloride. Opioids, including nalbuphine, are more likely to cause constipation rather than diarrhea.
Choice D rationale
Sedation is a known adverse effect of nalbuphine hydrochloride. As an opioid analgesic, it can cause drowsiness and sedation, which is important to monitor in laboring clients to ensure their safety and well-being.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
The nurse should clarify the prescription forRh (D) immune globulinbecause of the client’sblood type.
Explanation:
- Rh (D) immune globulinis administered to Rh-negative mothers to prevent Rh sensitization, which can occur if the mother is Rh-negative and the baby is Rh-positive. This medication is crucial in preventing hemolytic disease of the newborn in future pregnancies.
- In this case, the client’s blood type isO+(Rh-positive). Therefore, administering Rh (D) immune globulin is unnecessary and inappropriate for this client, as it is only indicated for Rh-negative individuals.
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