A nurse is discussing the risks associated with a Contraction Stress Test (CST) with a pregnant client.

Which complication should the nurse mention?

Preterm labor.

Premature rupture of membranes.

Infection.

Bleeding.

Answer and Explanation

The Correct Answer is A

A contraction stress test (CST) is a test that simulates labor contractions to see how the baby’s heart rate responds to the stress of uterine contractions.

The biggest risk of the test is that it may cause the pregnant person to go into labor before their due date.

Some possible explanations for the other choices are:

Choice B. Premature rupture of membranes.

This is a condition where the amniotic sac breaks before labor begins.

It can increase the risk of infection and cord prolapse, but it is not a direct complication of CST.

Choice C. Infection.

This is a possible risk of any invasive procedure, but CST is usually done with external fetal monitoring and oxytocin infusion, which do not require breaking the skin or entering the uterus.

Choice D. Bleeding.

This is a potential risk of CST for people who have placenta previa, a condition where the placenta covers the cervix and can detach during contractions.

However, CST is not recommended for people who have placenta previa or other conditions that increase the risk of uterine rupture or bleeding.

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Correct Answer is A

Explanation

An equivocal CST indicates late decelerations of the FHR with less than 50% of contractions.

This means that the fetus may have some degree of hypoxia or distress, but not enough to warrant immediate delivery.

An equivocal CST may also result from hyperstimulation of the uterus, which can cause excessive contractions and reduce blood flow to the placenta.

Choice B is wrong because late decelerations of the FHR with at least 50% of contractions is a positive CST, which indicates a high risk of fetal death due to hypoxia and is a contraindication to labor.

Choice C is wrong because no late decelerations of the FHR during contractions is a negative CST, which indicates a good fetal wellbeing and tolerance of labor.

Choice D is wrong because variable decelerations of the FHR with or without contractions are not related to uterine activity and may indicate cord compression or other fetal problems.

Variable decelerations are not used to interpret CST results.

A. Notify the healthcare provider immediately B. Administer pain medication to the patient C. Encourage the patient to rest and elevate her legs D. Offer emotional support and reassurance to the patient

Correct Answer is A

Explanation

The correct answer is choice A. Notify the health care provider immediately.

This is because cramping and vaginal bleeding 24 hours after amniocentesis are signs of possible complications, such as injury to the baby or mother, leaking of amniotic fluid, infection, Rh sensitization, preterm labor, or miscarriage.

These complications are rare, but they can be serious and require immediate medical attention.

Choice B is wrong because administering pain medication to the patient does not address the underlying cause of the cramping and bleeding, and may delay seeking help.

Choice C is wrong because encouraging the patient to rest and elevate her legs may not prevent further complications, and may also delay seeking help.

Choice D is wrong because offering emotional support and reassurance to the patient is not enough to ensure the safety of the baby and the mother, and may give a false sense of security.

Normal ranges for amniocentesis are:

No chromosomal defects detected in the fetus and no abnormal proteins present in amniotic fluid

No signs of infection or other illness in the baby

Fetal lungs mature enough for birth if delivery is planned sooner than 39 weeks

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A nurse is discussing the risks associated with a Contraction Stress Test (CST) with a pregnant client. Which complication should the nurse mention?

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the results of a Contraction Stress Test (CST) with a pregnant client. What does an equivocal CST indicate?

Correct Answer is A

Explanation

A nurse is caring for a patient who had an amniocentesis performed at 16 weeks gestation and reports cramping and vaginal bleeding 24 hours later. Which action should be taken first?

Correct Answer is A

Explanation

A nurse is caring for a client who has oligohydramnios and is undergoing a biophysical profile (BPP). The nurse should expect to see which of the following findings on the ultrasound?

A nurse is performing an abdominal ultrasound for a client who is at 28 weeks of gestation. The nurse should instruct the client to do which of the following before the procedure?

A nurse is caring for a client who had chorionic villus sampling (CVS) performed at 12 weeks’ gestation and asks when she can expect results from this test. The nurse should inform her that results are typically available within which timeframe?

A nurse is caring for a client who is scheduled for chorionic villus sampling (CVS). Which of the following statements should indicate to the nurse that the client understands the procedure?

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 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 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?

A nurse is caring for a client who is scheduled for an amniocentesis at 16 weeks gestation. Which of the following should the nurse report to the provider?

A nurse is discussing the risks associated with a Contraction Stress Test (CST) with a pregnant client.

Which complication should the nurse mention?