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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct - Chronic hypertension is a significant risk factor for developing preeclampsia during pregnancy. Preeclampsia is characterized by high blood pressure and organ damage, typically occurring after 20 weeks of pregnancy.
B) Incorrect- Maternal age of 30 years is not a specific risk factor for preeclampsia.
However, maternal age over 40 is considered a risk factor.
C) Incorrect- A prepregnancy BMI of 19 falls within the healthy weight range and is not typically associated with an increased risk of preeclampsia.
D) Incorrect- Having a third pregnancy is not inherently a strong risk factor for preeclampsia. Women experiencing their first pregnancy are at a slightly higher risk.
Correct Answer is D
Explanation
A) Incorrect- The Papanicolaou (Pap) test is not used to determine ovulation status.
B) Incorrect-The Pap test is used to detect abnormal cervical cells and cervical cancer, not endometriosis.
C) Incorrect- The Pap test is not a procedure for removing uterine fibroids.
D) Correct - The primary purpose of the Pap test (Pap smear) is to detect abnormal cervical cells that could indicate the presence of cervical cancer or precancerous conditions.
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