A nurse is assisting with a nonstress test (NST) on a client who is at 36 weeks of gestation and asks "What are you looking for during this test?" Which of the following responses should the nurse make?
"We are looking for increases in fetal heart rate of 15/min for at least 15 seconds. This means the baby is doing well."
"We will draw blood to evaluate the baby's risk of genetic problems."
"I am looking at the ultrasound to see if the baby has any congenital anomalies."
"If the baby moves 5 times in 15 minutes, then the baby is healthy."
The Correct Answer is A
A. "We are looking for increases in fetal heart rate of 15/min for at least 15 seconds. This means the baby is doing well." – Correct; a reactive NST shows at least two accelerations of 15 bpm lasting at least 15 seconds within 20 minutes, indicating fetal well-being.
B. "We will draw blood to evaluate the baby's risk of genetic problems." – Incorrect; an NST does not involve blood work; genetic testing is done through amniocentesis or blood screening.
C. "I am looking at the ultrasound to see if the baby has any congenital anomalies." – Incorrect; an NST does not evaluate congenital anomalies; an ultrasound or amniocentesis would be used for that.
D. "If the baby moves 5 times in 15 minutes, then the baby is healthy." – Incorrect; fetal movement is assessed with kick counts, not an NST.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. G3 T0 P0 A2 L0 – Correct, as she has had three pregnancies (including the current one), no term or preterm births, two miscarriages, and no living children.
B. G3 T0 P0 A3 L0 – Incorrect, as she has had two miscarriages, not three.
C. G3 T1 P2 A0 L4 – Incorrect, as she has had no term or preterm births and no living children.
D. G3 T1 P2 A0 L0 – Incorrect, as she has had no term or preterm births.
Correct Answer is A
Explanation
A. By calculating the time between the beginning of one contraction to the beginning of the next – Correct; frequency is measured from the start of one contraction to the start of the next.
B. By measuring the duration of the contractions – Incorrect; duration refers to how long a contraction lasts, not frequency.
C. By assessing the intensity of the contractions – Incorrect; intensity refers to the strength of the contraction.
D. By palpating the resting tone of the uterus – Incorrect; resting tone assesses uterine relaxation between contractions.
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