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 B

Explanation

A) Incorrect- While placing the baby in the bassinet in the room is a good practice, it may not be sufficient to prevent abduction.
B) Correct - Ensuring that anyone caring for or transporting the baby is wearing an identification badge helps confirm their authorized status to handle the baby.
C) Incorrect- Carrying the baby in the arms is a safe practice, but it doesn't specifically address preventing abduction.
D) Incorrect- Placing the identification band in the bassinet drawer is not a recommended practice, as it can potentially lead to confusion or misidentification.

A. Respiratory rate 32/min B. Temperature 38.3° C (101°F) C. Apical pulse 66/min D. Blood pressure 156/80 mm Hg

Correct Answer is A

Explanation

A) Correct - An elevated respiratory rate could indicate postpartum hemorrhage as the body compensates for decreased oxygen-carrying capacity due to blood loss.
B) Incorrect- An elevated temperature might indicate infection, but it is not a specific indication of postpartum hemorrhage.
C) Incorrect- A normal apical pulse rate does not specifically indicate or rule out postpartum hemorrhage.
D) Incorrect- An elevated blood pressure might occur for various reasons postpartum, including anxiety or pain, but it is not a specific indication of postpartum hemorrhage.

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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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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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