A nurse is caring for a client having a biophysical profile.
The client asks what the test is for.
What should the nurse include in the response? (Select all that apply.)

Fetal breathing.

Fetal motion.

Amniotic fluid volume assessment.

Fetal neck translucency.

Fetal gender.

Answer and Explanation

Correct Answer : A,B,C

Choice A rationale

Cracked, peeling skin is typical of postmature infants due to prolonged exposure to amniotic fluid. Reduced vernix caseosa, which normally protects the skin, exacerbates this peeling.

Choice B rationale

A positive Moro reflex is an expected neurologic finding in postmature infants, demonstrating an intact central nervous system. Persistence or absence may indicate neurologic compromise requiring further evaluation.

Choice C rationale

Creases covering the soles of the feet are common in postmature infants due to advanced physical maturity. Increased plantar creasing correlates with gestational age and tissue development.

Choice D rationale

Postmature infants often have long, hardened fingernails rather than short, soft nails. Extended gestation promotes additional growth, distinguishing them from premature or term neonates.

Choice E rationale

Vernix is typically absent or minimal in postmature infants due to its absorption after 40 weeks of gestation. Limited vernix increases the risk of skin desquamation and irritation.

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Correct Answer is A

Explanation

Choice A rationale

Elevating the head reduces the risk of aspiration by preventing stomach contents, including gastric juices, from entering the lungs. This position is essential for infants with tracheoesophageal fistula due to the abnormal connection between the trachea and esophagus, which increases aspiration risk.

Choice B rationale

Facilitating food digestion is not the primary goal of this positioning. Gastric motility and digestion are unaffected by head elevation, making this rationale irrelevant to the question. Therefore, this is not the correct choice.

Choice C rationale

While head elevation can improve breathing by reducing diaphragm compression, the primary purpose in this context is to prevent aspiration. Lung expansion is a secondary benefit, but it is not the main reason for this position.

Choice D rationale

Reducing stomach pressure is not the key reason for elevating the head in this case. Although head elevation can minimize intra-abdominal pressure, this rationale does not address the critical concern of preventing aspiration in tracheoesophageal fistula. .

A. A history of pelvic inflammatory disease (PID). B. An atypical Papanicolaou smear at her last clinic visit. C. Dysmenorrhea that is unresponsive to NSAIDs. D. Abdominal bloating starting several days before menses.

Correct Answer is C

Explanation

Choice A rationale

A history of pelvic inflammatory disease may result in complications like infertility or chronic pelvic pain but does not specifically indicate endometriosis. Endometriosis involves the ectopic implantation of endometrial tissue, unrelated to infection from PID.

Choice B rationale

An atypical Papanicolaou smear suggests cervical cell abnormalities due to infection, inflammation, or dysplasia, but it does not correlate with endometriosis, which is a distinct gynecological condition involving ectopic endometrial tissue growth.

Choice C rationale

Dysmenorrhea unresponsive to NSAIDs is a defining symptom of endometriosis. This pain results from the inflammatory response and cyclic bleeding of ectopic endometrial tissue, which can cause significant discomfort and impair quality of life.

Choice D rationale

Abdominal bloating several days before menses may be linked to hormonal fluctuations or gastrointestinal issues but is not a primary symptom of endometriosis. While some affected individuals experience bloating, it is not a diagnostic feature like severe, treatment-resistant pain. .

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A nurse is caring for a client having a biophysical profile.The client asks what the test is for.What should the nurse include in the response? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse places an infant with a tracheoesophageal fistula under a radiant warmer with the infant's head elevated at a 45-degree angle.Which statement by the mother indicates an understanding of the most important reason for this position?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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A nurse is caring for a client having a biophysical profile.
The client asks what the test is for.
What should the nurse include in the response? (Select all that apply.)