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 A

Explanation

"NST is performed after 28 weeks of gestation or earlier if there are risk factors."12 This statement indicates that the client understands when and why an NST is done.

Choice B is wrong because it describes a reactive NST, not a nonreactive one.

A reactive NST means that the fetal heart rate increases by at least 15 beats per minute for at least 15 seconds twice or more in a 20-minute period.2

Choice C is wrong because it confuses NST with contraction stress test (CST), which requires monitoring uterine contractions.

NST does not involve contractions.2

Choice D is wrong because it describes possible causes of a nonreactive NST, not a reactive one.

A nonreactive NST may indicate fetal hypoxia, distress, sleep, medication effect, or neurological abnormality.2

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 educating a pregnant client about the Non-Stress Test (NST). Which statement by the client indicates understanding of the test?

Correct Answer is A

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

A nurse is providing education to a client who is scheduled to undergo chorionic villus sampling (CVS). Which statement by the client indicates an understanding of this test?

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A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?

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?

A client is scheduled for an abdominal ultrasound in two weeks to assess fetal growth and development during pregnancy. Which of these statements made by the client indicates that further teaching is needed?

A nurse is caring for a client who is scheduled for an amniocentesis. Which of the following should the nurse report to the provider?

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?