A nurse is educating a pregnant client about the Non-Stress Test (NST).

Which statement by the client indicates understanding of the test?

"NST is performed after 28 weeks of gestation or earlier if there are risk factors.".

"A nonreactive NST means that the fetal heart rate increases by at least 15 beats per minute for at least 15 seconds twice or more in a 20-minute period.".

. "NST requires placing two belts with sensors on my abdomen: one to monitor the fetal heart rate and one to monitor the uterine contractions.".

"A reactive NST may indicate fetal hypoxia, distress, sleep, medication effect, or neurological abnormality.".

Answer and Explanation

The Correct Answer is A

"NST is performed after 28 weeks of gestation or earlier if there are risk factors."12 This statement indicates that the client understands when and why an NST is done.

Choice B is wrong because it describes a reactive NST, not a nonreactive one.

A reactive NST means that the fetal heart rate increases by at least 15 beats per minute for at least 15 seconds twice or more in a 20-minute period.2

Choice C is wrong because it confuses NST with contraction stress test (CST), which requires monitoring uterine contractions.

NST does not involve contractions.2

Choice D is wrong because it describes possible causes of a nonreactive NST, not a reactive one.

A nonreactive NST may indicate fetal hypoxia, distress, sleep, medication effect, or neurological abnormality.2

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Correct Answer is B

Explanation

The correct answer is choice B. Monitor fetal heart rate.

This is because cramping and vaginal bleeding after amniocentesis are signs of possible complications such as miscarriage, preterm labor, or injury to the fetus.

Monitoring 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) immunoglobulin 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 priority when there is a risk of fetal compromise.

Maternal vital signs can be affected by many factors and are not specific indicators of fetal health.

Choice D is wrong because obtaining an order for an ultrasound exam is not the first action to take.

An ultrasound exam can help confirm the diagnosis of complications such as placental abruption or fetal demise, but it requires time and equipment that might delay immediate intervention.

Monitoring fetal heart rate can be done quickly and easily at the bedside.

A. “This test can detect neural tube defects.”. B. “This test can detect genetic disorders.”. C. “This test can detect chromosomal abnormalities.”. D. “This test can detect Rh sensitization.”.

Correct Answer is B

Explanation

This test can detect genetic disorders.

Chorionic villus sampling (CVS) is a prenatal test that involves taking a sample of tissue from the placenta to test for chromosomal abnormalities and certain other genetic problems.

The placenta is a structure in the uterus that provides blood and nutrients from the mother to the fetus.

Choice A is wrong because CVS does not provide information on neural tube defects, such as spina bifida.

For this reason, women who undergo CVS also need a follow-up blood test between 16 to 18 weeks of their pregnancy to screen for neural tube defects.

Choice C is wrong because CVS can detect chromosomal abnormalities, but not all chromosomal abnormalities are genetic disorders.

For example, Down syndrome is a chromosomal abnormality caused by an extra copy of chromosome 21, but it is not inherited from the parents.

Choice D is wrong because CVS cannot detect Rh sensitization, which is a condition where the mother’s immune system produces antibodies against the fetus’s blood type.

Rh sensitization can be detected by a blood test that measures the level of antibodies in the mother’s blood.

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A nurse is educating a pregnant client about the Non-Stress Test (NST). Which statement by the client indicates understanding of the test?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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?

Correct Answer is B

Explanation

A client's Alpha-fetoprotein Test (AFP) result is reported as 0.8 MoM. What does this result suggest?

During a CST, the nurse observes variable decelerations of the FHR with or without contractions. What does this finding indicate?

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

A client's Alpha-fetoprotein Test (AFP) result is reported as 1.2 MoM. How should the nurse interpret this result?

A client is scheduled for a transvaginal ultrasound in two weeks. The client asks the nurse what they should do to prepare for the test. What is the best response by the nurse?

A client asks the nurse about the risks and complications associated with prenatal ultrasound. Which of the following responses by the nurse is accurate?

A nurse is reviewing the contraindications for a Contraction Stress Test (CST) with a pregnant client. Which condition would be a contraindication for the test?

A nurse is educating a pregnant client about the Non-Stress Test (NST).

Which statement by the client indicates understanding of the test?