A nurse is caring for a client who had an amniocentesis at 16 weeks gestation and reports cramping and vaginal bleeding 24 hours later.

Which of the following actions should the nurse take first?

Administer Rho(D) immune globulin.

Monitor fetal heart rate

Assess maternal vital signs

Obtain an order for an ultrasound exam.

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. Monitor fetal heart rate.

This is because cramping and vaginal bleeding after amniocentesis are signs of possible complications such as miscarriage, preterm labor, or injury to the fetus.

Monitoring fetal heart rate can help assess the well-being of the fetus and detect any signs of distress.

Choice A is wrong because administering Rho(D) immunoglobulin is only necessary if the mother has Rh-negative blood and the baby has Rh-positive blood, which can cause Rh sensitization.

This is not given routinely to all women who have amniocentesis.

Choice C is wrong because assessing maternal vital signs is not the first priority when there is a risk of fetal compromise.

Maternal vital signs can be affected by many factors and are not specific indicators of fetal health.

Choice D is wrong because obtaining an order for an ultrasound exam is not the first action to take.

An ultrasound exam can help confirm the diagnosis of complications such as placental abruption or fetal demise, but it requires time and equipment that might delay immediate intervention.

Monitoring fetal heart rate can be done quickly and easily at the bedside.

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Correct Answer is B

Explanation

This method can be used to induce uterine contractions during the test by stimulating the uterus with a hormone that causes contractions.

Oxytocin is also the hormone that naturally triggers labor contractions.

Choice A is wrong because nipple stimulation can also induce contractions, but it is not as reliable or controllable as oxytocin infusion.

Choice C is wrong because oral medications are not used to induce contractions during a CST.

Some medications may interfere with the test results or cause side effects.

Choice D is wrong because applying warm compresses to the abdomen does not induce contractions.

It may help with pain relief or relaxation, but it does not affect the uterus.

Normal ranges for uterine contractions during a CST are three contractions in 10 minutes, each lasting 40 to 60 seconds.

Normal ranges for fetal heart rate during a CST are 110 to 160 beats per minute, with no decelerations after contractions.

A. "Ultrasound may cause harm to the fetus.". B. "There are no known risks or complications for the pregnant person or the fetus.". C. "Pregnant individuals should avoid ultrasound due to potential radiation exposure.". D. "Ultrasound can lead to miscarriage or preterm labor.".

Correct Answer is B

Explanation

There are no known risks or complications for the pregnant person or the fetus.

Prenatal ultrasound is a safe and noninvasive procedure that uses sound waves to create images of the fetus and the placenta.

It does not use radiation or harm the fetal tissues.

Choice A is wrong because ultrasound does not cause harm to the fetus.

There is no evidence that ultrasound has any adverse effects on fetal development, growth, or health.

Choice C is wrong because pregnant individuals do not need to avoid ultrasound due to potential radiation exposure.

Ultrasound does not involve radiation, unlike x-rays or CT scans.

Choice D is wrong because ultrasound does not lead to miscarriage or preterm labor.

Ultrasound is not associated with any increased risk of pregnancy complications, such as miscarriage, preterm labor, or birth defects.

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A nurse is caring for a client who had an amniocentesis at 16 weeks gestation and reports cramping and vaginal bleeding 24 hours later. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a client for a Contraction Stress Test (CST). Which method can be used to induce uterine contractions during the test?

Correct Answer is B

Explanation

A client asks the nurse about the risks and complications associated with prenatal ultrasound. Which of the following responses by the nurse is accurate?

Correct Answer is B

Explanation

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A nurse is caring for a client who had an amniocentesis at 16 weeks gestation and reports cramping and vaginal bleeding 24 hours later.

Which of the following actions should the nurse take first?