A nurse is assessing the results of a nonstress test for an antepartal client at 35 weeks of gestation.
Which of the following findings should indicate to the nurse the need for further diagnostic testing?
An increase in fetal heart rate to 150/min above the baseline of 140/min lasting 10 seconds in response to fetal movement within a 40-min testing period.
No late decelerations noted with three uterine contractions of 60 seconds in
duration within a 10-min testing period.
Irregular contractions of 10 to 20 seconds in duration that are not felt by the
client.
The Correct Answer is C
A nurse assessing the results of a nonstress test for an antepartal client at 35 weeks of gestation should indicate the need for further diagnostic testing if there are no late decelerations noted with three uterine contractions of 60 seconds in duration within a 10-min testing period.
Choice A is incorrect because an increase in fetal heart rate to 150/min above the baseline of 140/min lasting 10 seconds in response to fetal movement within a 40-min testing period is a normal result.
Choice B is incorrect because irregular contractions of 10 to 20 seconds in duration that are not felt by the client do not indicate the need for further diagnostic testing.
Choice D is incorrect because three fetal movements perceived by the client in a 20-min testing period do not indicate the need for further diagnostic testing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is the most common symptom of placenta previa and can occur after 20 weeks of gestation.
Choice B is incorrect because a persistent headache is not a known symptom of placenta previa.
Choice C is incorrect because uterine hypertonicity is not a known symptom of placenta previa.
Choice D is incorrect because a firm, rigid abdomen is not a known symptom of placenta previa.
Correct Answer is B
Explanation
Congenital CMV can cause birth defects and other long-term health problems such as hearing loss.
Hearing loss may be present at birth or may develop later in babies who passed their newborn hearing test.
Choice A is incorrect because cataracts are not mentioned as a symptom of congenital CMV.
Choice C is incorrect because urinary tract infection is not mentioned as a symptom of congenital CMV.
Choice D is incorrect because macrosomia is not mentioned as a symptom of congenital CMV.
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