A nurse is caring for a client who is at 34 weeks of gestation and is preparing to undergo a nonstress test. Which of the following actions should the nurse take?

Instruct the client that oxytocin is administered during the procedure.

Inform the client that this procedure assists in indicating Down syndrome.

Assist the client to a lateral tilt position prior to the procedure.

Ensure the client has been NPO for 6 hr prior to the procedure.

Answer and Explanation

The Correct Answer is C

A) Incorrect- Oxytocin is not typically administered during a nonstress test.

B)   Incorrect- A nonstress test is used to assess fetal well-being and does not indicate Down syndrome.
C)   Correct - A lateral tilt position (usually left lateral tilt) is recommended during a nonstress test to prevent compression of the vena cava and maintain proper blood flow to the uterus, which can optimize fetal heart rate monitoring.
D)   Incorrect- NPO status is not typically required for a nonstress test. Nonstress tests are non-invasive and do not involve fasting.

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Correct Answer is C

Explanation

A) Incorrect- Leakage of fluid is possible but not a primary focus of post-procedure instructions.
B) Incorrect- Milk of magnesia is not relevant to an amniocentesis procedure.

C) Correct - Reporting uterine contractions after the procedure is important as it could indicate a potential complication, such as preterm labor.
D) Incorrect- Blood work drawn before the procedure is not typically part of the amniocentesis process.

A. Administer methylergonovine IM. B. Assist the client to empty her bladder. C. Place the client in knee-chest position. D. Give a bolus of lactated Ringers.

Correct Answer is D

Explanation

A) Incorrect- Methylergonovine is used to treat postpartum hemorrhage due to uterine atony, not hypotension.
B) Incorrect- Emptying the client's bladder can help improve blood pressure but is not the priority over treating hypotension.
C) Incorrect- The knee-chest position might be used to increase blood pressure, but it is not the first-line intervention in this situation.
D) Correct - A bolus of lactated Ringers or another appropriate intravenous

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A nurse is caring for a client who is at 34 weeks of gestation and is preparing to undergo a nonstress test. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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