A nurse is caring for a client who is scheduled for an amniocentesis.
Which of the following should the nurse include in the client’s teaching?
“You will need to have a full bladder for the procedure.”.
“You will need to lie on your back for the procedure.”.
“You will need to have someone drive you home after the procedure.”.
“You will need to avoid eating or drinking for 8 hours prior to the procedure.” .
The Correct Answer is C
“You will need to have someone drive you home after the procedure.” Amniocentesis is a procedure in which your doctor removes a small amount of amniotic fluid from your uterus for testing or treatment. The procedure can cause some cramping, bleeding, or leaking of fluid, so you should rest and avoid strenuous activities for the rest of the day.
Having someone drive you home is a safety precaution.
Choice A is wrong because you will need to have an empty bladder for the procedure. This reduces the risk of puncturing the bladder with the needle and makes it easier to see the uterus on ultrasound.
Choice B is wrong because you will need to lie on your side for the procedure. This prevents putting pressure on a major blood vessel called the vena cava, which can reduce blood flow to your baby.
Choice D is wrong because you will not need to avoid eating or drinking before the procedure. There is no evidence that fasting reduces the risk of complications from amniocentesis.
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Correct Answer is C
Explanation
The client has a history of bleeding disorders.
This is because amniocentesis is an invasive procedure that involves passing a needle through the abdomen and into the uterus to collect a sample of amniotic fluid.This can cause bleeding and increase the risk of miscarriage.
A client with a bleeding disorder may have difficulty clotting and may experience excessive bleeding after the procedure.
Choice A is wrong because asthma is not a contraindication for amniocentesis.
Asthma is a chronic lung condition that causes inflammation and narrowing of the airways.
It does not affect the ability to perform amniocentesis or the risk of complications.
Choice B is wrong because diabetes is not a contraindication for amniocentesis.
Diabetes is a condition that affects how the body uses glucose, a type of sugar that is the main source of energy for cells.
It does not affect the ability to perform amniocentesis or the risk of complications.
Choice D is wrong because hypertension is not a contraindication for amniocentesis.
Hypertension is a condition that causes high blood pressure, which can damage the heart and blood vessels.
It does not affect the ability to perform amniocentesis or the risk of complications.
Normal ranges for blood pressure are less than 120/80 mmHg, for blood glucose are 70-130 mg/dL before meals and less than 180 mg/dL after meals, and for clotting time are 8-15 minutes.
Correct Answer is B
Explanation
Monitor fetal heart rate.This is because cramping and vaginal bleeding after amniocentesis are signs of possible complications such as miscarriage, infection, or injury to the fetus.
Monitoring the 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) immune globulin 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 action to be taken.
While maternal vital signs can indicate infection or bleeding, they are less important than the fetal heart rate in this situation.
Choice D is wrong because obtaining an order for an ultrasound exam is not the first action to be taken.
While an ultrasound exam can help confirm the diagnosis of complications such as placental abruption or fetal injury, it is not as urgent as monitoring the fetal heart rate.
Normal ranges for fetal heart rate are 110 to 160 beats per minute.Normal ranges for maternal vital signs are: temperature 36.1°C to 37.2°C, pulse 60 to 100 beats per minute, blood pressure 120/80 mm Hg or lower, and respiratory rate 12 to 20 breaths per minute.
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